Naliya Caicedo
Summary
Organized Patient Service Representative with 1 year of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Patient Service Representative
Health First Medical Group
04.2023 - Current
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
- Assisted with insurance verification tasks, ensuring accurate billing.
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Entered patient demographic and insurance data into electronic medical record system.
- Managed patient registration process, confirming data accuracy and completeness.
- Worked harmoniously with team members to achieve shared objectives, contributing to a positive and productive work atmosphere.
Licensed Health Insurance Agent
ResultsCX (Humana)
09.2022 - 12.2022
- Increased client satisfaction by efficiently addressing their insurance needs and providing personalized solutions.
- Spent ample time with each customer, verbally reviewing and
explaining documents for client comprehension. - Worked to accommodate new and different insurance requests and explored new value opportunities to optimize insurance agency reputation.
- Customized existing insurance programs to suit individual client needs by analyzing specific requirements.
- Assisted clients in understanding complex insurance policies, ensuring they made informed decisions when selecting coverage options.
Education
Associate of Science - Radiologic Technology
Eastern Florida State College
Melbourne, FL06.2026
High School Diploma -
Palm Bay Magnet High School
Melbourne, FL12.2021
Skills
- Eligibility Determination
- Insurance Verifying
- Effective communication
- Appointment Scheduling
- Insurance Verification
- Medical Insurance
- Customer Service
- Patient Confidentiality
- HIPAA Compliance
- Critical Thinking
- Problem Solving
- Medical Terminology knowledge
- Multitasking
- Organization
- Attention to Detail
- Problem Solving
- Time efficient
- Working independently
- Team work
- Accurate Data Entry
Certification
2-40 Health Insurance License
NPN #- 20447673
CPR (Cardiopulmonary Resuscitation)
- Certification Provider: American Heart Association
- Date of Certification: September 2023
Timeline
Patient Service Representative
Health First Medical Group
04.2023 - Current
Licensed Health Insurance Agent
ResultsCX (Humana)
09.2022 - 12.2022
Associate of Science - Radiologic Technology
Eastern Florida State College
High School Diploma -
Palm Bay Magnet High School
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