Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Healthcare Attendant
CDS Texas
Houston, TX
10.2021 - Current
Maintain positive customer relationships through effective communication, fostering trust and loyalty
Advocated for patients by implementing prescribed treatment strategies.
Maintained updated records and safeguarded patient privacy in accordance with HIPAA.
Consumer Engagement Rep
Humana, Specialty Pharmacy Remote
Remote
11.2021 - 03.2023
Fielded an average of 50-80 inbound calls per day, providing detailed information on eligibility, benefit coverage, and enrollment processes while multi-tasking and demonstrating ability to work in a fast-paced environment
Demonstrated strong problem solving skills when faced with challenging situations or complex inquiries from customers.
Maintained up-to-date knowledge of changes in government regulations related to healthcare reform initiatives.
Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
Assisted claimants, providers and clients with problems or questions regarding claims.
Conducted detailed analysis of medical records to determine eligibility for services covered by insurance plans.
Quality Documentation Specialist
Nuance Communications Remote
Remote
08.2021 - 01.2022
Ensured accuracy in medical terminology and coding, verifying information for compliance with industry standards
Maintained self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision in a remote culture.
Transferred transcribed materials into electronic health records system.
Translated medical jargon and abbreviations into expanded forms to promote accuracy of patient and health care facility records.
Lead Psychiatric Technician
The Harris Center For Mental Health And IDD
Houston, TX
03.2014 - 07.2021
Instructed new employees on protocols to use when interacting with psychiatric patients.
Educated patients on their mental health conditions and effective strategies for symptom management
Coordinated with medical staff to ensure the best possible care for each patient.
Communicated with clients and families effectively building lasting relationships.
Performed initial assessments on new patients and developed individualized treatment plans.
Education
Bachelor of Science in Behavioral Sciences -
Grand Canyon University
Vocational Diploma in Medical Assistant -
National Institute of Technology
Skills
Clinical Documentation
Claim Processing
HIPAA Compliance
Computer Applications
Medical Terminology
CRM
Organizational Skills
Medication Management
Conflict Resolution
Excellent Listening and Communication Skills
Time Management
Team Collaboration
Patient Education
Self-Reliant
Prioritize
Data Analysis
Critical Thinking Skills
Cultural Awareness
Independent Judgment
Adaptable
Leadership
Improve Skills
State Regulations
Technical Expertise
System Operation
Contact Center
Filing
Research
Health Insurance Terminology
Medical terminology knowledge
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
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