Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

LYNNETTE RIVERA

Deltona,FL

Summary

Motivated and conscientious individual skilled in scheduling appointments, verifying insurance, and managing patient records in healthcare settings. Experienced in utilizing electronic medical record systems to maintain patient profiles and billing information. Dedicated to improving satisfaction and providing an excellent healthcare experience.

Overview

7
7
years of professional experience

Work History

Benefits Verification Specialist

CVS Specialty Pharmacy
Orlando, FL
07.2024 - Current
  • Reviewed and verified eligibility of patients for benefits coverage.
  • Adhered to HIPAA regulations when handling confidential patient information.
  • Identified trends in denied claims by analyzing denied claim data from multiple sources.
  • Initiated contact with insurance companies as necessary to obtain additional information needed for verification purposes.
  • Performed follow-up calls to verify that insurance companies received requests for authorization of services.
  • Attended training sessions on new policies or procedures related to benefit verifications.

Patient Service Coordinator

Cora Physical Therapy
Lake Mary, FL
11.2022 - 07.2024
  • Maintained accurate documentation of patient visits and follow-up care plans.
  • Answered questions from patients regarding their accounts and billing inquiries.
  • Ensured medical records were accurately updated with patient information.
  • Assisted with scheduling appointments for patients.
  • Greeted patients and visitors in a friendly and professional manner.
  • Coordinated insurance authorizations, collected co-payments and resolved discrepancies.

Customer Service Specialist

CareMetx
Lake Mary, FL
06.2018 - 11.2022
  • Conducted intake assessments for new patients and gathered detailed medical histories.
  • Provided exceptional customer service to Patients, Dental Offices and Specialty Pharmacy in fast-paced call center environment.
  • Intake prescriptions via Phone Express with turn around time of 1 hr. Via Fax prescriptions with 3 day turn around time.
  • Verified patient information was provided and collect any missing data by contacting Dental Office or patient to obtain it.
  • Collect copay medication payments for Specialty Pharmacy.

Education

High School Diploma -

Cornerstone Christian Correspondence School
Townsend, GA
06.2008

Skills

  • HIPAA compliance
  • Insurance authorization
  • Benefits verification
  • Bilingual in Spanish and English
  • Patient eligibility
  • Customer service
  • Data entry
  • Problem solving
  • Attention to detail
  • Communication skills
  • Team collaboration
  • Self motivation

Languages

Spanish
Professional
English
Professional

Timeline

Benefits Verification Specialist

CVS Specialty Pharmacy
07.2024 - Current

Patient Service Coordinator

Cora Physical Therapy
11.2022 - 07.2024

Customer Service Specialist

CareMetx
06.2018 - 11.2022

High School Diploma -

Cornerstone Christian Correspondence School

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