Professional in patient and customer support with strong communication and problem-solving skills. Adept at managing inquiries, resolving issues, and ensuring customer satisfaction. Known for teamwork, adaptability, and achieving results under changing conditions. Skilled in conflict resolution, empathy, and time management.
Overview
29
29
years of professional experience
Work History
Healthcare Navigator
ITX Healthcare
01.2025 - Current
Initiate both inbound and outbound calls to speak with patients regarding their outstanding healthcare balances. High volume calls over 75 plus daily.
Assist by answering questions, explaining date of service details, providing education about insurance, setting up payments and payments plans that work for them.
Provide concise data reporting, detailing call summary to healthcare systems.
Communicate effectively and extensively with other departments to resolve claims issues.
Identity and resolve patient billing and payment issues.
Streamline billing processes by implementing efficient workflows and utilizing advanced software tools.
Adhere to established standards to safeguard patients' health information.
Responded to customer concerns and questions on daily basis.
Utilize various software programs to process customer payments.
Office Administrator
GR INC.
11.2023 - 01.2025
Company Overview: Family-owned business
Managing office operations, including facilities, planning, and vendor relations.
Handling correspondence, scheduling appointments, and preparing documents.
Maintaining records, documentation, and files, including employee files.
Managing petty cash, processing invoices.
Providing regular office operations reports to management.
Family-owned business
Telephone Interviewer
Dynata
08.2024 - 01.2025
Screening and interviewing respondents over the phone using carefully developed, field-tested questionnaires to respondents via Computer Assisted Telephone platforms.
Position was occasionally and part time.
Patient Care Advocate
Vitacare Prescription Services/GoodRx
11.2020 - 11.2023
Communicated with healthcare providers, patients, and customers by answering product and service questions, suggesting information about other products and services in the call center.
Maintained customer accounts by recording and updating account information.
Resolved product or service problems by clarifying complaints, figuring out the cause of the problem and selecting the best solution.
Prepared product and service reports by collecting and analyzing customer information.
Contribution to team effort by accomplishing related results.
Worked as Pharmacy Technician in training on the Annovera Team verification and initiating insurance preauthorization's for prescription.
Submitted appeals to insurance providers.
Followed up with physicians and patients by phone, text, email, or fax while working remotely from home office.
Insurance Verification Specialist
Shriners Hospitals for Children
03.2019 - 11.2020
Set priorities, organized work, and verified that information was correct and responsible for obtaining information on patient's eligibility status with insurance companies to ensure proper coverage and payment for services while providing excellent customer service.
Responsible for assuring proper insurance verification, prior approvals, and all authorizations requirements are obtained prior to patient's arrival for surgery or clinic visit, during the patient’s hospitalization, and after discharge.
Assisted COB, denials and appeals as needed.
Account Specialist/Surgical Coordinator
Prisma Health Eye Institute
02.2017 - 03.2019
Managed high volume data entry
Managed referrals, contact insurance companies to initiate pre-determinations or pre-authorizations.
Insurance plan familiarity and knowledge of medical reimbursement and medical billing.
Working knowledge of Government and Commercial Insurance and/or programs.
Transcription case management.
Case data entry and referral management for surgery cases.
Coordinated surgery scheduling.
Executed a heavy volume of inbound and outbound phone calls.
Previous physician practice specialist position duties.
Calendar coordination for all executives, scheduling and office functions.
Cash management operations.
Administration duties.
Special projects.
Accounting/Medical Billing Specialist
Clemson Eye Associates
11.2011 - 02.2017
Determined, investigated, solved billing claim errors, and surgery charge postings.
Insurance research, corrections, refiles and managed appeals.
Insurance payer reimbursement management.
Management of provider files with multiple insurance companies.
New initial enrollment of providers with insurance plans.
Worked with hospitals and facilities to ensure providers are granted privileges.
Medical record management, patient call handling, premium lens or aesthetics billing explanation and up-sale lifestyle promotions.
Front office management.
Administrative office experience with check-in, check-out, answering patient related phone calls, insurance pre-certification's while utilizing time management skills.
Accounts Receivable, Accounts Payable, prepared and verified daily deposits in QuickBooks.
Credit card reconciliation, bank statements, expense reports and special projects.
Coordinated, recorded, and issued office refunds.
Coordinated travel arrangements and inventory recording management.
Surgical Coordinator
Southern Eye Associates
03.2002 - 11.2011
Scheduled outpatient surgeries for large, busy Ophthalmology practice promoted patient confidence in each one of the seven physicians’ medical ability, counseled patients in attempt to ease pre-surgery fears.
Utilized medical software to post procedures, answered patient related questions, handled inbound calls, made outbound calls communicating with patients of varies procedures, assisted transportation and post-operative care arrangements.
Bank deposits, cash handling, and reconciliation bank statements.
Organized office meetings, luncheons, and courier for out of office tasks.
Customer Service Representative
MCI
04.2001 - 03.2002
Received nationwide inbound/outbound telemarketing calls regarding telephone services.
Configured trouble shooting problems and general bill related.
Shift Supervisor/Data Entry Specialist
CVS Pharmacy
08.1996 - 04.2001
Supervised over 4-6 employee's assigned daily tasks, cash register finalizations, opening and closing operational business functions.