Experienced Customer Service Specialist with a proven track record of delivering exceptional customer support and resolving inquiries efficiently. Offering proficiency in data entry combined with strong mathematical and analytical thinking skills. Personable team player with exceptional customer service abilities. Fast learner and committed to continuous, self-directed learning.
Overview
19
19
years of professional experience
Work History
Customer Service Support Specialist
ClickFunnels
10.2022 - Current
Respond to customer live chats and ticket conversations inside of Freshdesk Software.
Managed customer inquiries and resolved issues with timely and professional communication.
Provided exceptional service by maintaining professionalism and empathy in all interactions.
Skilled in data entry, accurately inputting and updating information in various databases and platforms.
Detail-oriented with strong communication skills, effectively assisting with tasks and projects.
Maintained customer privacy and compliance with HIPAA.
Completed data entry tasks with accuracy and efficiency.
Entered data into various computer systems accurately using Microsoft Office Suite.
Verified data files before entry to maintain high data accuracy.
Documented customer interactions in computer systems and assisted cross-functionally with billing and technical support to deliver high-quality customer service.
Processed customer service orders promptly to increase customer satisfaction.
Patient Support Specialist
Liveops
02.2021 - 10.2022
Answer inbound phone calls from patients, providers, and home facilities.
Collect payments for self-pay patients through credit cards or other payment plans.
Adhere to HIPAA confidentiality requirements.
Answer all inquiries from customers and add insurance information to EPIC Software.
Providing emotional support and education to patients, ensuring a positive healthcare experience.
Skilled at navigating complex healthcare systems to ensure patients receive necessary services.
Participated in training sessions and workshops to enhance knowledge and skills.
Document every call on EPIC Software and using CRM.
Childcare Food Program Claim Specialist
Family Central Inc..
09.2006 - 07.2019
Determine parent eligibility category for provider reimbursement.
Analyze and enter claim, enrollment, and eligibility data for a caseload of 20 centers (1,500)children into a program database for
monthly claims.
Analyze and calculate the provider's allowable monthly expenses.
Providing technical assistance as required to childcare providers and Family Central, Inc. staff regarding assigned programs.
Ensure required monthly reports are completed accurately by the assigned deadline.
Preparing and mailing monthly paperwork to providers by assigned deadline.
Assisting with the processing of monthly claims data for childcare centers.
Keeping the manager and Chief Program Officer informed of all tasks and projects, and assisting with projects as needed.
Assist manager with a new center and annual training setup.
Participating in the organization of special events related to childcare programs.
Performing other duties that are necessary for the success of the department and to meet accreditation standards.
Medical Biller and Coder
NationMed Diabetic Supplies
04.2005 - 09.2006
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Communicated with insurance companies to research and resolved coding discrepancies.
Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Input data into computer programs and filing systems.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Education
Medical Biller/ Coder Specialist -
Sanford Brown Institute.
Lauderdale Lakes, FL
01.2005
No Degree - 45 Hrs of Child Care
Broward College
Fort Lauderdale, FL
11.2003
High School Diploma -
Juan Quirindongo Morell.
Vega Baja, PR
05.2002
Skills
Excel
Outlook
PowerPoint
Bilingual (Spanish and English)
Problem-Solving
Time management
Meticulous attention to detail
Data Accuracy
Multi-Tasking
Customer service excellence
Microsoft Windows and Office
Timeline
Customer Service Support Specialist
ClickFunnels
10.2022 - Current
Patient Support Specialist
Liveops
02.2021 - 10.2022
Childcare Food Program Claim Specialist
Family Central Inc..
09.2006 - 07.2019
Medical Biller and Coder
NationMed Diabetic Supplies
04.2005 - 09.2006
Medical Biller/ Coder Specialist -
Sanford Brown Institute.
No Degree - 45 Hrs of Child Care
Broward College
High School Diploma -
Juan Quirindongo Morell.
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