Service professional ready to contribute valuable customer service experience and problem-solving skills. Known for improving client satisfaction and resolving issues swiftly. Team-oriented with focus on achieving results and adapting to changing needs. Proficient in communication and relationship-building, consistently reliable and flexible.
Overview
12
12
years of professional experience
Work History
Senior Health Services Representative
Santa Clara Valley Medical Center Hospital and Clinics
02.2017 - Current
Provide lead supervision and guidance to a clerical team, overseeing daily operations for patient registration, complicated financial screening and insurance authorizations for referrals associated with the Santa Clara Valley Health & Hospital System.
Manage and motivate clerical staff to ensure efficient and accurate registration and insurance authorizations within the Santa Clara Valley Health & Hospital System.
Train and mentor new and existing clerical staff on complex technical procedures, including specialized registration and difficult or complicated financial screening and insurance authorizations workflows.
Assist in developing and revising internal procedures relate to the admission process enhancing efficiency and standardization across the Santa Clara Valley Health & Hospital System.
Communicateand interpret new and revised procedures to staff, clients, and particular departments across the Santa Clara Valley Health & Hospital System
Manage all aspects of insurance communication, including verifying benefit coverage, documenting requirements, and securing authorizations for referrals for patient care and program services.
Provide front-line assistance and support for all in-bound calls, following established protocols for the Santa Clara Valley Health & Hospital System (SCVMC HHS).
Manage a high volume of calls to assist patients with registration, appointments, and general medical needs across Valley Health Clinics.
Manage patient records and communications within the Clinic's Customer Relationship Management (CRM) system and resolved complex, computer-related data errors to ensure accuracy.
Provide excellent customer service and patient support by phone, utilizing the Ci-Care methodology to ensure a positive patient experience.
Leverage strong interpersonal and communication skills to assist patients with inquiries, demonstrating a commitment to patient satisfaction.
Manage a high volume of inbound calls, delivering empathetic and efficient support while adhering to established customer service protocols.
Strong commitment to providing an excellent patient experience.
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Administrative Medical Assistant/Front Office Supp
Zhu's Neuro-Acupuncture and Physical Therapy Center
05.2016 - 02.2017
Coordinated patient scheduling and managed appointment calendar for optimal clinic efficiency.
Assisted healthcare providers with patient intake, documenting medical history and vital signs accurately.
Streamlined office procedures to enhance workflow, reducing patient wait times significantly.
Implemented electronic health record systems, ensuring accurate data entry and compliance with regulations.
Trained new administrative staff on clinic protocols and software applications for seamless integration.
Maintained inventory of medical supplies and equipment, ensuring adequate resources for daily operations.
Contributed towards a positive work culture by actively participating in team meetings and collaborating with colleagues to solve challenges.
Managed confidential patient information in compliance with HIPAA regulations, safeguarding sensitive data from unauthorized access or disclosure.
Delivered exceptional customer service by promptly addressing incoming calls, emails, and walk-in inquiries from patients and other stakeholders.
Processed insurance claims, verifying eligibility and obtaining necessary authorizations.
Maintained up-to-date knowledge of billing software systems to streamline operations and improve turnaround times.
Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
Ensured accurate coding of diagnoses and procedures using ICD-10 and CPT guidelines.
Reviewed and corrected billing discrepancies to enhance revenue cycle efficiency.
Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
Assistant Manager/Lead Leasing Agent
Park West Apartments
06.2013 - 01.2017
Help Managed the entire leasing cycle, from marketing and initial inquiry to application, credit checks, and final move-in, ensuring compliance with all Fair Housing Laws.
Conducted in-person and phone interviews with prospective tenants, evaluating financial and personal information to determine eligibility and maximize occupancy rates.
Cultivated positive tenant relationships by resolving a wide range of disputes, including payment and deposit issues, to increase resident satisfaction and retention.
Negotiated and processed lease renewals and rental increases, ensuring clear communication and adherence to departmental policies.
Independently managed a high volume of work, maintaining accurate and updated resident records and documents in accordance with housing regulations.
Executed precise data entry, analyzed records, and corrected errors within the property management database to maintain data integrity.
Provided responsive customer service and support by handling all incoming calls and email correspondence, addressing inquiries related to registration, leasing, and maintenance.
Streamlined administrative tasks by independently organizing records and managing workload, improving overall departmental efficiency.
Resolved tenant disputes, including payment demands and eviction procedures, by applying deep knowledge of housing regulations and fair practices.
Coordinated and scheduled maintenance issues, serving as the primary point of contact for resident intake and communication with vendors.
Maintained 100% compliance with Fair Housing Laws and department policies throughout all aspects of the leasing and resident management process.
Education
Associate of Science - Insurance Billing Specialist/Medical Office Admin
West Valley College
Saratoga, CA
06-2014
Associate of Arts - Medical Billing And Coding Specialist
De Anza Community College
Cupertino, CA
04-2012
High School Diploma -
Yerba Buena High School
San Jose, CA
06-1995
Skills
Customer service expertise
Client engagement
Database management
Strong organizational skills
Critical thinking
Proficient bilingual communication
Effective problem resolution
Team leadership
Strategic decision-making
Effective team collaboration
Team motivation
Languages
Spanish
Native or Bilingual
Timeline
Senior Health Services Representative
Santa Clara Valley Medical Center Hospital and Clinics
02.2017 - Current
Administrative Medical Assistant/Front Office Supp
Zhu's Neuro-Acupuncture and Physical Therapy Center
05.2016 - 02.2017
Assistant Manager/Lead Leasing Agent
Park West Apartments
06.2013 - 01.2017
Associate of Science - Insurance Billing Specialist/Medical Office Admin
West Valley College
Associate of Arts - Medical Billing And Coding Specialist
Hospital Services Assistant at Santa Clara Valley Medical Center Hospital & ClinicsHospital Services Assistant at Santa Clara Valley Medical Center Hospital & Clinics
Charge Nurse, Cardiology and Pulmonology Clinic at Santa Clara Valley Medical Center Hospital & ClinicsCharge Nurse, Cardiology and Pulmonology Clinic at Santa Clara Valley Medical Center Hospital & Clinics
Senior Director, Health Services; Occupational Health and Wellness at UNIVERSITY HEALTH NETWORKSenior Director, Health Services; Occupational Health and Wellness at UNIVERSITY HEALTH NETWORK