Nayeli Alvarado
Summary
Dedicated and focused on providing structured work flow to create operational efficiency and patient satisfaction. Proven success in billing authorization processing, triaging calls, and training new employees while ensuring compliance with quality standards and HIPAA regulations.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Patient Service Representative
Scripps Plastic Surgery
09.2024 - Current
- Clerical work: check in & out patients, verify insurance, collect payments, submit referral authorization for procedures and consults.
- Sort mail for audits and scans.
- Answer phones, schedule appointments and procedures.
- Keep up with stocking office
- Prep for surgeons' next day schedule.
- Fill and fax out LOA and submit state EDD.
- train new PSR employees
- fax prescriptions for durable goods
- triage calls and referrals for consults and post op questions
Retention Specialist
GreatCall
11.2016 - 06.2020
- Retain customers from canceling service.
- Assist with billing while maintaining a company budget in mind.
- Provide basic customer service for accounts as needed per management request ie; create new accounts / line of service, port in numbers, billing, basic tech support with phones and devices.
- Meet supervisor guidelines for call handle time, QA standards, and post call time.
Customer Service Agent
eDriving
02.2016 - 11.2016
- Customer service over the phone and chat.
- Register new accounts; provide course info and troubleshoot accounts.
- Specialized in AARP and AAA group for course location.
- Meet company guidelines such as revenue, call handling time, and call grading.
Cashier
Target
12.2013 - 02.2016
- Process Returns, train new team members, and check out customers.
- Multitask with returns and sorting, close and restock registers at closing.
- Problem solve in a timely manner.
On the Job Trainer for Attractions
LEGOLAND California
08.2012 - 12.2013
- Train new or existing MC's to rides and attractions.
- Audit MC's to ensure job standards are met.
- Provide encouragement to help develop better performance.
- Ensure ride safety and recite spiels.
- Providing exceptional customer service was key, along with a clean approachable appearance.
Education
Billing Specialist - Billing And Coding
Vista Adult School
01-2024
Licensed Phlebotomist - Phlebotomy
Vista Adult School
01-2024
High School Diploma -
San Marcos High School
06-2011
Skills
- EPIC
- Availity
- Inform and Enhance
- Medical ICD9/10
- Data entry
- Excel
- PowerPoint
- Hawkeye
- Dayforce
- NICE
- 3C
- Five9
- Akamai
- Workforce
- CPT codes
- BILINGUAL-SPANISH
- Multitasker
- Organized
- Quality assurance
- HIPAA compliance
- Problem solver
- Self-initiated
- Professional composure
Certification
- Patient Service Representative
- Medical Terminology
- Medical Billing
- Healthcare Essentials
Timeline
Patient Service Representative
Scripps Plastic Surgery
09.2024 - Current
Retention Specialist
GreatCall
11.2016 - 06.2020
Customer Service Agent
eDriving
02.2016 - 11.2016
Cashier
Target
12.2013 - 02.2016
On the Job Trainer for Attractions
LEGOLAND California
08.2012 - 12.2013
Billing Specialist - Billing And Coding
Vista Adult School
Licensed Phlebotomist - Phlebotomy
Vista Adult School
High School Diploma -
San Marcos High School