Daniel Flores
Solon,IA
Summary
Seasoned professional with a robust background in healthcare and customer service, notably at Community Health Care. Excelled in reducing operational costs and enhancing patient satisfaction through expert management and communication skills. Proficient in EPIC and medical billing, demonstrating a 20% increase in efficiency. Adept at leading teams to achieve and surpass goals with dynamic leadership and organizational abilities. Attentive Patient Service Representative skilled in managing patient charts, processing payments and scheduling procedures. Detailed team player with strengths in communication, customer service and multitasking.
Overview
25
25
years of professional experience
Work History
Patient Service Representative
Community Health Care
01.2020 - 01.2024
- Drove business decisions and reduced operational costs
- Greet and Reassure patients
- Clerical & billing duties
- Answering & screening phone calls
- Taking messages for Providers
- Scheduling Patient appointments
- Checking in Patients
- Obtaining billing information
- Providing Patient account assistance
- Maintaining medical charts
- Assist Patients with filling out information for registration, letter, medical records & insurance forms
- Collect any payment for visits
Patient Service Center Rep II
Conifer Health Solutions
01.2013 - 01.2019
- Cleaned and preprocessed data
- Conducted statistical tests for decision support
- Developed machine learning models for prediction
- Collaborated on A/B tests, increased click-through
- Pre-Registered Patients over the phone for upcoming appointments
- Looked up insurance information and verified eligibility online for Patients
- Went over Patient financial responsibility for cost of appointments
- Collected payments for upcoming appointments
- Worked through different work queues in Epic System to maintain productivity levels
- Answered telephone and email inquiries
- Assisted in new hire training as delegated by management
- Communicated suitable information to co-workers in keeping with established procedures
- Provided service support to patients who request our care from physician referrals
- Supported phone center with high volume calls averaging 15000 calls per month, scheduling appointments and performing verification according to provider rules and guidelines, documenting service requests
- Scheduled all MRI's, CT scans, Ultrasounds, Fluoro and Cardiopulmonary procedures
Bilingual Patient Benefits Advisor
The Outsource Group TOG
01.2010 - 01.2012
- Visited patients that were In-house and in Emergency to screen for benefits
- Called/Answered phones assisting patients with pending Medicaid applications
- Called Medicaid to follow up pending applications
- Completed all necessary Forms and Releases for patients' application process
- Called different Insurance Companies to verify eligibility and coverage
- Worked with Provider One and DSHS to obtain Medicaid coverage
- Utilized Hospital system to gather any necessary medical records and chart notes in assisting patients with medical evidence
- Assisted with the initial process of applying for Social Security Disability or Supplemental Social Security
- Met weekly with Hospital Care Management Team to discuss and formulate a plan of care for patients with difficult cases and special needs that TOG was following
- Worked and maintained a weekly case load of pending applications, along with a patient call list
- Worked with Spanish speaking patients
- Scheduled appointments for patients to follow up on needed paperwork
Customer Service Specialist I
Regence Blue Shield
01.2009 - 01.2010
- Answered phone calls from Members to answer questions or educate them about their Healthcare
- Provided information and knowledge so the Member can make the best informed decision about their Healthcare
- Worked a detailed specific computer system to assist with customer service
- Answered phone calls from Medical Providers in regards to our Members
- Learned an overview of medical terminology, coding, and health related medical information
Sales Representative
Clearwire Communications
01.2008 - 01.2009
- Demonstrated product for customers
- Maintained excellent customer relations
- Opened/Closed store kiosk
Sales Associate
Furniture Factory Direct
01.2004 - 01.2006
- Provided excellent customer service
- Managed customer orders, and new credit accounts
- Developed Excellence in Sales training course
- Managed customer orders, and new store credit accounts
Sales Associate
Tres Amigos World Imports & Accessories
01.2002 - 01.2003
- Provided excellent customer service
- Maintained upkeep of the store
- Direct customer service
- Handled own accounts, and customer requests on special orders
- Operated register
- Managed new credit inquiries
Junior Manager
Liberator Sales Inc
01.1999 - 01.2002
- In charge of the two week training period and one on one training of new sales reps
- Lead a five to eight man sales crew, along with daily and nightly reports and cash handling
- Maintained own quota requirements daily and weekly, while in charge of small crew
- Implemented training course for new recruits - speeding profitability
Education
High School -
West Liberty High School
West Liberty, IASkills
- Analytical acumen
- Articulate and persuasive communicator
- Leadership
- EPIC
- Insurance verification
- Medical Scheduling
- Client satisfaction proficiency
- HIPAA compliance
- Office administration
- Workflow optimization
- Medical terminology
- Medical billing
- EMR systems
- Medical office experience
- Financial needs determination
- Patient intake
- Microsoft office suite
- Scheduling tools
- Google workspace
- Effective organization
- Time management
- Front desk supervision
Languages
Spanish, Fluent
Timeline
Patient Service Representative
Community Health Care
01.2020 - 01.2024
Patient Service Center Rep II
Conifer Health Solutions
01.2013 - 01.2019
Bilingual Patient Benefits Advisor
The Outsource Group TOG
01.2010 - 01.2012
Customer Service Specialist I
Regence Blue Shield
01.2009 - 01.2010
Sales Representative
Clearwire Communications
01.2008 - 01.2009
Sales Associate
Furniture Factory Direct
01.2004 - 01.2006
Sales Associate
Tres Amigos World Imports & Accessories
01.2002 - 01.2003
Junior Manager
Liberator Sales Inc
01.1999 - 01.2002
High School -
West Liberty High School
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