Macie Sylvia
DeFuniak Springs,FL
Summary
Experienced patient-focused professional with a background in maintaining the confidentiality of sensitive patient data. Knowledgeable in commercial insurances and private policy benefits, with expertise in coordinating and scheduling. Proven ability to enhance office operations by anticipating and addressing patient and staff needs. Effective relationship builder and communicator. Thrives in fast-paced environments, meeting deadlines with ease. Committed to gaining insights into other departments to optimize performance. Seeking new challenges with a company that values strong work ethic and dynamic skills.
Overview
5
5
years of professional experience
Work History
Insurance Verification Specialist
Orthopaedic Associates
Niceville, FL
01.2024 - Current
- Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Navigated through multiple online systems to obtain documentation.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Updated patient and insurance data and input changes into company computer system.
- Checked documentation for appropriate coding, catching errors and making revisions.
Customer Service Team Lead
Old Navy
Miramar Beach, FL
06.2023 - 03.2024
- Increased sales by optimizing in-store promotional strategies.
- Dealt with customer complaints and rectified product and service issues.
- Supervised work of cashiers, training new team members and monitoring performance.
- Used Point of Sale register system to complete transactions.
- Mentored newly hired staff in upselling techniques to improve sales.
- Restocked shelves, racks and bins with latest merchandise and changed signage to promote special items.
- Monitored sales floor to identify customers in need of assistance and merchandise requiring replenishment.
- Handled price checks, merchandise transfers and fitting room returns to keep store orderly and efficient.
- Initiated friendly conversation with customers to determine level of assistance required.
- Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention.
- Executed price changes, markdowns, and transfers as directed.
- Changed and adjusted displays for new product launches, seasonal changes and different themes.
Medical Call Center Representative
Orthopaedic Associates
Fort Walton Beach, FL
02.2022 - 04.2023
- Adjusted appointments according to priority and tracked appointment durations.
- Coordinated appointments with customers and staff members according to availability.
- Updated patient information in databases and adhered to confidentiality requirements.
- Answered phone calls and took messages for staff members.
- Instructed patients regarding how to prepare for appointments.
- Followed up with patients and confirmed appointments.
- Informed patients regarding needed medical tests and procedures.
- Prevented double bookings and set aside appropriate time in between appointments.
- Filed appointment documents and organized clerical supplies.
- Routed calls and correspondence to appropriate medical staff.
- Assisted patients by answering questions and providing information regarding referrals.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Sales Associate
Saks Off Fifth Avenue
Miramar Beach, FL
04.2021 - 04.2022
- Remained knowledgeable of current promotions, policies regarding payment and exchanges and security practices.
- Recommended, selected and helped locate or obtain merchandise based on customer needs and desires.
- Operated cash register, scanned items, bagged merchandise and properly handled methods of payment to facilitate accurate sales transactions.
- Maintained shoe department by organizing shoes by size, color and style.
- Promoted welcoming environment by acknowledging customer and engaging in conversation to identify footwear needs.
- Placed special orders or called other stores to find desired items for customers.
- Unloaded truck, stocked merchandise and maintained aisles and product displays to foster neat, clean and organized aisles and sales floor.
- Recommended merchandise to customers based on needs and preferences.
- Cleaned shelves, counters and tables to maintain organized store.
- Watched for and recognized security risks and thefts to prevent or handle situations.
- Prepared packages for shipping and determined most economical shipping methods.
Key Holder
Haagen Dazs
Miramar Beach, FL
10.2019 - 01.2022
- Devised, implemented and managed promotions to enhance store profits and drive customer engagement.
- Supervised successful, well-supplied and highly organized establishment thanks to consistent oversight and regular cleanliness inspections.
- Mentored newly hired staff in upselling techniques to improve sales.
- Trained, managed and motivated employees to promote professional skill development.
- Identified appropriate solutions to minimize issues and quickly solve problems.
- Counted and balanced registers.
- Completed thorough opening, closing and shift change functions to maintain operational standards each day.
- Directed and supervised staff performance.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Used Point of Sale register system to complete transactions.
- Accomplished sales goals by engaging customers, delivering top-notch service and promoting special items.
Key Holder
Rocky Mountain Chocolate Factory
Miramar Beach, FL
08.2019 - 01.2022
- Partnered with store leadership team to learn and understand management processes and reports.
- Trained and helped supervise staff to develop and maintain store revenue, team customer service skills and product knowledge.
- Coordinated floor moves, merchandising and display maintenance and monitored floor stock to keep popular items available to buyers.
- Developed extensive product knowledge, growing revenue and building consumer base.
- Collaborated with management to determine key tasks and delegate to staff members.
- Promoted service and selling culture to exceed customer expectations and build loyal consumer relationships.
- Incorporated product knowledge in sales process to maximize sales, units sold and dollar value of transactions.
- Assisted in general housekeeping to maintain store image.
- Used Point of Sale register system to complete transactions.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Directed and supervised staff performance.
Education
Hancock High School
Kiln, MS05-2015
Skills
- Customer Service
- Medicaid knowledge
- Understanding of medical terms
- Coordination and Scheduling
- Insurance Coverage Verification
- Documentation and Correspondence
- Eligibility Determination
- Insurance terminology
- Patient Rapport
- Attention to Detail
- Patient Communication
- Typing Skills
- Complaint resolution
- Payment Processing
- Problem-Solving
Timeline
Insurance Verification Specialist
Orthopaedic Associates
01.2024 - Current
Customer Service Team Lead
Old Navy
06.2023 - 03.2024
Medical Call Center Representative
Orthopaedic Associates
02.2022 - 04.2023
Sales Associate
Saks Off Fifth Avenue
04.2021 - 04.2022
Key Holder
Haagen Dazs
10.2019 - 01.2022
Key Holder
Rocky Mountain Chocolate Factory
08.2019 - 01.2022
Hancock High School
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