Detailed orientated and highly motivated professional seeking a new career opportunity where I can apply my skills while contributing to the success of the company.
Overview
16
16
years of professional experience
Work History
Reimbursement Order Specialist III -Team Lead
Cochlear Americas
07.2025 - Current
Mentored team members and served as escalation point for support when necessary.
Facilitated training for new employees in a supportive environment.
Guided ongoing professional development for team members.
Managed full end-to-end reimbursement operations process to assist cross-functional teams.
Reimbursement Operations PreClaim Specialist
Cochlear Americas
02.2024 - 06.2025
Structured clinical documentation for transmission to partners via DocuSign.
Obtained authorization from insurance payers for medical devices.
Verified required modifiers on clinical documentation and within BrightTree account for successful claims.
Processed customer orders efficiently through order management system.
Reimbursement Order Specialist
Cochlear Americas
Lone Tree, CO
03.2022 - 01.2024
Facilitated customer order placements, modifications, and cancellations as needed.
Ensured accurate documentation for reimbursement initiation.
Calculated co-insurance costs for upgrade orders to inform customers.
Inputted modifiers, health care procedural codes (hcpc), and pricing prior to pre-claim team handoff.
Associate Customer Order and Insurance Specialist
Cochlear Americas
Lone Tree, CO
06.2021 - 02.2022
Engaged customers through active listening to identify assistance needs.
Facilitated order placements on company website, delivering dedicated customer support.
Guided customers through insurance processes, collecting necessary forms efficiently.
Collaborated with Supply Chain, Reimbursement Operations, and Billing and Collections teams.
Customer Service Representative - Senior (Remote)
Sunrise Medical
Fresno, CA
10.2018 - 03.2021
Streamlined customer inquiry processes for timely resolution of general requests.
Ensured accuracy by validating logic, pricing, and HCPC codes in configurators for all users.
Enhanced efficiency by entering product samples for Sales Representatives and Product Managers.
Aided Customer Service Department in operating systems conversions for smooth transitions.
Provided support to Webmaster with essential data backup and maintenance duties.
Data Management Coordinator
Sunrise Medical
Fresno, CA
08.2017 - 09.2018
Planned and executed launch of Enterprising Product Data Management system with Canadian counterparts.
Monitored multiple databases to ensure accurate tracking of company data.
Conducted onsite and remote training for supply chain personnel.
Audited data prior to loading into Enterprise Resource Planning system.
Oversaw data flow for 3 product launches, ensuring seamless integration.
Generated and audited comprehensive data reports for performance analysis.
Customer Service Representative
Sunrise Medical
Fresno, CA
06.2013 - 07.2017
Resolved product and policy issues while promoting benefits of new technologies.
Cultivated strong relationships with customers by providing in-depth product knowledge.
Consulted with customers to identify effective solutions for service-related concerns.
Completed continuing education and training programs to enhance professional skills.
Quickly resolved escalated customer issues to improve client retention rates.
Audited product bundling reports to ensure accuracy and compliance.
Mentored new hires, facilitating their integration into the team.
Assisted with seating product training to improve team competency.
Lead Client Care Specialist
California Information Management
Fresno, CA
05.2010 - 05.2013
Executed launch of web order entry system for clients, enhancing accessibility and efficiency.
Entered data from customer calls and onsite visits into DHS Worldwide Total Recall system.
Planned three Open Houses to attract new clients and retain existing clients.
Provided exceptional service to clients by addressing concerns and answering questions.
Coordinated meetings with staff and clients to facilitate clear communication.
Developed training documents for clients to ensure smooth system usage.
Distributed annual retention reports to clients, showcasing value and commitment.