Dedicated Claims Completion Administrative Associate with experience delivering customer service and administrative excellence, including clerical support and public interaction. Excels in digital communication, scheduling, data entry and database administration. Works well independently or as part of a team.
Overview
12
12
years of professional experience
Work History
Claims Completion Administrative Associate
Accenture
09.2021 - Current
Improved transaction processing efficiency by implementing streamlined procedures and reducing errors.
Enhanced client satisfaction with timely and accurate transaction processing, ensuring seamless service delivery.
Ensured compliance with industry regulations by meticulously reviewing and verifying transaction documentation.
Collaborated with team members to optimize transaction processing workflows, increasing overall productivity.
Acted as a point of contact for clients regarding their transactions, providing clear communication and prompt resolution of any concerns or inquiries.
Developed strong working relationships with colleagues across various departments to facilitate efficient interdepartmental collaboration on transaction-related matters.
Demonstrated adaptability by quickly learning new systems and processes as needed to ensure smooth transitions during system upgrades or changes in company protocols.
Provided support during peak periods or staff shortages to ensure that all transactions were processed accurately and in a timely manner without compromising customer service levels.
Managed sensitive client information with discretion and strict adherence to confidentiality policies, maintaining trust between customers and the organization.
Developed strong client relationships through timely and thorough follow-up on inquiries and concerns.
Prioritized tasks to meet tight deadlines, pitching in to assist others with project duties.
Managed customer relations through communication and helpful interactions.
Assisted in various processes surrounding Claims Creation, completion and external medical referrals
Licensed Insurance Professional III-Sales/Service
USAA
05.2021 - 08.2021
Inbound Call Center Environment - Remote
Self-motivated, with a strong sense of personal responsibility.
Proven ability to learn quickly and adapt to new situations.
Built strong relationships with members through consistent communication and excellent customer service.
Increased member satisfaction by providing personalized insurance solutions tailored to individual needs to include quoting, issuing and servicing insurance policies
Obtained a license in all 50 states to sell and service property, casualty, auto and umbrella insurance policies
Investigated billing concerns and performed financial transactions to collect payments for premiums and balances
Ensured appropriate delivery of documents by email, fax and mail
Front Office Coordinator
Little Spurs Pediatric Urgent Care
09.2017 - 04.2021
Monitored front areas so that questions could be promptly addressed.
Facilitated communication between patients, families, medical professionals, support staff, insurance carriers using effective interpersonal skills.
Screened and transferred incoming calls, took down messages, and transmitted information and documents to internal personnel.
Streamlined patient registration processes by implementing efficient check-in procedures and digital forms.
Collaborated with medical staff to coordinate patient flow and ensure timely access to care.
Conducted thorough insurance verifications for accurate billing and reduced claim denials.
Performed financial transactions to collect payment for co-pays, co-insurance and deductibles
Managed patient records with strict adherence to HIPAA regulations, ensuring confidentiality and security of sensitive information.
Improved office operations by automating client correspondence, record tracking and data communications.
Ensured adequate inventory levels of office supplies by regularly monitoring stock levels and placing orders as needed.
Medical Office Receptionist
Little Alsace Urgent Care
09.2016 - 09.2017
Improved patient satisfaction by efficiently managing front desk operations and addressing inquiries professionally.
Assisted with medical coding and billing tasks.
Contributed to a welcoming atmosphere by greeting patients warmly upon arrival and assisting them throughout their visit.
Provided exceptional customer service, promptly addressing concerns and resolving issues to maintain a positive environment.
Organized paperwork such as charts and reports for office and patient needs.
Transcribed phone messages and relayed to appropriate personnel.
Maintained patient databases and updated information in alignment with HIPAA protocols.
Performed various administrative tasks by filing, copying and faxing documents.
Obtained payments from patients and scanned identification and insurance cards.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Increased office productivity by multitasking efficiently during peak hours, handling multiple responsibilities simultaneously.
Assisted in billing processes, ensuring accurate records and timely payments from insurance companies and patients.
Filed and retrieved patient records for provider.
Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Nationally Certified Medical Assistant
Pulmonary And Sleep Institute
06.2015 - 08.2016
Measured patient pulse oximetry.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Performed medical records management, including filing, organizing and scanning documents.
Increased clinic efficiency by assisting in the development of new processes for inventory management and supply ordering.
Collected and documented patient medical information such as blood pressure and weight.
Ensured accurate documentation of patient information through diligent record maintenance and data entry tasks.
Improved patient satisfaction by providing efficient and compassionate care during medical appointments.
Called and faxed pharmacies to submit prescriptions and refills.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
Sanitized, restocked, and organized exam rooms and medical equipment.
Childcare Assistant
Little Schoolhouse Of Castroville
10.2014 - 06.2015
Helped children develop motor skills in preparation for preschool and kindergarten.
Supported early language development through storytelling, songs, and interactive conversations with children.
Maintained clean, neat and hazard-free areas to protect kids, personnel and families.
Built constructive and open relationships with families with forthright yet friendly communication.
Planned and implemented crafts and other activities to spark interest and enhance development.
Created and implemented activities to promote language development.
Crew Trainer
McDonald's
01.2012 - 12.2014
Established and maintained quality control standards.
Set positive example for team members by providing high-quality, efficient service.
Conducted hands-on demonstrations and practical exercises to reinforce learning concepts.
Trained other employees in customer service, food safety, and performance requirements.
Greeted customers with smile and provided friendly service to professionally handle every need.