Results-driven Provider Service Advocate with a strong background in claims processing and patient care coordination. Known for exceptional customer service, attention to detail, and organizational skills that enhance operational efficiency.
Overview
19
19
years of professional experience
Work History
Provider Service Advocate
Novitas Solutions
Jacksonville, FL
07.2022 - Current
Facilitated provider inquiries and resolved issues regarding claims.
Coordinated communication between providers and insurance representatives to enhance service delivery.
Analyzed claim submissions for accuracy, ensuring compliance with regulatory standards.
Started in Part B in July 2022.
moved to a Part A position in January 2023.
Was moved to Financial- Callback team in June 2023 to present
Monitored service requests and escalated complex cases to senior management for resolution.
Provided ongoing support and updates to clients regarding the status of their claims.
Supported team members, fostering a collaborative and productive work environment.
Improved customer satisfaction by promptly addressing inquiries and resolving issues.
Demonstrated empathy and active listening skills when dealing with frustrated customers, diffusing tense situations effectively.
Handled escalations professionally, demonstrating composure under pressure while finding satisfactory solutions for both parties involved.
Documented calls accurately, maintaining organized records for future reference or escalation purposes if needed.
Managed high call volumes while maintaining quality service standards and positive customer interactions.
Reduced average call duration by implementing time-saving techniques without compromising on service quality.
Worked effectively with fellow team members to coordinate effective solutions to any question or concern.
Participated in ongoing professional development opportunities to stay updated on industry trends and best practices for service advocacy roles.
Exhibited high energy and professionalism when dealing with clients and staff.
Met customer call guidelines for service levels, handle time and productivity.
Responded proactively and positively to rapid change.
Patient Care Coordinator
Clear Ear Medical Hearing
Jacksonville, FL
09.2021 - 07.2022
Coordinated patient appointments and follow-ups to enhance care continuity.
Managed electronic health records ensuring accuracy and compliance with regulations.
Facilitated communication between patients and healthcare providers for improved service delivery.
Developed and implemented patient education materials to promote health literacy.
Streamlined intake processes, reducing wait times for new patients significantly.
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
Reduced wait times by implementing an effective appointment reminder system for patients, minimizing no-shows and late arrivals.
Managed patient records with strict adherence to confidentiality and accuracy standards.
General Manager
The Loop Pizza Grill
Neptune Beach, FL
07.2007 - 08.2021
Oversaw daily operations to ensure efficient workflow and high-quality service delivery.
Developed and implemented staff training programs to enhance team performance and customer satisfaction.
Managed inventory control processes, reducing waste and optimizing supply chain efficiency.
Analyzed financial reports to identify trends, driving cost-effective decision-making strategies.
Fostered a positive workplace culture by mentoring staff and promoting team collaboration.
Managed budget implementations, employee reviews, training, schedules, and contract negotiations.
Cultivated strong relationships with clients, vendors, and partners to ensure long-term success and loyalty.
Monitored financial performance, set budgets and controlled expenses to provide financial stability and long-term organizational growth.
Maximized efficiency by coaching and mentoring personnel on management principles, industry practices, company procedures, and technology systems.
Drove year-over-year business growth while leading operations, strategic vision, and long-range planning.
Enhanced customer engagement through targeted marketing campaigns and community outreach efforts.
Managed budget implementations, employee evaluations, and contract details.
Addressed customer complaints and feedback with immediate action, turning dissatisfied customers into loyal patrons.
Led team to exceed sales targets, implementing motivational incentives and comprehensive training programs.
Boosted employee retention by developing comprehensive benefits package and fostering positive work environment.