PELAR BRIDGES
Nevada
Summary
Healthcare Professional known for high standards and impactful results. Background includes managing patient interactions, resolving complex inquiries, and enhancing overall patient satisfaction. Proven team collaborator with flexible approach to changing needs and commitment to achieving objectives. Skilled in communication, problem-solving, and adaptability.
Overview
9
9
years of professional experience
Work History
Healthcare Call Center Representative
Quest Diagnostics
Nevada
10.2023 - 05.2026
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
- Managed a high volume of 75 calls daily, maintaining composure under pressure while providing exceptional service.
- Maintained accurate patient records with diligent data entry and effective communication with healthcare professionals.
Medical Call Center Representative
Smile Horizons
Nevada
09.2021 - 10.2023
- Improved patient satisfaction by efficiently managing front desk operations and addressing inquiries professionally.
- Maintained a high degree of professionalism and empathy during difficult calls, providing emotional support to distressed patients while addressing their concerns.
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Assisted patients with navigating complex healthcare systems by providing guidance on available resources and support services.
Prior Authorization Specialist
CVS Health
Remote
11.2017 - 08.2021
- Conducted regular audits of patient accounts to maintain accuracy, minimize errors, and prevent revenue loss due to incorrect billing practices.
- Streamlined patient registration process for increased efficiency and reduced wait times.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Maintained accurate patient records with diligent data entry and effective communication with healthcare professionals.
Education
Diploma -
Golden Valley Highschool
Santa Clarita, CABachelor of Science - Nursing
Chamberlain University
Associate of Science -
Grand Canyon University
Skills
- Customer Service
- Inbound and Outbound Calling
- Insurance Verification
- Typing Proficiency 55 WPM
- Claims Analysis
- Medical Billing Software
- ICD-10 proficiency
- HIPAA Compliance Knowledge
- Prior Authorization Process
- Appointment Scheduling
- Call Center Experience
- Data Entry and Analysis
Timeline
Healthcare Call Center Representative
Quest Diagnostics
10.2023 - 05.2026
Medical Call Center Representative
Smile Horizons
09.2021 - 10.2023
Prior Authorization Specialist
CVS Health
11.2017 - 08.2021
Diploma -
Golden Valley Highschool
Bachelor of Science - Nursing
Chamberlain University
Associate of Science -
Grand Canyon University