JUANITA LOOR
Miami,FL
Overview
29
29
years of professional experience
Work History
Project Supervisor
Lessen
08.2021 - 01.2023
- Successfully Directed Team & Supervised all Project Management of 60+ projects, efficiently meeting all budgets and timelines
- Identified Project Change Scope, Costs, Risks; Oversaw Vendor negotiations to stay within Budgets Allocated
- Communicated and Collaborated with all in regards to development of project from inception to completion
- Scheduled & Managed On site Inspections with PM & clients for most accurate estimates.
Advanced Registration Representative
Memorial Healthcare System- South Broward Community Health
05.2009 - 08.2021
- Determine & verify insurance coverage & coordination of benefits from all sources
- Determine necessities for pre-authorizations & confirmations for scheduled Procedures
- Notify patient of financial responsibility for services being provided; Payment Collection
- Notify patients & practitioners of any services requested referred that are not authorized by insurance
- Requires thorough knowledge and comprehension of various HMO/PPO Insurance Plans
- Requires Excellent Computer, Customer Care, verbatim Dictation & Documentation Skills
- Demonstrate commitment to service excellence by promptly addressing internal/external customer issues/requests, resolving concerns while maintaining a professional image & behavior to build and enhance the patient/family/customer experience.
Member Services Coordinator
Memorial Healthcare System- South Broward Community Health
05.2009 - 03.2013
- Mastered Phone Navigation System in high volume call center
- Expediting claims review process for 30+ daily claims including the overview of eligibility, place of service incidents and contractual agreements
- Verification of insurance eligibility and benefits for Memorial and Medicaid policies
- Assessing medical bills for members by providing an alternative to fit their financial need
- Managing patient insurance records by verifying the primary insurance is set correctly & up to date with all additional policies
- Providing payment documentation to providers upon request.
Customer Service Representative
Southeastern Freight Lines
12.2005 - 12.2008
- Tracking down and expediting shipments for customers Inputting rate quote on shipments
- Coordinated with buyers and vendors on problem identification and resolution
- Scheduling daily deliveries of incoming traffic
Leasing Agent
Equity Residential Properties
12.2004 - 12.2005
- Preparing Leases
- Showing apartment homes
- Assisting with move-ins
- Assisting with move-outs
- Preparing renewals
- Marketing outreach
Expeditor
Home Depot
02.1994 - 11.2004
- A high level of customer service to resolve problems with installations and associated special orders
- Process, coordinate, and follow up on the installation process with the customer, installers, and vendor’s fellow associates
Education
High School Diploma -
American Senior High School Adult Education
Hialeah, FLSkills
- English Proficient
- Spanish Proficient
- Professional Customer Service
- Advanced Registration Representative
- Quality Assurance
- Call Center
- Retail Store Settings
- Client Relationship Building
- Retention
- Exceptional Time Management
- Multi Tasking Skills
- Excellent Organization Skills
- Clear & Concise Interpersonal Communication Skills
- Proficient in MS Office
- Analytical & Critical Thinker
- Research, Investigation & Resolution
- Mediation & Problem Solving
- Team Building & Training
- Energetic, Reliable & Open to Constructive Criticism
Websites
Timeline
Project Supervisor
Lessen
08.2021 - 01.2023
Advanced Registration Representative
Memorial Healthcare System- South Broward Community Health
05.2009 - 08.2021
Member Services Coordinator
Memorial Healthcare System- South Broward Community Health
05.2009 - 03.2013
Customer Service Representative
Southeastern Freight Lines
12.2005 - 12.2008
Leasing Agent
Equity Residential Properties
12.2004 - 12.2005
Expeditor
Home Depot
02.1994 - 11.2004
High School Diploma -
American Senior High School Adult Education
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