Dynamic individual with hands-on experience in Customer Service and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
11
11
years of professional experience
Work History
Patient Access Representative
Tenet Healthcare Corporation
Boca Raton, FL
02.2023 - 05.2026
Facilitated patient check-in processes to enhance overall patient experience and satisfaction.
Coordinated insurance verification and authorization to ensure accuracy in patient records.
Managed scheduling of appointments, optimizing clinic operations and reducing wait times.
Assisted patients with inquiries, providing timely information on services and procedures.
Developed streamlined workflows for patient data entry, increasing accuracy and consistency in documentation.
Led initiatives for process improvements, resulting in enhanced patient access systems within the facility.
Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
Serve as the primary point of contact for patients, providers, and stakeholders
Conduct inbound and outbound calls to support program services
Perform insurance benefit investigations and verify coverage
Customer Service Representative
Call4Health
Deerfield Beach, FL
11.2015 - 05.2018
Assisted customers with inquiries regarding health services and product information.
Resolved customer complaints through effective communication and problem-solving techniques.
Maintained accurate records of customer interactions using CRM software.
Developed rapport with clients, fostering long-term relationships through excellent service delivery.
Developed strong DME product knowledge to provide informed recommendations based on individual customer needs.
Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
Exceeded performance metrics consistently, earning recognition as a top performer within the team.
Negotiated solutions with dissatisfied customers, turning potential negative reviews into positive testimonials.
Provider Customer Service Representative
Evolent Health
Remote
05.2018 - 02.2023
Processed claims and forwarded information to Medicare, Medicaid, and various commercial insurance companies.
Handled grievances and appeals.
ICD-9, ICD-10, CPT, and HCPS knowledge and experience
EOB Proficient
Consistent application of medical privacy regulation
Safeguarded patients health records ensuring compliance with HIPAA
Created referrals and pre-authorizations
Handled high volume of inbound calls, over 100 calls per day.
Scheduled peer to peer appointments for providers.
Processed clinical document
Data Entry
Coordinated communication between healthcare providers and internal departments
Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.