I am a motivated, results-oriented professional with a passion for behavioral health and a track record of inspiring others. Experienced in managing tasks in a call center environment, with expertise in insurance plans and benefits. Strong organizational skills and a process-oriented mindset, contributing to team success and operational efficiency. Emphasizes continuous learning and development through feedback and collaboration
Overview
4
4
years of professional experience
Work History
Enrollment Specialist
ChartSpan
Greenville, SC
10.2024 - Current
Assist patients with enrollment processes for chronic care management programs.
Verify patient information to ensure accurate enrollment records.
Educate patients on program benefits and eligibility requirements.
Coordinate communication between patients and healthcare providers.
Utilize electronic health record systems for data entry and management.
Resolve patient inquiries regarding enrollment status and procedures.
Partner with team members to enhance the efficiency of enrollment workflows.
Maintain the confidentiality of sensitive patient information during processes.
Handle new enrollments by entering patients' data and reviewing information.
Perform data entry and maintain accurate records of patient enrollment information.
Listen to and understand customers' needs, explain and discuss options, and outline best-fit services.
Patient Access Representative
Third Street Family Health Services
Mansfield, OH
04.2024 - 09.2025
Greeted patients and verified insurance information for appointment scheduling.
Collected and updated patient demographics in electronic health record systems.
Assisted patients with completing registration forms and obtaining necessary authorizations.
Answered phone calls, addressing inquiries about services and appointment availability.
Collaborated with medical staff to ensure smooth patient flow and service efficiency.
Educated patients on financial responsibilities and payment options available to them.
Managed patient check-in process, ensuring compliance with privacy regulations.
Resolved patient issues by coordinating with relevant departments for timely assistance.
Applied HIPAA privacy and security regulations while handling patient information.
Answered phones promptly in a professional manner.
Scanned documents into electronic medical records system.
Greeted patients and visitors in a courteous and professional manner.
Verified insurance coverage for services provided by the facility.
Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
Obtained necessary signatures for privacy laws and consent for treatment.
Created new patient accounts in EMR system as needed.
Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
Assembled registration paperwork and placed identification bands on patient.
Communicated financial obligations to patients and collected fees at time of service.
Explained various admission forms and policies, acquiring signatures for consent.
Organized and maintained records by updating and obtaining both personal and financial information from patients.
Provided assistance to internal departments when needed.
Assisted with scheduling outpatient appointments.
Actively participated in team meetings and training sessions.
Responded to patient inquiries regarding billing or financial matters.
Processed patient responsibility estimate determined by insurance at pre-registration.
Reviewed eligibility responses to assess patient benefit level and prepare estimates.
Implemented patient satisfaction surveys to identify areas for improvement.
Participated in training sessions to stay updated on healthcare policies and registration software.
Facilitated patient registration, verifying all required documentation is collected and filed properly.
Handled high volume of incoming calls, providing exceptional customer service to patients and families.
Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Reported liabilities and risk management concerns to supervisor for review.
Stayed current on community-based resources and services useful to patients.
Medical Call Center Representative
NotifyMD
Chesapeake, Virginia
12.2022 - 07.2023
Managed high-volume inbound calls from patients and healthcare providers.
Provided accurate information about medical services and appointment scheduling.
Utilized electronic health record systems to update patient information efficiently.
Collaborated with medical staff to resolve patient inquiries promptly.
Documented call details and follow-up actions in the database effectively.
Assisted patients with insurance verification and billing inquiries.
Trained new representatives on call handling procedures and system navigation.
Maintained a professional demeanor while addressing patient concerns and needs.
Researched medical codes to ensure accurate billing practices were followed.
Ensured compliance with HIPAA regulations when handling confidential patient information.
Assisted in resolving customer complaints in a timely manner.
Developed relationships with key stakeholders both internally and externally.
Answered patient inquiries, provided information on services, and directed callers to appropriate personnel.
Entered patient data into electronic health records accurately and efficiently.
Performed outbound calls to remind patients about upcoming appointments.
Verified insurance eligibility for patients prior to scheduling appointments or procedures.
Identified areas of improvement within the practice's operations or processes.
Monitored patient satisfaction surveys and responded accordingly.
Provided detailed documentation of each call including notes on conversations with customers.
Maintained up-to-date knowledge of healthcare industry trends and regulations.
Managed incoming calls and scheduled appointments for patients.
Engaged with customers in an empathetic and professional manner at all times.
Utilized various software systems such as EMRs, CRMs, and databases effectively.
Processed payments from patients for copayments or other fees related to their care.
Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.
Answered, screened and processed high volume of calls daily with call management system and web-based communications.
Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.
Navigated through computer systems to review information and respond appropriately to callers.
Engaged actively with callers, confirming or clarifying information and diffusing anger.
Updated customer accounts, addresses and contact information within call management databases.
Maintained strong call control and quickly worked through scripts to address problems.
Managed customer expectations by clarifying needs, identifying options, and recommending products and services.
Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
Enhanced productivity and customer service levels by anticipating needs and delivering outstanding support.
Updated databases with new and modified customer data.
Presented existing and prospective customers with valuable service or product information to aid in decision-making.
Promoted available products and services to customers during service, account management and order calls.
Improved product knowledge on continuous basis to provide optimal service and achieve sales quotas.
Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
COVID-19 Response Frontline Case Investigator
Public Consulting Group, Inc.
Boston, Massachusetts
08.2021 - 01.2022
Conducted interviews to gather information from COVID-19 positive individuals.
Tracked and documented case findings in digital reporting systems.
Collaborated with public health officials to ensure accurate data sharing.
Educated individuals on isolation protocols and contact tracing procedures.
Provided support to community members during quarantine requirements.
Monitored follow-up communication with confirmed cases for health updates.
Assisted in developing community outreach materials regarding COVID-19 safety.
Participated in team meetings to discuss case trends and response strategies.
Collaborated with local public health departments in order to provide timely updates on new cases.
Refined existing procedures in response to changes in CDC guidelines or other relevant regulations related to COVID-19 containment efforts.
Educated patients about symptoms of COVID-19, safety measures, and quarantine protocols.
Coordinated testing resources for those identified as needing further evaluation based on results of contact tracing investigations.
Developed strategies for effective communication with individuals who are at high risk of contracting the virus due to underlying medical conditions or other factors.
Maintained up-to-date records of all cases investigated including documentation of contact tracing activities, interviews conducted, and any follow up actions taken.
Utilized problem solving skills when faced with difficult situations such as uncooperative interviewees or conflicting information from multiple sources.
Participated in regular team meetings designed for sharing best practices amongst frontline investigators working within various regions across the country .
Conducted contact tracing for positive COVID-19 cases, gathering information from individuals and their contacts.
Responded quickly to urgent inquiries regarding possible exposures and provided guidance on appropriate action steps.
Assessed potential exposure risk to the virus by interviewing patients and close contacts.
Ensured compliance with all applicable federal, state, and local laws pertaining to disease control and prevention efforts during the pandemic.
Performed data entry tasks related to case investigation into a secure database system.
Provided emotional support and guidance to individuals who had been recently exposed or diagnosed with COVID-19 while keeping strict confidentiality standards in place throughout interactions.
Monitored patient's health status through daily check-ins via phone or video conferencing.
Completed data entry to facilitate case interview and elicited close contacts into designated system immediately after obtaining.
Followed set protocol for contacting assigned newly diagnosed COVID-19 case patients and documented contact attempts and timeframes.
Explained importance of contact tracing to prevent disease transmission and keep communities healthy.
Leveraged scripted template to guide interview process, ask required questions and conduct interactions with professionalism and empathy.
Educated clients on options to assist in making informed decisions.
Answered calls and interacted with community members to provide information on advocacy services.
Helped people enroll in programs, arrange transportation and coordinate paperwork.
Assisted individuals with navigating health care systems, appointments and classes.