Dynamic bilingual professional with extensive experience in patient support and customer service, notably at Access Community Health Center. Proven ability in insurance verification and HIPAA compliance, coupled with strong problem-solving skills. Adept at multitasking and fostering team collaboration to enhance patient care and operational efficiency.
Overview
11
11
years of professional experience
Work History
Patient Support Agent/Clerk
Access Community Health Center
Orlando
10.2024 - Current
Helping patients to do food stamps.
QMB Medicare Savings Program.
Medicaid.
Medicare.
Medicare Part D Assistant.
Fax any documentation to DCF.
Call Social Security for help with appointments.
Do calls for DCF to do interviews.
Scan reports of new Medicare.
Reports on New Market Place Insurance and More.
Customer Service Agent/ Spirit Airlines
Unifi Services Agency
Orlando
07.2023 - 09.2024
Company Overview: Third Party for Spirit Airlines.
Responsible for keeping passenger safety and helping passengers at the time of check-in customer services.
Reservations for the passengers.
Take payments, push out bounds flights.
Print the reports for the captain, co-captain, and how many unaccompanied minors and wheelchair-disabled passengers were on board.
Firearms reports.
Baggage Claim: When a passenger misses their flight, they should file a claim to locate their luggage and have it sent to their destination.
Use FedEx to send passenger bags, and AL Airport Services for delivery.
Soft were used Sky speed Net tracer Go Now at Spirit Airlines.
Third Party for Spirit Airlines.
Temporary Contract Employee
Centene Corporation
Remote
11.2022 - 05.2023
Company Overview: Health Care Support Agency.
Work for a Health Care Support Agency on a temporary contract for Centene Corporation. Remote work from home.
Ambetter Health Plans: Changing Primary Doctor for the Ambetter Members.
Verifying payment for the member's collecting payment Ambetter Health Plan.
Omni Identify Verification for guidance on HIPAA verification.
Omni System can be used to search for information without the need for its formal documentation.
Performs outbound calls, managing call member call flow, member call flow, broker dispute types, dispute subtypes, appeals, and grievances for members.
Claims, check if it has been cleared. Approved.
Benefits, Authorizations, Claims.
Help members create web portals.
Customer services, copayments, deductibles, and coinsurance.
Sending out the insurance card for the member who is lost, along with the new member's new PCP information.
Health Care Support Agency.
Temporary Employee
Amazon
Davenport
10.2022 - 03.2023
Company Overview: Warehouse.
Scanning packages for customers: 150 packages per hour or more.
Making pallets and organizing customers to be ready for delivery.
Warehouse
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Retails Supervisor
Beall's Outlet Inc
Orlando
09.2021 - 08.2022
Worked at Beall Outlets Inc. as a supervisor, working on employee schedules, closing the store register, collecting customers' payments, providing customer service, receiving inventory, and organizing the store department.
I have been responsible for my shift for the team and the complete store.
Receiving truck inventory, working schedules for employee training, new staff for open positions at the store, registering the floor, and handling difficult situations with clients and employees.
Front Desk Receptionist for OB/GYN, Pediatrics, and Adult Primary Care
Central Florida Health Care
Haines City
11.2018 - 09.2021
Acknowledge and greet patients and process patients in accordance with CFHC's patient flow model.
Knowledge of Athena processes, IDCOP, Sliding Fee Scale, HIPAA, Joint Commission, medical record policy, scheduling, patient rights, and grievance processes.
Create a new patient account. Retrieve established patient accounts from Athena.
Gather pertinent data on all patients: demographics, financial, educational, and occupational (migrant/seasonal, other).
Knowledge of verification of insurance coverage, running/checking eligibility, and obtaining authorizations as needed. (MediPass or HMOs)
Collect appropriate money for visits, per sliding fee scale and co-payments.
Review the accuracy and completeness of the claim at the end of the visit.
Data entry, diagnosis codes, and money collected.
Schedule new and follow-up appointments as needed.
Maintain cash drawers. Complete the end of the day's Daily Summary Sheet and balance activities for the day run the reports (Billing Summary, Individual users, and all users report).
All AMAs will be cross trained in all medical and dental services areas.
Follow all protocols associated with CFHC being a patient-centered medical home. i.e., Web-enabling patients into the patient portal and identifying which patients are having a transition in their care.
Complete reports as requested by management.
Other duties as assigned.
Front Desk Receptionist/Medical Coder/ Medical Records and Referral Coordinator
Compassion Pediatrics & Urgent Care
Orlando
11.2014 - 04.2018
Company Overview: Pediatric Medical Office
Demonstrated strong skills in developing trust and rapport with patients and their parents.
Answering over 100 calls and sending over 50 faxes daily.
Scheduling new and established patient appointments according to their needs and CDC guidelines.
Verifying that their demographic information is up to date.
Verifying health insurance via the web portal or by calling insurance companies.
Collecting co-pays and balances.
Posting insurance checks, handling cash, credit cards, and personal checks.
Responsible for correctly coding patient visits utilizing chart notes.
Using my bilingual skills to communicate and translate verbally and in written form to communicate with patients and parents.
Designated to keep an inventory of supplies for the Front Office.
Use my typing skills and Microsoft Office knowledge to create forms for the office to use as well as write all the letters in the office.
Responsible for coordinating further care for patients by sending referrals and medical records to the appropriate specialist office.
Responsible for confirming patient is scheduled to be seen in the referred specialist office and following up with visits.
Responsible for retrieving medical records for continuity of care from previous Primary Care providers, referred specialist offices, hospitals, etc.
Responsible for transmission of correspondence or medical records by mail, e-mail, or fax for transfer of care in full compliance with HIPAA guidelines.
Pediatric Medical Office
Education
Medical Billing and Coding Technician Diploma -
Florida Technical College
Orlando, Florida
08.2015
GED -
Education Center "El Redentor"
Orlando, Florida
08.2014
Skills
Bilingual in English and Spanish
Translation
Typing 35 words per minute
Microsoft Office (Word, PowerPoint, Excel)
EMR utilization (Medisoft, Office Practicum)
Multitasking
Data entry
HIPAA compliance
Insurance verification
Customer service
Team collaboration
Problem solving
Timeline
Patient Support Agent/Clerk
Access Community Health Center
10.2024 - Current
Customer Service Agent/ Spirit Airlines
Unifi Services Agency
07.2023 - 09.2024
Temporary Contract Employee
Centene Corporation
11.2022 - 05.2023
Temporary Employee
Amazon
10.2022 - 03.2023
Retails Supervisor
Beall's Outlet Inc
09.2021 - 08.2022
Front Desk Receptionist for OB/GYN, Pediatrics, and Adult Primary Care
Central Florida Health Care
11.2018 - 09.2021
Front Desk Receptionist/Medical Coder/ Medical Records and Referral Coordinator