Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
Generic

Nilda Rivera

Sebring,FL

Summary

Dynamic Patient Care Team Lead at TotalVision Eyecare Center with a proven track record in insurance claims processing and patient billing management. Skilled in conflict resolution and workflow management, I enhance patient experiences while mentoring staff. Adept at utilizing automated testing equipment to improve efficiency and accuracy in patient care.

Overview

37
37
years of professional experience

Work History

Patient Care Team Lead

TotalVision Eyecare Center
07.1995 - 09.2025
  • Processed both medical and vision insurance claims using carrier websites, HCFA paper claim, and electronic clearing house
  • Posted all insurance payments to patient accounts adjusted according to carrier guidelines
  • Researched all carrier errors and missing claims and resolved accordingly
  • Verification of patient insurance eligibility for both vision and medical claims
  • Patient receivable billing and statement management
  • Assisted opticians with fitting, adjustment, and dispensing of eyewear
  • Updating patient demographic and recall
  • Patient Care coordinator team lead responsible for all aspects of the patient experience from setting patient appointments to check out and preappoint
  • Monitored daily closing reporting and deposit
  • Assisted practice manager with overseeing staff scheduling and direction

Optometric Technician

Eyecare Associates of New Haven Ct
06.1988 - 11.1993
  • Assisted in patient preparation and managed intake processes for efficient appointment flow.
  • Conducted preliminary eye exams using automated equipment and documented findings accurately.
  • Educated patients on corrective lens options, ensuring understanding of prescriptions and features.
  • Collaborated with optometrists to develop treatment plans based on patient assessments and needs.
  • Operated and maintained lensometers, refraction units, auto-refractors, and visual field analyzers for patient testing.
  • Assisted with insurance questions, eligibility, and prior authorizations of medications and glasses.
  • Conducted pretest procedures to gather data before exam and make eye appointments more efficient and productive.

Education

High School Diploma -

Richard C Lee High
New Haven, CT

Skills

  • Attention to detail
  • Conflict resolution
  • Customer focus
  • Coaching and mentoring
  • Schedule management
  • Relationship building
  • Workflow management
  • Problem-solving
  • Teamwork and collaboration
  • Work Planning and Prioritization

Accomplishments

    Patient focused Team Lead with 34 years of experience cultivating strong patient relationship and ensuring seamless patient experiences. Extensive background In Revenue Cycle Management for Optometry. Attention to detail's always a priority.

Languages

Spanish
Elementary

Timeline

Patient Care Team Lead

TotalVision Eyecare Center
07.1995 - 09.2025

Optometric Technician

Eyecare Associates of New Haven Ct
06.1988 - 11.1993

High School Diploma -

Richard C Lee High

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