Experience with innovative and evidence- based results that have produced improvements across various lines of business in healthcare. My expertise have resulted in successful virtual and telephonic empowerment as well as onsite through sound business strategies, project management and cross-functional collaborations.
Overview
11
11
years of professional experience
Work History
Customer Service Representative
UnitedHealthcare
Houston, TX
01.2022 - Current
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Responded to customer requests for products, services, and company information.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Developed strong product knowledge to provide informed recommendations based on individual customer needs.
Process and post payments.
Emergency Roadside Assistant
Auto Club Enterprise
Houston, TX
01.2014 - 09.2021
Demonstrated adaptability in responding to various types of emergency situations including flat tires, lockouts, battery failures, and fuel shortages.
Assisted motorists in distress, offering prompt solutions to a variety of roadside emergencies.
Provided reliable follow-up support after the initial emergency assistance, ensuring that customers were satisfied with the services received.
Reduced response time for service calls by optimizing dispatch routes and prioritizing tasks.
Handled sensitive situations professionally, offering compassionate support to distressed drivers while resolving their issues efficiently.
Enhanced customer satisfaction by providing timely and efficient emergency roadside assistance.
Developed strong relationships with local towing providers, streamlining coordination efforts for faster response times during emergencies.
Medicare/Medicaid Insurance Collector
HCA Hospital Corporation of America
Houston, TX
07.2013 - 12.2017
Performed and validated discrepancy in coding and underpayments.
Performed followed up communication, via phone, portal or through appeal with both Medicare and Medicaid regarding denials, underpayments and coding discrepancies in regard to outstanding balances.
Regularly monitored outstanding accounts for changes in financial status or payment patterns, allowing for proactive response to potential issues.
Maintained accurate records of all client interactions, ensuring timely follow-up on promises to pay and streamlining future collection efforts.
Enhanced client relationships by providing exceptional service throughout the collections process.
Escalated necessary accounts to the appropriate department due to lack of payer response and payment.
Education
Business Management - Business Administration And Management
University of Phoenix
Tempe, AZ
06.2024
High School Diploma - General Studies
Academy of Accelerated Learning
Houston, TX
06.2001
Timeline
Customer Service Representative
UnitedHealthcare
01.2022 - Current
Emergency Roadside Assistant
Auto Club Enterprise
01.2014 - 09.2021
Medicare/Medicaid Insurance Collector
HCA Hospital Corporation of America
07.2013 - 12.2017
Business Management - Business Administration And Management