Motivated and experienced professional seeking to leverage skills and expertise to contribute to company success. Strong desire to continuously learn and grow, aiming to enhance knowledge about the company to provide customers with more knowledgeable and professional service.
Overview
23
23
years of professional experience
Work History
Medical-Dental Customer Service Agent
Fortuna BMC / Gainwell Technology at Remote
10.2023 - Current
Managed patient appeals an grievances, ensuring satisfaction
Coordinated interpreting and transportation services, boosting efficiency
Implemented innovative solutions to improve patients services
Provided team training on new patient interaction techniques
Providing excellent customer service to Medi-Cal dental patients, answering their inquiries, and addressing their concerns in a professional and courteous manner.
Assisting patients with scheduling dental appointments, verifying eligibility and explaining coverages and benefits under the Medi-Cal program.
Collaborating with dental providers to ensure seamless coordination of care of patients.
Educating patients on proper oral hygiene practices and the importance of regular dental check-ups.
Resolving billing and claims issues, and assisting patients with understanding their financial responsibilities.
Maintaining accurate and up-to-date record of patients interactions an transactions.
Collaborating with other members of the healthcare teams to ensure the best possible outcomes for patients.
Staying informed about changes an updates to the Medi-Cal program and dental services to provide accurate information to member an providers.
Contributed to training programs, making standard operating procedures (S.O.P), Job Aid adjustments
Providing accurate information and providing a positive experience to all callers, including potential Providers including members and/or authorized representatives.
HIPPA adherence to confidentiality and privacy regulations to protect patient information
Received training in EDI enrollment precess.
Account Manager
King Of Credit Financial
04.2017 - 09.2023
Manage 180 accounts daily, responsible to fully service all accounts, collected payment on all accounts and collect payment on any incoming calls
Assist my customers that had hardship by providing payment arrangements
Provide customer service to any incoming and outbound calls
Utilizes portal pay program to process customer payments work with excel for my monthly reports
Utilize auto star to review my customer account on my queue
Also worked with docstar program to locate customers contact or other information when needed
Scan document and fax documents made copies as needed
Work as a claim adjuster work with insurance when my customers had a claim until claim was resolved.
Worked effectively in fast-paced environments.
Self-motivated, with a strong sense of personal responsibility.
Increased client satisfaction by building strong relationships and addressing their needs promptly.
Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
Receptionist, Scheduler
Smile Dental Group
04.2015 - 11.2016
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Collector II, Relationship Manager
Bank of America Home Loans
09.2007 - 05.2013
Responsible for educating homeowners on their mortgage, helping them find solutions for their delinquency in their mortgage
Updating financials setting them up on repayments plans, ordering reinstatement figures, processed payments, debt counsel homeowners and also knowing my policies and procedures to ensure I service the loans according to investor and Bank guidelines
I had also required to service anywhere from 80-100 calls per day.
Collaborated with team members to achieve monthly targets, promoting a positive work environment and boosting overall productivity.
Contacted customers to discuss payment schedules and set up or immediately process payments.
Reduced outstanding debts by implementing strategic collections tactics and maintaining open lines of communication with customers.
Streamlined debt collection processes for increased efficiency in the workplace.
Collector
Merkow Wholesale Distributors
04.2005 - 07.2007
Calling customers for an order, post accounts payable, add total for the end of the month, cash receipts, billing, follow up on short pays and skipped invoices and disputes
Make past due courtesy calls, process new customer applications
As well as other various office tasks as assigned
In addition, fax, mail, make copies, filing, order office supply as needed, creation of documents as well as to provide a high level of Excellence to the customers and company.
Receptionist & Production Assistant
Platino Records
07.2001 - 03.2005
Responsible for providing assistance to the company's executive office, confirmed and scheduled appointments, keeping company's agenda, receiving and directing visitors, performing data entry with different kinds of software, typed information for CD covers, creation of documents, filing and answer multi-line, transfer calls, paging, sort and distribute mail
I also have the ability to prioritize and manage multiple projects in a fast-paced environment and at the same time maintained a high level of professionalism, integrity, and excellence.
Education
San Fernando High School
San Fernando, CA
Skills
Customer Service
Call center experience
Customer Relationship Management (CRM)
Payment Processing
Inbound Customer Service
Billing Inquiries
Data Entry
Scheduling
Microsoft Outlook
Microsoft Excel
Multi-line phone talent
Problem Resolution
Outstanding communication skills
Languages
Spanish
Timeline
Medical-Dental Customer Service Agent
Fortuna BMC / Gainwell Technology at Remote
10.2023 - Current
Account Manager
King Of Credit Financial
04.2017 - 09.2023
Receptionist, Scheduler
Smile Dental Group
04.2015 - 11.2016
Collector II, Relationship Manager
Bank of America Home Loans
09.2007 - 05.2013
Collector
Merkow Wholesale Distributors
04.2005 - 07.2007
Receptionist & Production Assistant
Platino Records
07.2001 - 03.2005
San Fernando High School
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