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Personable and dedicated Customer Service Representative with extensive experience in the customer service industry with over 20 years of experience. Solid team player with upbeat, positive attitude and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Professional with extensive experience in processing pre-authorization requests for medical procedures, ensuring adherence to insurance guidelines and compliance standards. Demonstrated ability to verify patient eligibility and benefits coverage, collaborating effectively with healthcare providers to gather necessary documentation. Maintained accurate electronic records of pre-authorization activities while upholding HIPAA regulations to protect patient confidentiality. Developed a strong understanding of various insurance plans and policies, contributing to efficient workflow and improved operational processes.

Dynamic, customer centric and results-oriented management professional with over 10 years of expertise in Workers’ Compensation, Operational Leadership, Subject Matter Expert – Health Insurance Claims & Cycle Revenue: ICD Coding, Appeals & Grievances, Medical Billing, Healthcare Administration, Operations Management, CA State Industrial Relations, Human Resource Administration, Project Management, Data Analysis, and Patient Advocacy.

Exceptionally adept in constructing solutions that enhance processes and improve efficiency. Talent for identifying, hiring, and training high caliber personnel. Well-versed in regulatory compliance statutes, medical billing/coding, and collections/claims. Technically sophisticated across multiple industry best standard tools with quick mastery of new information, procedures, policies, and emerging technology. Analytical problem-solver and proactive agent; excellent communicator, engaging presenter, and champion of cross-functional teams. Insurance Claims Processing Referrals & Authorizations Medical Billing & Coding Appeals & Grievances HR Resource Administration Change Management Client Relations Management Conflict Resolution Supervision & Staff Development Corporate Training Initiatives Process Improvements C-Level Collaboration Platform Migration Cross-Functional Team Leadership.

Gifted in working with stressed, confused and upset individuals in need of benefits, information and supportive guidance to navigate our healthcare systems. Effective at operating within federal & state regulations and human resource department guidelines processing telephone calls, emails, letters and in-person requests for assistance.

Achieved impactful outcomes by mentoring the next generation of healthcare professionals. Enhanced team performance through a commitment to detail and collaboration. Drove positive workplace culture, making significant contributions to team success.
Achieved successful project completions through effective team collaboration and communication. Delivered solutions to complex problems, enhancing overall project efficiency. Maintained a flexible approach to meet changing demands, resulting in consistent and reliable project outcomes. Experienced with mentoring new team members to ensure smooth transition and integration. Utilizes effective communication and interpersonal skills to foster supportive learning environment. Track record of enhancing team performance and promoting professional growth through structured guidance. Innovative Preceptor with [Number] years of experience in [Area of expertise] teaching. Knowledgeable about tailored instruction with great multitasking ability. Passionate about individualized student relationships and hands-on learning.

Lisette Rosado

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