NICOLE MOJAR
College Point
Overview
7
7
years of professional experience
Work History
Patient Services Representative
ENT and Allergy
01.2024 - Current
- Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
- Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
- Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
- Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
- Provided exceptional customer service to build strong relationships with patients, leading to increased loyalty and return visits.
- Conducted pre-registration tasks including verifying insurance eligibility requirements were met before scheduled appointments.
- Reviewed and corrected claim errors to facilitate smooth processing.
- Used Software to schedule appointments.
- Took copayments and compiled daily financial records.
- Assisted patients in filling out check-in and payment paperwork.
- Coordinated referrals to specialists when necessary, ensuring seamless continuation of care for patients with complex needs.
- Served as a key point-of-contact between physicians, nurses, technicians, administrators, other professionals involved in the provision of quality medical services.
- Assisted with billing inquiries and insurance verification, resulting in a smoother financial experience for patients.
- Fostered a positive environment within the healthcare facility by actively participating in staff meetings and collaborating on continuous improvement initiatives.
- Streamlined the check-in process to reduce wait times for patients while maintaining accuracy in recordkeeping.
- Greeted and assisted patients with check-in procedures.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Verified patient insurance eligibility and entered patient information into system.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Answered incoming calls, scheduled appointments and filed medical records.
- Resolved customer complaints using established follow-up procedures.
- Provided excellent customer service to patients and medical staff.
Patient Service Representative
Spectrum Vision Partners
04.2023 - 07.2023
- Built trust with customers through personalized conversations
- Exceeded performance metrics related to call time, quality, and customer satisfaction
- Managed and resolved issues with customers during calls by following determined script
- Maintained accurate records of customer interactions for future reference
- Assessed customer feedback regarding product features or services offered
- Managed difficult situations calmly and effectively while maintaining a positive attitude towards customers
- Answered calls, left voicemails, and scheduled follow-up calls to drive customer engagement
- Researched customer accounts for accuracy and completeness of data
- Proficiently handled high call volumes while maintaining quality service standards
- Developed strong relationships with clients through friendly conversations
- Followed established procedures during calls with customers
- Used database system to record notes and call information
- Answered incoming calls promptly and professionally, addressing customer inquiries with empathy and understanding
- Demonstrated excellent communication skills by actively listening to customers, responding to their needs, and providing helpful solutions
Patient Service Representative
Ear Nose and Throat Associates
11.2021 - 03.2023
- Maintained strict confidentiality of protected health Information to comply with HIPAA regulations
- Assisted patients with completing paperwork and understanding medical terminology
- Processed payments and reconciled accounts
- Input patient data into the electronic medical record system accurately and efficiently
- Maintained cleanliness of the reception area including stocking supplies and organizing paperwork
- Utilized Microsoft Office Suite daily for various tasks such as creating patient charts or updating spreadsheets
- Obtained and validated photo identifications and insurance cards, scanning documents into patients' charts
- Performed patient registration and scheduling in a fast-paced environment with accuracy and efficiency
- Identified and reminded patients of health maintenance gaps
- Processed payments accurately by verifying insurance coverage and applying copays and deductibles when applicable
- Entered data into practice management software accurately including demographics, insurance information
- Ensured compliance with HIPAA regulations through proper handling of confidential patient information
- Verified patient information to ensure accuracy prior to appointment check-in
- Resolved conflicts between patients, family members, providers, or other staff members professionally
- Developed positive relationships with patients by providing courteous service during check-in and check-out procedures
- Communicated delays in appointments and offered rescheduling
- Scheduled appointments and assisted with referrals
- Maintained up-to-date knowledge of insurance policies to ensure accurate billing and payment processing
- Verified and updated changes in patient, physician, or insurance to maintain proper billing
- Answered incoming calls promptly while demonstrating excellent phone etiquette and professionalism
- Demonstrated strong customer service skills by greeting patients, providing directions, and answering questions
- Provided support to nursing staff with administrative duties such as filing, faxing, and scanning documents
- Updated existing policies and procedures as needed based on changes in healthcare regulations
- Accurately verified insurance coverage for patients and providers in accordance with HIPAA regulations
- Proficiently managed patient accounts to ensure accurate billing information
- Demonstrated strong communication skills when interacting with insurance companies to verify coverage eligibility
Customer Service Associate/Cashier
Stop and Shop Supermarket
05.2019 - 03.2021
- Answers telephone, determines the purpose of callers, and forwards calls to appropriate personnel or department
- Retrieves messages from voicemail and forward to appropriate personnel
- Schedules appointments and enters appointment date and time into computerized scheduler EMR
- Conducts reminder calls to all patients
- Registers patients by verifying that patient's record is up to date and accurate
- Makes appropriate changes in the computer system
- Answers questions about the organization and provides callers with address, directions, and other information
- Confirms patients' insurance eligibility with insurance companies
- Monitored changes in policy requirements from various payers ensuring compliance with their guidelines
- Verified patient eligibility for coverage with insurance carriers utilizing various web-based applications
- Processed appeals when necessary due to denied claims or incorrect payments from payers
- Reviewed EOB's received from insurers confirming correct processing of claims submitted
Customer Service Associate
08.2018 - 05.2019
- Responsible for providing exceptional service to customers
- My key priorities include greeting customers, assisting them with selection of merchandise, completing transactions, and answering questions regarding the store and merchandise
Education
High School Diploma -
Marikina High School
Marikina City04.2015
Skills
- Data Gathering
- Inbound Phone Call Management
- Customer Support
- Problem-Solving Skills
- Customer Communication
- Verbal and Written Communication
- Till Counting
- Cash Handling
- Microsoft Office
- Patient Contact
- Insurance Plan Verification
- HIPAA Compliance
- Benefits Verifications
- Referral Coordination
- Insurance Terminology
- Outpatient Procedures
- Data Entry Software
- Medical Records Verification
- Reminder Calls
- System Updates
- Payment Collection
- Office Administration
- Insurance Information Collection
- Demographics Information
- Bookkeeping Support
- Patient Greeting
- Medical Insurance
- Patient Registration
- Chart Pulling
- Medical Billing
- Document Filing
- Appointment Scheduling
- Benefits Explanations
- Call Transfers
- Insurance Form Processing
- Patient Account Reviews
- Multi-Line Telephone Systems
- Clinical Data Entry
- Patient Intakes
- Customer Service
- Appointment Confirmation
- Patient Admitting
- Insurance Verification
Timeline
Patient Services Representative
ENT and Allergy
01.2024 - Current
Patient Service Representative
Spectrum Vision Partners
04.2023 - 07.2023
Patient Service Representative
Ear Nose and Throat Associates
11.2021 - 03.2023
Customer Service Associate/Cashier
Stop and Shop Supermarket
05.2019 - 03.2021
Customer Service Associate
08.2018 - 05.2019
High School Diploma -
Marikina High School
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