Paola Galvez

• Scheduled appointments and walk-ins and did referrals.
• Scanned files and worked for front desk checking in clients
• Scanned medical card and uploaded documents.
• Submitted claims and internal id on records
• Spoke to patients regarding therapy appointments.
• Scheduled, coordinated and confirmed appointments and meetings.
• Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
• Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
• Developed strong working relationships with team members, fostering a positive work environment.
• Completed data entry and filing to keep records updated for easy retrieval.
• Expedited check-in and check-out procedures for guests, ensuring seamless experiences during their visits.
• Resolved customer issues quickly and notified supervisor immediately when problems escalated.
• Completed all tasks in compliance with company policies and procedures.
• Managed a team of volunteers, ensuring efficient operation of youth services department during peak hours.
• Worked with kids and parents

Reduced appointment cancellations by consistently confirming dates and times with clients via phone calls and emails.

• Addressed client inquiries and updated database information.

• Scheduled follow up calls with potential customers to gain interest

in scheduling appointments.

• Communicated with management to provide feedback on value and

productiveness of appointment setting process.

• Monitored patient progress, adjusting treatment plans to optimize

outcomes and achieve therapy goals.

• Enhanced patient experience by providing compassionate care and

fostering a supportive environment during treatments.

• Maintained accurate documentation of patient treatments, ensuring

consistency of care across therapy sessions.

• Spoke to therapist to set up appointments for members.

• Emailed member appointment information.

• Attended meetings and trained new employees.

• Facilitated timely patient care by verifying insurance benefits prior

to appointments.

• Updated patient records with accurate, current insurance policy

information.

• Managed time efficiently in order to complete all tasks within

deadlines.

• Excellent communication skills, both verbal and written.

• Demonstrated respect, friendliness and willingness to help.

Assisted with referall renewal request, and pharmacist refilling prescriptions for customers and responding to patient questions

• Submitted late to fills.

• Sending faxes to Optum

• Setting up delivery and sending over members medication.

• Speaking to members regarding pharmacy medication

• Counted and labeled prescriptions with correct item and quantity.

• Communicated instructions to patients or caregivers about proper

use and storage of drugs.

• Prepared bills for insurance companies and submitted required

paperwork.

• Maintained records of prescriptions filled for patients by completing

pharmacy log and updating customer accounts.

• Confirmed customer information and insurance eligibility for

prescriptions.

• Processed payments, returns and exchanges using pharmacy POS

system to accurately manage transactions.

• Monitored inventory levels to inform pharmacists of shortages

Submitted overrides to pharmacy.

• Assigning members case managers

• Submitting claims and referrals.

• Sending members id cards

• Updated members on appeal statues and claims.

• Collected bill information and spoke to doctors regarding bill.

• Provided member with dental,vision,and insurance benefits

coverage.

• Scheduled members with doctor appointments

Collaborated with billing department staff to ensure accurate coding and charge entry, minimizing future claim denials.

• Documented medical claim actions by completing forms, reports, logs and records.

• Resolved customer complaints with empathy, resulting in increased

loyalty and repeat business.

• Maintained up-to-date patient records, including medical histories

and treatment plans, to facilitate accurate diagnoses and tailored

treatments.

• Assisted member with dental changes and provided dental benefit

coverage.

• Spoke to dentist regarding member appointment confirmation

• Developed strong relationships with clients, providing personalized

service when booking, rescheduling, or canceling appointments.

• Managed high call volume while maintaining professionalism and

accuracy when gathering client information for appointment booking

Provided member with copay and payment information.

• Assisted members with providing claims,referall updates

• Submitted authorization and grievances on behalf of member.

• Answered 200+ call a day.

• Faxed over members and texted copay chart.

• Provided member with dental,vision,transportation services and

copay.

• Offered advice and assistance to customers, paying attention to

special needs or wants.

• Reached out to doctors and making member appointments.

Handled 200+ calls per day enrolling new members during open enrollment.

• Answered constant flow of customer calls with minimal wait times.

• Responded to customer requests for products, services and company

information.

• Provided members with benefit information, claims and

authorization updates.

• Submitted request for new Id cards

• Provided members with eligibility and doctor information.

• HIPPAA

• Making outbound calls for clinical appointment availability .

• Collected claims, and submitted RX's

• Educated customers about billing, payment processing and support

policies and procedures.

• Investigated and resolved accounting, service and delivery concerns.

• Set up members with transportation.

• Filled grievances .

• Provided dental,vision,transportation services

• Speaking with interpreters .

• Following up with members regarding there case