Reliable, productive, and honest. Strong interpersonal and communication skills. Enthusiastic, dependable, and hardworking individual who excels in a challenging and professional environment seeking a challenging position utilizing my excellent administrative skills and strong work ethic for the benefit of the company.
Overview
1
1
year of post-secondary education
17
17
years of professional experience
Work History
Customer Service Advocate/Financial Advisor
Optum360/UHG/Northwell Health
Melville, NY
02.2018 - Current
Answer calls daily with patients concerns about their medical bills, Handled 40+ patient calls daily, successfully processing over $1500 in credit card transactions. Ensured HIPAA compliance through verification and maintenance processes. Assisted with training new hires coming on to the floor to start taking calls. Supplied UB04 and itemized bills to patients upon request, ensuring clarity in billing inquiries.
Resolved patient billing inquiries for Optum360 and Northwell Health account services.
Reviewed insurance claims and denied charges using UHG revenue cycle systems.
Communicated coverage details with patients, payers, and hospital billing teams.
Medical Records Clerk /Customer Service Advocate
Emblem Health
Melville, NY
02.2015 - 01.2017
Managed EmblemHealth member medical records with strict HIPAA compliance.
Ensured compliance with HIPAA regulations while managing EmblemHealth member medical records, protecting patient privacy.
Retrieved, reviewed, and filed patient documents in health information systems.
Verified record accuracy before updating member files and case notes.
Direct Support Professional
Life's Worc
Garden City, NY
04.2010 - 09.2013
Supported individuals with developmental disabilities in daily living activities.
Provided essential support for individuals with developmental disabilities to enhance their daily living skills and independence.
Helped individuals maintain personal hygiene and prepared nutritious meals to support their health.
Supported daily personal care and coordinated scheduled doctor appointments to ensure timely medical attention, Facilitated transportation to and from appointments to maintain access to healthcare, Assisted with daily exercise and activities, prepared meals and Obtained Amap certification to ensure proper medication delivery. to give medication.
Education
Graduate Certificate - Medical Billing Specialist
Hunter business college
Garden City, NY
09.2018 - 04.2019
Graduate Certificate - Medical office/Business Administration
Hunter Business College
Garden City, NY
02.2014 - 09.2014
Skills
Patient Billing
Financial Assessment
Insurance Verification
Medical Terminology
EMR
Financial Data Entry
Data Entry
MS Excel
MS Word
MS PowerPoint
MS Access
Billing Resolution
Customer Support
Customer service orientation
Internet Applications
Timeline
Graduate Certificate - Medical Billing Specialist
Hunter business college
09.2018 - 04.2019
Customer Service Advocate/Financial Advisor
Optum360/UHG/Northwell Health
02.2018 - Current
Medical Records Clerk /Customer Service Advocate
Emblem Health
02.2015 - 01.2017
Graduate Certificate - Medical office/Business Administration
CUSTOMER SERVICE LEAD/PROVIDER APPEALS SPECIALIST at Blue Shield of CaliforniaCUSTOMER SERVICE LEAD/PROVIDER APPEALS SPECIALIST at Blue Shield of California