Alexis Rivera

• Assisted members with social determinants of health and linked to appropriate community resources.
• Educated member on gaps in care and assisted with scheduling provider appointments.
• Educated consumers on navigating the website and registering for services
• Instructed new employees during training
• Assisted with interviewing potential candidates

• Organized paperwork such as charts and reports for office and patient needs.
• Answered telephone calls to offer Emergency Room information, answer questions, and direct calls to staff.
• Facilitated admissions, discharges, and transfer status
• Made urgent air or ground transportation arrangements for patients
• Activated the urgent response team as instructed by the provider
• Assisted with training new employees
• Collaborated effectively with a diverse group of doctors, adapting to their unique work styles
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• Worked closely with the medical staff to ensure the hospital is running efficiently
• Confirm medical records are completed accordingly for immigration
• Review refugee patient records prior to being submitted to immigration
• Complete daily clinic report
• Trained new employees

• Verified demographics, insurance, and accepted co-pays for all patients
• Managed medical records requests, including receiving and adding records to patient charts
• Handled referrals and inquiries promptly
• Entered referral data into the system
• Assisted with Microsoft Teams virtual appointment troubleshooting
• Scheduled and coordinated appointments with patients
• Trained new employees

• Managed administrative tasks, ensuring smooth operations and efficient communication
• Collaborated with team members to create and execute social media content
• Supported external communications by promptly addressing client requests and inquiries
• Contributed to content creation by managing the following platforms:

LinkedIn Page: Regularly updated content related to fitness classes, events, and success stories

Facebook Group Page: Engaged with members, shared motivational content, and facilitated discussions

Instagram: Curated visually appealing posts, stories, and fitness tips to attract and engage followers

• Verified accuracy of accounts payable payments, resulting in reduction in payment errors.
• Monitored outstanding invoices and performed collections duties.
• Managed caseload of 200 hospital patient accounts on the Blue Cross Blue Shield Team independently
• Adhere meticulously to all HIPAA guidelines and regulation.
• Efficiently handled health insurance claims using electronic health systems

• Followed up with customers on unresolved issues.
• Drafted and reviewed legal documents utilizing knowledge of relevant clauses to minimize incurred liability.
• Utilized appropriate cost containment techniques to reduce overall claim costs.
• Negotiated with other involved parties to arrange settlements for maximum results.
• Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
• Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Prepared insurance claim forms or related documents and reviewed for completeness.
• Independently managed caseload of 250 hospital patient accounts
• Interviewed claimants, police, witnesses, physicians and other relevant individuals

• Upheld strict visitor security protocols for attorneys office, effectively protecting assets and personnel from unauthorized visitors.
• Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
• Monitored and ordered supplies and materials to keep office well stocked.
• Assisted with interviewing potential candidates
• Instructed new employees during training
• Assisted the Operations Team, Executive Assistant, and attorney staff with various task and projects

• Maintained confidentiality of patient data and condition to safeguard health information.
• Wiped down equipment with proper cleaning products after each patient transport to reduce instances of infection.
• Transported patients to testing and treatment units, operating rooms and other areas using moveable beds, wheelchairs, and stretchers.
• Assisted with discharge process by escorting patients with belongings to leave facility safely and comfortably.
• Collected laboratory specimens, dropped off at laboratories and picked up test results.

• Worked effectively in fast-paced environments.
• Strengthened communication skills through regular interactions with others.
• Cash Register Management
• Food Preparation
• Follow food and cleaning safety guidelines