Juanita Danso
Cedar Hill
Summary
To obtain a customer service position in a fast-paced environment where I can utilize my multitasking and conflict resolution skills to exceed customer expectations and drive customer loyalty.
Overview
11
11
years of professional experience
3
3
years of post-secondary education
Work History
Scheduling Coordinator
Core Primary Care
Houston
06.2023 - Current
- Obtained demographics, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
- Schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
- Explain all required forms to the patient or guarantor and obtains the necessary signatures.
- Ensured medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
- Protected the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
- Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
- Posts payments in the computer system and generates the appropriate patient receipts.
- Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families.
- Completes thorough and accurate documentation.
- Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
Insurance Specialist
Anthem
11.2020 - 04.2023
- In a call center setting, I assisted with accepting inbound calls, for both provider and member services regarding healthcare benefits.
- Managed prior authorizations for DME products.
- Submitted claims on the providers behalf.
- Transferred prospects over to state portal to apply for medicaid coverage.
- Familiarized with HMO, PPO, EOP, Medicare and Medicaid health insurance for Texas, California, West Virginia and 5 other states.
- Updated demographics for members, assigned primary care physicians, submitted grievances for members.
Customer Service Representatives
First Health
10.2016 - 07.2020
- Made outbound calls to residents in the New York and surrounding areas, regarding their ending or termed health insurance coverage.
- Determined eligibility statues for new prospects for medicaid coverage.
- Provided various locations around the metroplex to apply for health coverage.
- Crossed-trained for inbound calls, for member services. Educated members on medicaid benefits, assigned primary care physicians, updated demographics, sent out new member id cards.
Customer Service Representatives
AT&T
03.2014 - 09.2016
- Accepted inbound calls in the loyalty department regarding customers active accounts.
- Effectively listened to customers concerns to excite with a plan of action and making sure the customers were satisfied with the outcome.
- Handled over an average of 80 per day, notated accounts thoroughly before the call end.
- Started new services, cancelled services, sold At&t and direct tv products.
- Troubleshooted Dvr systems, wifi boxes, and phones for minor issues.
- Collected payments through a secured network, scheduled payment arrangements.
- Educated customers on At&t policies, terms and conditions before setting up new services or disconnecting services.
Education
Social Work
Texas Southern University
Houston, TX 01.2008 - 01.2011
Skills
- Appointment scheduling
- Patient engagement
- Customer service
- Effective communication
References
Available upon request.
Timeline
Scheduling Coordinator
Core Primary Care
06.2023 - Current
Insurance Specialist
Anthem
11.2020 - 04.2023
Customer Service Representatives
First Health
10.2016 - 07.2020
Customer Service Representatives
AT&T
03.2014 - 09.2016
Social Work
Texas Southern University
01.2008 - 01.2011