SYLVIA REYES
Washingtonville,NY
Summary
Highly motivated and dedicated team member with experience in leading and managing cross-functional teams. Skilled in building strong relationships with team members, fostering collaboration, and promoting a positive work environment. Excellent communication and interpersonal skills. Adept at problem-solving, decision-making, and adapting to changing business needs. Oriented and focused, able to prioritize and multitask effectively. Demonstrated leadership abilities, able to lead by example and mentor others to achieve individual and team success.
Overview
2025
2025
years of professional experience
Work History
Patient Service Authorization Specialist
Aizer Health
10.2022 - Current
- Conducted thorough evaluation and verification of patient insurance coverage for medical procedures, ensuring accurate and timely authorization for services
- Collaborated with healthcare providers, insurance companies, and patients to resolve any authorization issues and facilitate the approval process
- Maintained detailed records of authorization requests, approvals, and denials, and implemented effective tracking systems to monitor the status of ongoing cases
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
Patient Service Specialist
Aizer Health
10.2022 - Current
- Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
- Managed high call volumes by efficiently triaging incoming requests to appropriate departments or personnel.
- Coordinated insurance verification and billing processes to ensure timely payments and minimize billing errors
- Conducted patient intake assessments, taking vitals and medical histories, and ensuring patient comfort and confidentiality throughout their visit
- Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
- Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
Hostess
Sammy's Fish Box
- Greeted and welcomed guests with a warm and friendly demeanor, ensuring a positive first impression
- Managed and organized reservations, effectively coordinating seating arrangements and optimizing table turnover
- Assisted in maintaining a visually appealing and well-organized restaurant environment, including proper sanitization and cleanliness
- Collaborated with the waitstaff and management to improve overall operational efficiency, effectively communicating any guest concerns or issues
Bartender/ Hostess/ Front Desk
Dave and Busters
- Proficient in accurately handling cash transactions, including processing payments and providing change, while maintaining a high level of integrity
- Effective communication skills, demonstrated through building rapport with customers, taking and delivering orders promptly, and addressing customer concerns in a professional manner
- Extensive experience in creating and serving a wide variety of cocktails and beverages, ensuring customer satisfaction and enhancing bar revenue
- Strong knowledge of bar inventory management, including stock rotation, ordering supplies, and monitoring levels to avoid shortages and minimize waste
- Exceptional multitasking abilities, proven by successfully managing a fast-paced environment, handling multiple drink orders simultaneously, and prioritizing tasks efficiently
Store Associate
JC Penney
- Provided exceptional customer service by greeting and assisting customers, resolving inquiries, and recommending suitable products
- Operated cash register and ensured accurate cash handling and transactions
- Maintained the cleanliness and organization of the store, including shelves, displays, and stockrooms
- Collaborated with team members to achieve sales goals and meet store targets, resulting in increased revenue
Education
Associate of Science - Criminal Justice
Monroe College
Bronx, NY06-2019
Regents Diploma - course studies
Pelham Preparatory Academy
Bronx, NY06-2014
Skills
- Multi line phone usage
- Efficient in multitasking
- Excellent communication skills
- Ability to work remotely
- Attention to detail
- Knowledge of medical terminology
- Knowledge of medical billing and coding
- Specialization in Microsoft Office (ie word, excel)
Timeline
Patient Service Specialist
Aizer Health
10.2022 - Current
Patient Service Authorization Specialist
Aizer Health
10.2022 - Current
Hostess
Sammy's Fish Box
Bartender/ Hostess/ Front Desk
Dave and Busters
Store Associate
JC Penney
Associate of Science - Criminal Justice
Monroe College
Regents Diploma - course studies
Pelham Preparatory Academy
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