My objective is to acquire a position with an established company utilizing my acquired skills and high level customer
service experience to achieve and surpass personal and business goals.
Overview
13
13
years of professional experience
Work History
Patient Access Representative III
Enloe Medical Center
01.2018 - 07.2024
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
Health Advocate, Tier 2
UnitedHealth Care
01.2016 - 01.2018
Investigated and resolved customer inquiries and complaints in a timely and empathetic manner.
Authorized claims payments utilizing my vast knowledge in icd-10 coding and applicable insurance claim processing polices.
Managed case load of escalations and high volume calls while providing final resolutions to customers in a timely yet empathetic manner.
Benefit Advocate
UnitedHealth Care
04.2015 - 02.2016
Handled a variety of high volume calls for benefits, claims, pharmacy, and spending accounts.
Ensured superior customer experience by addressing customer concerns, and taking ownership of issues.
Investigated and resolved customer inquiries and complaints in a timely manner.
Educated and referred members in Advocate4Me clinical programs.
Environmental Services Coordinator
WestHaven Assisted Living
12.2011 - 12.2014
Oriented and trained new staff on proper procedures and policies.
Reviewed weekly inventory charts and recorded facility needs.
Collaborated with different shift teams of 40+ staff and clients to ensure the delivery of efficient, high-quality service.
Performed direct patient care aimed at increasing comfort, psycho, social and spiritual well-being by providing assistance with personal hygiene, physical comfort, nutrition, elimination, prevention of skin breakdown, rehabilitation and safety.