Rosa Samalvides
Fishers,IN
Summary
Dynamic professional with extensive experience at HealthNet, excelling in insurance claims processing and customer service. Proven track record in training teams and enhancing operational efficiency. Adept at managing patient enrollment and ensuring HIPAA compliance, while fostering strong relationships to drive satisfaction and trust. Committed to achieving organizational goals through strategic problem-solving.
Overview
29
29
years of professional experience
Work History
Front Office Team Lead
HealthNet
Indianapolis, IN
04.2024 - Current
- Led front office operations, ensuring efficient and effective completion of front office duties
- Train and mentor new team members on policies and procedures.
- Obtain insurance information and validate eligibility. Medicaid Presumptive Eligibility application if needed
- Participate in group discussion to identify and implement opportunities for improvement.
Specialist Registration Support
HealthNet
Indianapolis, IN
01.2009 - 04.2024
- Manually processed insurance claims to ensure timely submission and accurate reimbursement
- Collect patients payments, balance end-of-day transactions and assisted patients in establishing payment plans.
- Submit prior authorizations request to insurance carriers and follow up to ensure approval
- Facilitate the enrollment process for patients applying for medicaid benefits, ensuring accurate documentation to minimize processing delays.
Assistant Sales Manager
Alltech Inc Succursal Peru
Lima, Peru
03.1997 - 05.1999
- Analyzed sales data to identify trends, informing strategic decisions to boost performance and profitability.
- Assisted sales team with completing customer transactions and managing issues
- Resolved customer issues promptly, maintaining high levels of customer satisfaction and trust in the brand
- Conducted inventory audits.
Education
Medical Interpreter -
Bridging The Gap
Indianapolis, IN07-2010
Bachelor of Science - Business Administration
Inca Garcilaso De La Vega University
Lima, Peru05-1998
Secretary - Sales
CEOGNE ELA
Lima, Peru12-1992
Skills
- Insurance Verification
- Payment Posting
- Strong leadership
- Customer service
- Microsoft Office Software
- HIPAA Compliance
Languages
Spanish
Native or Bilingual
Timeline
Front Office Team Lead
HealthNet
04.2024 - Current
Specialist Registration Support
HealthNet
01.2009 - 04.2024
Assistant Sales Manager
Alltech Inc Succursal Peru
03.1997 - 05.1999
Medical Interpreter -
Bridging The Gap
Bachelor of Science - Business Administration
Inca Garcilaso De La Vega University
Secretary - Sales
CEOGNE ELA