Priscilla Vigil
Everett
Summary
Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation.
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
18
18
years of professional experience
Work History
Quality Assurance Specialist
AdaptHealth LLC
Conshohocken
01.2024 - Current
- Maintained updated knowledge through continuing education and advanced training.
- Completed day-to-day duties accurately and efficiently.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Identified needs of customers promptly and efficiently.
- Maintained strict patient privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
- Updated and maintained databases with current information.
- Contact Providers to get necessary documentation to meet insurance requirements for patient equipment to get pay for.
- Contact patient to get current doctors or appointments information to obtain documentation needed to continue to get their medical equipment pay for.
- Contact patient to get updated insurance information when their insurance has expired or changed.
- Contact patient to let them know when they are out of compliance and what they need to do to get back to being compliance.
Customer Service Representative
AdaptHealt LLC
Conshohocken
09.2019 - 08.2023
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Tracked orders from start to finish to ensure timely delivery of goods or services.
- Conferred with customers by telephone or in person to provide information about products or services and take orders.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Provided exceptional customer service to ensure customer satisfaction.
- Maintained a high level of professionalism when dealing with difficult customers.
- Coordinated with internal teams to ensure timely and successful delivery of solutions according to client needs.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Enhanced productivity and customer service levels by anticipating needs and delivering outstanding support.
- Answered inbound calls, chats and emails to facilitate customer service.
- Updated databases with new and modified customer data.
- Answered customer inquiries via phone, email, and chat.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Informed customers about billing procedures, processed payments, and provided payment option setup assistance.
- Collected deposits or payments and arranged for billing.
- Assisted customers with price checks, lifting heavy items and addressing other inquiries.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
- Scheduled patient for appointment to pick up their equipment in store or delivery.
- Explain to patient what their insurance is going to cover, what they are going to be responsible for paying, how many months it on rental for, how month their monthly payment is and what their down payment will be.
Call Center Representative
Yakima Valley Farm Workers
Yakima
02.2019 - 08.2019
- Answering in coming calls and scheduling appointments.
- Transferring calls to the appropriate department.
- Reminder calls to patient about their upcoming appointment.
- Reminder calls to patients to let them know that nurse or Doctor will be calling to give them any result of labs, imagining.
- Maintained records of customer interactions, transactions, comments and complaints.
- Adhered strictly to all applicable laws and regulations pertaining to customer privacy rights.
- Participated in daily huddles with team members in order to discuss common goals and objectives.
- Updated customer accounts, addresses and contact information within call management databases.
- Resolved customer complaints in a timely manner to ensure customer satisfaction.
- Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.
Office Manager/Medical Assistant
Steven J. Porter MD
Porterville
08.2007 - 12.2018
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Completed thorough opening, closing to maintain operational standards each day.
- Handles all back offices skills for two busy offices (60-70 patients a day).
- Injections, pre operative and post operative handling of patients.
- Removal of sutures, staples and bandages.
- Managed office inventory and placed new supply orders.
- Supervised staff members, organized schedules and delegated tasks.
- Planned and led team meetings to review business results and communicate new and ongoing priorities.
- Monitored inventory levels and placed orders when needed.
- Used judgment and initiative in handling confidential matters and requests.
- Recruited and trained new employees to meet job requirements.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Interviewed prospective employees and provided input to HR on hiring decisions.
- Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
- Scheduling and coding surgeries, MRI’sand CT Scan.
- Obtaining authorization from insurance companies ( up to 100 a week) for all surgeries and other exams.
- Knowledge of HMO’s, PPO’s, Medicare, Medi-Cal, Medicaid, and Worker’s Compensation.
- Handling putting patients on disability benefits and FMLA paperwork.
- Handles work status for workers compensation patients.
- Calling in Rx’s to pharmacies.
- Knowledge of physical therapy following or preceding surgery.
Education
Certification of Medical Assistance Back And Front Office Administration -
Porterville Adult School
Porterville, CA06-2002
High School Diploma -
Santa Paula Union High School
Santa Paula, CA06-1993
Skills
- Data Entry
- Customer service
- Time management
- Attention to detail
- Teamwork and collaboration
- Professionalism
- Bilingual English/Spanish
- Microsoft Excel
- Multi-line telephone operations
- Office equipment proficiency
- Scheduling
- Microsoft office
- Phone etiquette
- Adaptability
- Time management abilities
- Excellent communication
- Multitasking and prioritization
- Scheduling appointments
- Positive attitude
- Self motivation
- Patient care
- Electronic health records
- Medical coding
- Insurance verification
- Confidentiality practices
- Appointment scheduling
- Multi-tasking
- Communicating with patient families
- Medical records confidentiality
- Insurance authorizations
- Payment processing
- Medical terminology
- Patient registration
- Basic math
- Adaptable
- Payment collection
- Records management
- Medical terminology knowledge
- Vitals collection and documentation
- Monitoring patient progress
- Vital signs monitoring
- Appointment setting
Timeline
Quality Assurance Specialist
AdaptHealth LLC
01.2024 - Current
Customer Service Representative
AdaptHealt LLC
09.2019 - 08.2023
Call Center Representative
Yakima Valley Farm Workers
02.2019 - 08.2019
Office Manager/Medical Assistant
Steven J. Porter MD
08.2007 - 12.2018
Certification of Medical Assistance Back And Front Office Administration -
Porterville Adult School
High School Diploma -
Santa Paula Union High School