Dynamic healthcare professional skilled in regulatory compliance and compassionate patient focused assistance. Proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
16
years of professional experience
Work History
Western Growers
Customer Service Call Center Agent
09.2020 - 11.2020
Job overview
Offered direct support to Insurance Agents who needed guidance or had questions navigating the website for Covered California.
Helped in choosing different insurance plans as options to their clients/customers according to all individual needs and qualifications.
Identified and resolved discrepancies and errors in customer accounts.
24hr Homecare
Patient Care Coordinator
09.2019 - 03.2020
Job overview
Followed document protocols to safeguard confidentiality of patient records.
Provided excellent customer service to patients and medical staff.
Managed client inquiries and concerns with empathy.
Palomar Med Group/ Dr. Emmet Lee
Medical Assistant /BackOffice
12.2011 - 04.2013
Job overview
Obtained client medical history, medication information, symptoms, and allergies.
Sanitized, restocked, and organized exam rooms and medical equipment.
Assisted in patient care, enhancing workflow efficiency and improving patient satisfaction.
United Healthcare Group
Sr Appeals & Grievance Coordinator
03.2005 - 11.2007
Job overview
Compiled records and organized documentation for cases.
Led appeals and grievance processes ensuring compliance with regulatory standards and optimizing resolution timelines.
Fostered strong relationships with healthcare providers and insurance specialists to facilitate efficient resolution of complex cases.
Education
United Education Institute
San Marcos, CA
Diploma from Medical Assistant
11.2011
American Career College
Anaheim, CA
Diploma from Health Claims Examiner/Medical Billing
07.2003
Bolsa Grande High School
Garden Grove, CA
High School Diploma
06.1994
Skills
Healthcare Management
Excel
Word Doc
Compassionate patient assistance
Administer Injections
Call Center, Customer Service Experience
Proficient in typing at 65 words per minute
EKG Testing
Regulatory Compliance
Experience with EMR systems
Insurance Verification/Eligibility
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
Health Claims Examiner/Medical Biller
(Diploma) 7/28/2003
Medical Assistant
(Diploma) 11/29/2011
Timeline
Customer Service Call Center Agent
Western Growers
09.2020 - 11.2020
Patient Care Coordinator
24hr Homecare
09.2019 - 03.2020
Medical Assistant /BackOffice
Palomar Med Group/ Dr. Emmet Lee
12.2011 - 04.2013
Sr Appeals & Grievance Coordinator
United Healthcare Group
03.2005 - 11.2007
United Education Institute
Diploma from Medical Assistant
American Career College
Diploma from Health Claims Examiner/Medical Billing
Teacher, World History, AP World History, AP US History at Millwood High SchoolTeacher, World History, AP World History, AP US History at Millwood High School