Nellsy Ortega
Orlando,FL
Summary
Desire to use current skills for career-related, to secure a professional position where my level of responsibility, education, and organization skills may contribute to the company overall success and growth.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Service Agent
Florida Blue
11.2023 - Current
- Health insurance (benefits, claims, billing, payments).
- Solve problems and coordinate with other departments if needed
- Log every customer interaction and capture data for reporting and tracking.
- Show members how to use: online tools, Self-service options, their health plan and benefits.
- Help customers understand products (health, wellness, income protection).
- Compare plans and recommend the best fit.
Medical Ambassador
GuideWell Emergency Doctors
03.2018 - 11.2023
- Communicate in a compassionate and empathic manner with patients
- Greet patients, assess their needs and check them in quickly
- Enter information into the systems and create a medical chart for patients
- Liaison with outside medical facilities and specialist for the medical teams requested needs to care for the patient, such as obtaining old medical records and reaching out to other physicians by telephone
- Set up patient admissions to the hospital while also arranging medical transport
- Answering telephone calls
- Learn and adhere to all protocols in the clinic for both patient care and facility operations.
Patient Financial Representative II
Baptist Hospital of Miami
05.2007 - 01.2018
- Register patients for procedures in appropriate manner consistent with HIPPA and hospital guidelines.
- Verify insurance coverage for correct information and patients’ financial responsibilities according to the benefits contract.
- Maintain above 98 percent accuracy in registration productivity.
- Assist in decreasing patient anxiety by assisting patients’ needs to help increase patients’ satisfaction.
- Explain in detail legal, ethical and compliance related documents to every patient
- Responsible for demonstrating service excellence and positive interpersonal skills in dealing with patients and their families. Help maintain above 98 percent patient satisfaction.
Maternity Coordinator
Baptist Hospital of Miami
04.2008 - 01.2015
- Verify patients’ benefits at insurance companies for correct coverage information.
- Calculated correct patient responsibility per admission and referred co-payments, deductibles and coinsurances for proper collection.
- Set up self-pay packages plans and collect monies from patients.
- Pre-register Maternity Applications.
Billing Clerk
East Coast Billing
10.2006 - 05.2007
- Insurance verification and Data Entry.
- Handled all pending collections.
- Work closely with Medicare and Medicaid Claims
- Responsible for front desk duties: answering phones, filing and other general office duties.
- ICD-9 & CPT-4 coding for radiology and Pathology group.
Education
Associate’s - science
Miami Dade College
08.2013
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Keiser College
05.2007
Skills
- Patience and calmness
- Basic maintenance
- Stress tolerance
- Vehicle detailing
- Strong work ethic
- Customer service
- Attention to detail
- Multitasking and organization
Certification
- AHIMA: Coding Basics Program 04/01/15-12/01/15
- Florida Notary Public 06/01/17-06/01/26
Bilingual
English/Spanish.
Timeline
Service Agent
Florida Blue
11.2023 - Current
Medical Ambassador
GuideWell Emergency Doctors
03.2018 - 11.2023
Maternity Coordinator
Baptist Hospital of Miami
04.2008 - 01.2015
Patient Financial Representative II
Baptist Hospital of Miami
05.2007 - 01.2018
Billing Clerk
East Coast Billing
10.2006 - 05.2007
Associate’s - science
Miami Dade College
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Keiser College