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
Psychiatric Mental Health Nurse Practitioner at Distinct Behavioral Health, IncorporatedPsychiatric Mental Health Nurse Practitioner at Distinct Behavioral Health, Incorporated