Karina Consuegra
Clifton
Summary
Results-driven professional known for exceptional data entry accuracy and customer relationship management. Experienced in coordinating insurance verification and appointment scheduling, ready to leverage skills to enhance operational efficiency and patient care.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Patient Access Representative
New Bridge Medical Center
Paramus
12.2024 - Current
- Coordinated insurance verification for patient appointments.
- Verified insurance coverage for services provided by the facility.
- Applied HIPAA privacy and security regulations while handling patient information.
- Utilized electronic health record systems for data entry.
- Handled phone calls to schedule and confirm appointments.
- Collaborated with clinical staff to streamline patient flow.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Conducted financial counseling for patients, explaining payment options and assistance programs.
Customer Support Specialist
Incoco corporate cosmetics
Clifton
01.2017 - 10.2023
- Investigated customer complaints regarding product quality or service rendered.
- Analyzed customer complaints and service trends to identify and correct systematic issues.
- Collaborated closely with other departments such as sales or marketing to resolve complex customer issues quickly and efficiently.
- Audited customer account information to identify issues and develop solutions.
- Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
- Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
Insurance Claims Specialist
State Farm
Paterson
12.2013 - 01.2017
- Collaborated with adjusters to gather necessary documentation for claims processing.
- Assisted clients in understanding their claims status and next steps.
- Evaluated insurance claims for compliance with company policies and regulations.
- Utilized claims management software to track and manage claim progress efficiently.
- Communicated effectively with policyholders to resolve inquiries and concerns.
- Calculated benefit payments based on policy terms, coverage limits, and applicable regulations.
- Determined liability, compensability, and benefits due on each claim.
- Negotiated settlements between claimants and insurers when necessary to resolve disputes quickly.
Education
BBA -
Berkeley College
Woodland Park, NJSkills
- Insurance verification
- HIPAA compliance
- Electronic health records
- Financial counseling
- Scheduling appointments
- Customer relationship management
- Claims processing
- Data entry accuracy
- Appointment coordination
- Spanish fluency
Languages
Spanish
Native/ Bilingual
Certification
Property and Casualty
Timeline
Patient Access Representative
New Bridge Medical Center
12.2024 - Current
Customer Support Specialist
Incoco corporate cosmetics
01.2017 - 10.2023
Insurance Claims Specialist
State Farm
12.2013 - 01.2017
BBA -
Berkeley College