Detail-oriented, organized and dedicated Administrative Assistant with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
11
11
years of professional experience
Work History
Substitute Teacher Coordinator/General Clerk
Plummer Middle School
08.2022 - 05.2023
Performed data entry, maintaining student information.
Contacted and recruited substitute teachers to regular teacher classrooms.
Maintained a log of visitors in the school.
Assisted with clerical tasks.
Complied with district policies as well as state and federal laws and regulations.
Maintained confidentiality in the conduct of district business.
Worked lunch duty to help maintain appropriate behavior.
Maintained and monitored students in classroom assigning scholastic activities.
Patient Access Representative - Temporary
Ideal Personnel/Change Healthcare
06.2021 - 02.2022
Obtained current patient information for established and new patients
Entered/Updated patient information in scheduling system
Identified payer source and verified insurance eligibility
Assisted patients with COVID test results and testing centers
Reviewed scheduling system for needed updated demographics and consent forms
Provided messages or transferred the call to physicians and nurses
Accurately imported registration documents into patients' electronic health records.
Fulfilled medication refills and preauthorization requests for the patient.
Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Customer Service Representative - Temporary
Ideal Personnel/DentaQuest
07.2020 - 05.2021
Educated customers and dental professionals on eligibility, benefits, claims payment, and authorizations
Assisted members on gaining access to care by locating a network dentist or assignment to a primary care dentist.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Assisted customers in navigating company website and placing online orders, improving overall user experience.
Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Collaborated with team members to develop best practices for consistent customer service delivery.
Participated in training programs to enhance product knowledge and customer service skills.
Dental Billing Coordinator
Mint Denistry
11.2019 - 07.2020
Submitted electronic and manual claims.
Entered insurance payments and Explanation of Benefits into the patient's charts.
Appealed denied claims.
Monitored insurance aging reports.
Sent patients statements in cases that warranted.
Scheduled new and existing patient's appointments.
Completed appeals of denied claims on patient bills.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Entered details into accounts and tracked payments.
Maintained strict confidentiality when handling sensitive client information, adhering to HIPAA or other privacy guidelines as required in specific industries.
Updated documentation, reports, and spreadsheets with financial information.
Claims Service Assistant
Sage Adjusting, LLC.
12.2018 - 04.2019
Created new claim records for Longshore claimants.
Communicated effectively with staff, including members of operations, finance and clinical departments.
Tracked all pending authorizations to ensure timely resolution and avoid revenue loss.
Maintained confidentiality of patient finances, records and health statuses.
Processed 10 invoices weekly and mailed documentation to clients.
Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping.
Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Worked with Claims Adjuster to resolve claims, improve operations and provide exceptional customer service.
Expedited urgent claims processing to minimize financial disruption for clients facing significant losses or hardships.
Handled sensitive client information with discretion, adhering to strict confidentiality guidelines at all times.
Checked documentation for accuracy and validity on updated systems.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Claims Technician
Abercrombie Simmons & Gillette Inc.
02.2012 - 11.2018
Created new claim records for TPA, GL, BI, AL, P&C and Longshore claimants.
Documented authorizations or escalations.
Answered clients' billing or claims questions.
Developed strong relationships with insurance carriers to facilitate prompt payment of claims.
Maintained accurate records of all claims processed, ensuring compliance with company policies and industry regulations.
Managed high volume of daily claims while maintaining attention to detail and superior customer service standards.
Assisted with training new employees, sharing knowledge and expertise to ensure smooth onboarding process.
Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
Followed up with customers on unresolved issues.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Generated, posted and attached information to claim files.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Maintained confidentiality of patient finances, records, and health statuses.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Communicated effectively with staff members of operations, finance and clinical departments.
6th Grade English and Language Arts Teacher at Plummer Middle School - Aldine ISD6th Grade English and Language Arts Teacher at Plummer Middle School - Aldine ISD