Summary
Overview
Work History
Education
Skills
Computer Programs
Skills And Experience
Timeline
Generic

Lourdes Desamours

Homestead,FL

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

20
20
years of professional experience

Work History

Case Manager/Assistant Director of Operations

Distinct Home Health Care
05.2020 - 12.2023
  • Performed data entry tasks and maintained accurate records of employee payroll information.
  • Oversees Private and all applicable billing and assures that proper billing procedures are followed.
  • Implements and effective budgeting and accounting system.
  • Participates in preparation of annual budget.
  • Analyze and record personnel and operational data and write related activity reports.
  • Assign work schedules, follow work requirements to ensure quality and timely delivery of service.
  • Be knowledgeable of statutory and administrative rules of Florida Agency Health Care Administration and ensure compliance within Agency.
  • Ensures accuracy of public information and marketing materials.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Achieved positive client outcomes by developing and implementing comprehensive case management plans.
  • Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
  • Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
  • Assessed community needs and identified resources for social and community service programs.

Healthcare Customer Service Representative

Alorica
03.2017 - 04.2020
  • Perform job responsibilities remotely.
  • Document call-related information for auditing and reporting purposes.
  • Analyze and record personnel and operational data, and write related activity reports.
  • Managed approximately 30-60 incoming/outgoing calls, emails and faxes per day from customers.
  • Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
  • Investigated insurance claims denials and appeals.
  • Verified insurance eligibility and coverage for patients.
  • Exhibited high energy and professionalism when dealing with clients and staff.
  • Delivered prompt service to prioritize customer needs.
  • Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
  • Met customer call guidelines for service levels, handle time and productivity.

Customer Service Call Center Agent

Precision Response Corporation
05.2015 - 01.2017
  • Manage over 80 incoming calls, emails and faxes per day from customer/client requests or inquiries concerning services, products, and report problem areas.
  • Administer system functions on all opening, closing, and balancing procedures according to finance guidelines.
  • Handle customer escalations which may include office of president, regulatory agencies, and social media escalations as directed by management.
  • Exhibit in-depth knowledge of products, services, rate plans, feature bundles, and offer to provide best solution options and totally resolve customer issues.
  • Demonstrate proficiency in billing and technical matters to efficiently assist customers and resolve issues/escalations.
  • Developed and updated databases to handle customer data.
  • Achieved high first-call resolution rates by providing accurate information and solutions to customers'' concerns.
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards.
  • Utilized excellent communication skills in both written and verbal forms to effectively address customer inquiries and concerns.

Customer Service Representative

AT&T Call Center
04.2009 - 05.2015
  • Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
  • Provided primary customer support to internal and external customers.
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs.
  • Promptly responded to inquiries and requests from prospective customers.
  • Increased efficiency and team productivity by promoting operational best practices.
  • Calculated correct order totals, updated accounts, and maintained detailed records for inventory management.
  • Exceeded performance metrics consistently, earning recognition as top performer.

Account Data Entry Clerk

Dade County Ambulance
04.2004 - 04.2009
  • Assisted with developing data entry processes.
  • Corrected data entry errors to prevent duplication or data degradation.
  • Facilitated smooth audits by maintaining organized records of transactions and supporting documentation.
  • Expedited invoice processing by promptly entering vendor invoices into accounting software for payment approval.
  • Entered data into various computer systems accurately using Microsoft Office Suite.
  • Updated and maintained customer information, documents and records.
  • Coded and processed applications into required electronic formats.

Education

Associate of Science -

Miami Dade College
Miami, FL
01.2009

Associate of Arts - General Studies

Miami Dade College
Miami, FL
06.2007

Skills

  • Case Planning
  • Performance Tracking
  • Community Outreach
  • POS Systems and Ordering Platforms
  • Spreadsheet Management
  • Regulatory filings
  • Medical Billing
  • Payment Processing
  • Operations Management
  • Program Leadership
  • Data Entry
  • Organization and Multitasking

Computer Programs

  • Microsoft Office
  • Office Power Point
  • Office Excel
  • Outlook
  • Micrfosoft Word/Works
  • Quickbooks

Skills And Experience

  • Scheduling, Billing, Human Resources
  • Data entry, Digital filing systems
  • Problem Solving, Deductive Reasoning, Active Learning & Listening skills, Medical documentations, Clinical note writing skills, Updating & using relevant knowledge
  • Positive reinforcement communication skills, Staff inservice
  • Extensive computer skills (Excel, Microsoft), Linking skills, Networking, Facilitating group, Teamwork Support
  • Knowledge of business and management principles involved in strategic planning
  • Leadership technique, production methods, and coordination of people and resources

Timeline

Case Manager/Assistant Director of Operations

Distinct Home Health Care
05.2020 - 12.2023

Healthcare Customer Service Representative

Alorica
03.2017 - 04.2020

Customer Service Call Center Agent

Precision Response Corporation
05.2015 - 01.2017

Customer Service Representative

AT&T Call Center
04.2009 - 05.2015

Account Data Entry Clerk

Dade County Ambulance
04.2004 - 04.2009

Associate of Science -

Miami Dade College

Associate of Arts - General Studies

Miami Dade College
Lourdes Desamours