Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
10
10
years of professional experience
Work History
Grievance Analyst Temporary/Remote
Convey Health Solutions
10.2023 - 03.2024
Research, investigate and resolve grievances for all products in accordance with regulatory requirements/company policies
Ability to translate complex information into a simple message on assigned grievance cases including written and verbal communication to the appropriate individuals including the member, clients, and internal department(s)
Analyzes and renders determinations on assigned grievances and completion of the respective written communication documents to support the determination
Escalate transactions that are not correctable to a Team Leaders
Prepare other reports as requested by management.
Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
Enhanced customer satisfaction rates through detailed analysis of customer feedback data and subsequent improvements in service offerings.
Customer Service Rep Temporary/Remote
McKesson Pharmaceuticals
04.2023 - 09.2023
Accept inbound calls and handle customer requests
Meet all departmental goals including schedule adherence, average handle time, attendance, and quality monitoring
Communicate effectively with Internal and External customers
Troubleshoot customer issues, which may involve research, knowledge of products or services, or procedures or regulations in order or resolve the problem
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Document issue in call tracking system
Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Service Consultant Associate/CSR Remote
Progressive Insurance- Riverview, FL
02.2022 - 12.2022
Provided information about service procedures and expected timelines.
Collaborated with team members to develop new strategies for enhancing customer satisfaction and retention.
Documented payment details and personal information on customer accounts.
Maintained high customer satisfaction standards to meet or exceed targets.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Managed a high volume of inbound calls while maintaining a professional demeanor under pressure.
Assisted customers in navigating the company website or mobile app for self-service options when applicable.
Self-Pay Rep - Patient Financial Services
University of Florida Health Shands - Gainesville, FL
10.2020 - 02.2022
Streamlined medical billing procedures for increased efficiency and accuracy in the collections process.
Conduct inbound/outbound calls to patients
Scheduling patients
Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
Participated in regular team meetings, contributing valuable insights into process improvements and best practices for medical billing.
Verify patient coverage and update patient registration when needed
Receive, document, and respond to all patient correspondence in a timely manner
Work daily assigned work-ques
Receive and post payments to patient accounts
Balances cash drawers daily
Provides patient assistance and facilitates resolution of financial assistance applications and inquiries
Investigate and resolves patient account issues.
Streamlined medical billing procedures for increased efficiency and accuracy in the collections process.
Customer Service Assistance/Remote - Patient Financial Services
University of Florida Health Shands - Gainesville, FL
07.2019 - 10.2020
Gives administrative support to manager
Conduct staff meeting minutes
Work daily assigned work-queues
Process patient return mail and address changes
Process Death Certificates
Process daily cash drawer reports
Assist receptionist with daily correspondence
Cover receptionist when needed
Organize and file customer service folders and documents
Assist on Customer service info phone line.
Receptionist - Patient Financial Services
University of Florida Health Shands - Gainesville, FL
08.2018 - 07.2019
Greet patients upon arrival, sign them in and collect necessary HIPPA information to chart
Coordinated patient scheduling, check-in, check-out and payments for billing.
Provide patients with support and guidance as needed
Answer multi-line phone calls and route to appropriate party or handle callers needs/taking messages
Distribute daily mail and correspondences/organize paperwork
Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
Transcribed phone messages and relayed to appropriate personnel.
Maintain cleanliness of patient seating area.
Food and Nutritional Services
University of Florida Health Shands - Gainesville, FL
08.2014 - 08.2018
Interview patients asking about diets and record diet plans and allergies
Look up patient information on the computer.
Education
Diploma - Clinical Medical Assistant
Stepful
06.2024
Associate of Science - Medical Administrative Assisting
Ultimate Medical Academy
01.2017
Skills
Well-versed in performing necessary clerical functions including reception, filing, mail management, typing, scheduling, and diary management
Strong ability to follow instructions, learn new tasks and computer applications with confidence and easiness
Pays attention to detail and a proven ability to accomplish designated tasks in a timely manner and professionally
MS Excel
Analytical Thinking
Documentation And Reporting
Insurance Verification
HIPAA Compliance
Payment posting
Accounts Payable
Epic Software Proficiency
Conflict Resolution Strategies
Key Qualifications
Medical Administrative Assistant
Medical Terminology
Patient Processing
Release of Information
Remote Worker
Introduction to ICD-10-CM Coding
HIPAA Compliance
Anatomy & Physiology
Medical Billing
Revenue Cycle
Patient Financial Assistance
Medical Records Management
Patient Registration
Scheduling
Data entry
Electronic Health Records (EHR)
Electronic Medical Records (EMR)
Medical Laws & Ethics
Pathophysiology for Medical Office
MS Office / MS Word
Accounts Payable
Computer Information Systems
Medical Transcription
Office Accounting
Principles of Management
Timeline
Grievance Analyst Temporary/Remote
Convey Health Solutions
10.2023 - 03.2024
Customer Service Rep Temporary/Remote
McKesson Pharmaceuticals
04.2023 - 09.2023
Service Consultant Associate/CSR Remote
Progressive Insurance- Riverview, FL
02.2022 - 12.2022
Self-Pay Rep - Patient Financial Services
University of Florida Health Shands - Gainesville, FL
10.2020 - 02.2022
Customer Service Assistance/Remote - Patient Financial Services
University of Florida Health Shands - Gainesville, FL
07.2019 - 10.2020
Receptionist - Patient Financial Services
University of Florida Health Shands - Gainesville, FL
08.2018 - 07.2019
Food and Nutritional Services
University of Florida Health Shands - Gainesville, FL
08.2014 - 08.2018
Diploma - Clinical Medical Assistant
Stepful
Associate of Science - Medical Administrative Assisting
Inbound/outbound Customer Service Escalation, Specialist at Convey Health SolutionsInbound/outbound Customer Service Escalation, Specialist at Convey Health Solutions