Kiara Baez
Montverde
Summary
Proven track record in enhancing patient satisfaction and loyalty at Orlando Arthritis Institute, adept in HIPAA compliance and bilingual communication. Excelled in debt repayment negotiation and teamwork, significantly contributing to improved operational efficiency. Demonstrated exceptional customer service and time management skills, ensuring seamless patient experiences and efficient claims processing.
Overview
4
4
years of professional experience
Work History
Medical Front Office Receptionist
Orlando Arthritis Institute
09.2023 - Current
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Work with patients and guarantors to secure payment on outstanding account balances.
- Helped patients complete necessary medical forms and documentation.
- Managed multi-line phone system and pleasantly greeted patients.
- Completed clerical duties and tasks for clinic administration.
- Work within company attendance guidelines.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Resolved patients complaints professionally, leading to improved patient relations and loyalty.
- Maintained accurate records of all collection activity, updating account information as necessary to ensure proper documentation.
- Processed payments and applied to patients balances.
- Processed debtor payments and updated accounts to reflect new balance.
- Responded proactively and positively to rapid change.
Athlete Sales Associate
Nike Factory Outlet
11.2022 - 01.2024
- Maintained a clean and visually appealing store environment, enhancing the overall shopping experience for customers.
- Processed transactions quickly and accurately, ensuring a seamless checkout experience for each customer.
- Conducted product demonstrations for customers, showcasing features and benefits that met their unique fitness goals.
- Collaborated with team members to achieve monthly sales targets, contributing to the overall success of the store.
Call Center Representative/Insurance Claims and Policy Processing Clerk
Physician Surgical Network/ Athena Medical Group
04.2021 - 11.2022
- Managed high call volumes while providing exceptional patient support and maintaining professional composure.
- Handled escalated calls professionally, effectively resolving complex issues and ensuring patient satisfaction at all times.
- Mastered multiple software systems for seamless navigation during calls, improving efficiency and reducing hold times for customers.
- Enhanced patient satisfaction by efficiently addressing and resolving inquiries in a timely manner.
- Collected premiums and issued accurate receipts.
- Coordinated with contracting department to resolve payer issues.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Calculated adjustments, premiums and refunds.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Posted payments to accounts and maintained records.
- Carried out administrative tasks by communicating with patients, distributing mail, and scanning documents.
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Expedited claim resolutions by effectively negotiating settlements within approved authority limits.
- Enhanced patient satisfaction with timely and accurate claims settlements, ensuring adherence to company guidelines.
- Managed workload and priorities to meet claims processing meet deadlines.
Education
No Degree - General Studies
Valencia College
Orlando, FL01-2027
High School Diploma -
Liberty High School
Kissimmee, FL05-2020
Skills
- HIPAA compliance
- Bilingual: English, Spanish
- Debt repayment negotiation
- Data entry proficiency
- Telephone etiquette
- Stress tolerance
- Organization skills
- Teamwork
- Customer service
- Time management
Timeline
Medical Front Office Receptionist
Orlando Arthritis Institute
09.2023 - Current
Athlete Sales Associate
Nike Factory Outlet
11.2022 - 01.2024
Call Center Representative/Insurance Claims and Policy Processing Clerk
Physician Surgical Network/ Athena Medical Group
04.2021 - 11.2022
No Degree - General Studies
Valencia College
High School Diploma -
Liberty High School
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