Close attention to detail, resourceful and reliable worker, friendly demeanor, Allscripts EMR, Insight EMR, skilled problem solver.
Fluent in Spanish
Goal-oriented Quick learner
Motivated team player
Patient Demographic & Insuance Data Entry
Hardworking professional with a dedication to customer satisfaction. Ready to apply several years of experience to new position.
Overview
15
15
years of professional experience
Work History
Associate Financial Service Representative (Verification)
Northwell Health
Mellville
02.2025 - Current
Confirmed co-pays, deductibles, co-insurance, and out of pocket maximum.
Communicated with insurance carriers to resolve eligibility discrepancies.
Notified patients and treating staff of coverage limitations and financial responsibilities.
Reviewed payer policies to ensure coverage for Physical Therapy evaluation, treatment codes and referrals.
Documented and updated insurance information accurately in Insight EMR.
Associate Financial Service Representative (Authorizations)
Northwell Health
Melville
01.2020 - 02.2025
Managed high volume prior authorizations request while meeting deadlines.
Explained authorization requirements and approval status to patients when needed.
Tracked authorization status and followed up to prevent delay in patient care.
Communicated with insurance companies to obtain approvals, denials, or additional information.
Submitted authorization requests via phone, fax and electronic portals.
Resolved authorization issues through effective communication with payers.
Reviewed clinical documentation within EMR & Allscripts to ensure accuracy.
Reception
Northwell Health
East Meadow
08.2015 - 12.2019
Handled incoming calls promptly, delivering professional and effective customer support to patients.
Scheduled appointments, registered patients.
Professionally and courteously verified appointment times with patients.
Prepared patient charts, pre-admissions and consent forms as necessary.
Multitasking: Juggle multiple tasks all at once while prioritizing those with the highest urgency.
Organization: Handle the organization of files, documents, and correspondences, while maintaining confidentiality in both physical and electronic formats.
Technical: Ability to use and maintain standard office equipment, including printers, scanners, copier, shredder, etc.
Proficient in front end functions within Rehab Toolkit and Allscripts.
Trained new staff, ensuring their smooth transition and acting as a go-to resource.
Accurately reconciled and posted daily patient payments (cash, check, credit card), adhering to health system financial policies.
Lancôme Counter Sales Associate
Shisiedo Macys
Hicksville
04.2011 - 05.2013
Alerted customers to upcoming sales events and promotions.
Handled all customer relations issues in a gracious manner and in accordance with company policies.
Educated customers about the brand to incite excitement about the company's mission and values.
Followed up with customers each week to verify that they were satisfied with purchases.
Followed merchandising guidelines to present visually appealing displays.
Determined customer needs by asking relevant questions and listening actively to the responses.
Provided an elevated customer experience to generate a loyal clientele.
Restocked inventory every month and reviewed cash operation data to verify proper replenishment.
Helped drive sales goals and achieve monthly quotas.
Asked open-ended questions to assess customer needs.
Managed wide variety of customer service and tasks with little manager/supervisor intervention.
Politely assisted customers in person and via telephone.
Education
High School Diploma -
W. Tresper Clarke High School
Westbury, NY
Associate of Arts - Criminal Justice
Nassau Community College
Garden City, NY
Cosmetology -
Gerald R Claps Technical Center
Levittown, NY
Skills
Fluent in Spanish
Resourceful and reliable worker
Allscripts EMR
Professional telephone demeanor
Insight EMR
Skilled problem solver
Quick learner
Motivated team player
Patient demographic and insurance data entry
Multitasking
Organization
Technical
Appointment scheduling
Insurance verification
Authorization management
Patient information documentation
Financial reconciliation
Attention to detail
References
References available upon request.
Timeline
Associate Financial Service Representative (Verification)
Northwell Health
02.2025 - Current
Associate Financial Service Representative (Authorizations)
Patient Service Representative/Insurance Verification Specialist at Ocom HospitalPatient Service Representative/Insurance Verification Specialist at Ocom Hospital