Michelle Garcia-Griggs
Apache Junction,AZ
Summary
Dynamic and compassionate professional with a proven track record, adept in patient care, customer service, and insurance claims processing. Excelled in building relationships and resolving complex billing issues, enhancing patient wellbeing and financial accuracy. Skilled in HIPAA compliance and customer relations, consistently achieving positive outcomes in high-stress environments. Committed to fostering positive outcomes and making meaningful impact in a new professional environment.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Care Advocate
One Life Unlimited
10.2019 - 01.2025
- Developed strong relationships with up to 10 local resources such as community agencies, therapists, or support groups that could be beneficial for the patient's wellbeing.
- Enhanced patient comfort by providing attentive personal care and assistance with daily living activities.
- Facilitated transportation for patients to medical appointments or social outings, ensuring punctuality and safety during travel.
Medical Biller
Sunrise Therapy Services
01.2020 - 11.2023
- Correctly coded and billed medical claims for various therapy services.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures and corrected on average 30-40% of the diagnostic codes billed daily.
Direct Care Worker
NSI
10.2018 - 08.2019
- Assisted client with daily living needs to maintain self-esteem and general wellness.
- Provided emotional support for a client with cerebral palsy during difficult times, fostering a sense of trust and psychological wellbeing.
- Assisted patients with daily living activities such as dressing, grooming, feeding, and putting him to bed for improved quality of life.
- Delivered exceptional service by prioritizing patient safety while maintaining confidentiality according to HIPAA guidelines.
Special Needs Advocate
Jewish Community Center
02.2018 - 05.2019
- Developed strong rapport with participants through empathy, patience, and understanding of their unique challenges and strengths.
- Delivered personalized educational, behavioral, and emotional support to individual participants to enable positive learning outcomes.
- Implemented visual aids, sensory tools, and adaptive equipment to facilitate participant engagement and participation in program/community activities.
Customer Service Representative
Comcast
01.2016 - 06.2017
- Managed high-stress situations during customer moves effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products and services needed during their move within or out of state.
Education
High School Diploma -
Star Academic High School
Tucson, AZ05-2009
Skills
- Professional boundaries
- Insurance claims
- Patient care
- Document review
- Customer relations and follow up
- Electronic claims
- Medication administration
- Problem resolution
- Analytical reasoning
- Call center experience
- Client representation
- Billing and collection procedures
- Microsoft Excel
- Insurance claims processing
- CPR certified
- Claim submission
- HIPAA compliance
- Call center operations
- Claims processing
- Money handling
Accomplishments
Leading roles- Achieved team lead positions by exceeding expectations with accuracy and efficiency. I have supervised teams of 10-20 people in various positions.
Customer Service- Documented and resolved customer issues which led to a successful first call resolution. I've been able to collaborate with teams, work in an individualistic roles, communicate effectively with individuals in higher positions, and professionally processed 80 plus calls per day.
Monetary transactions- handled high volumes of cash, credit, and balancing cash draw at the end of shifts.
Served the special needs/behavioral community empowering individuals and advocating for them in situations that were successfully de-escalated.
Achieved a well rounded life view of what customer service/person service approach is about and have adapted quickly with changes throughout the years.
Certification
- Customer Service Certification – Various Providers.
- Ethics in Healthcare Certificate – Various Providers.
- Diversity and Inclusion in the Workplace Certificate – Various Providers.
- Cultural Competency in Healthcare Certificate – Various Providers.
- Emotional Intelligence and Communication Skills Certification – Various Providers.
- HIPAA Compliance Certification – Various Providers.
- Conflict Resolution and Mediation Certificate – Various Providers.
- CPR/AED Certification
- First Aid Certification
- Fingerprint Clearance Card
- Cash/Card Handling trainings
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Medical Biller
Sunrise Therapy Services
01.2020 - 11.2023
Care Advocate
One Life Unlimited
10.2019 - 01.2025
Direct Care Worker
NSI
10.2018 - 08.2019
Special Needs Advocate
Jewish Community Center
02.2018 - 05.2019
Customer Service Representative
Comcast
01.2016 - 06.2017
- Customer Service Certification – Various Providers.
- Ethics in Healthcare Certificate – Various Providers.
- Diversity and Inclusion in the Workplace Certificate – Various Providers.
- Cultural Competency in Healthcare Certificate – Various Providers.
- Emotional Intelligence and Communication Skills Certification – Various Providers.
- HIPAA Compliance Certification – Various Providers.
- Conflict Resolution and Mediation Certificate – Various Providers.
- CPR/AED Certification
- First Aid Certification
- Fingerprint Clearance Card
- Cash/Card Handling trainings
High School Diploma -
Star Academic High School
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