Dynamic Patient Service Representative with a proven track record at Urology Clinics of North Texas, excelling in healthcare compliance and effective communication. Recognized for enhancing patient satisfaction through meticulous case management and data accuracy, fostering strong relationships with healthcare providers to streamline operations and improve service delivery.
Overview
21
21
years of professional experience
Work History
Patient Service Rep/Authorizations
Urology Clinics of North Texas
11.2018 - Current
Assists with audits of physician schedules as well as Answered and routed calls to the correct contact in a timely manner.
Completed duplicate account reports.
Performed special projects that were assigned by My Supervisor or other members of management.
Maintained a basic understanding of urology-related conditions, diseases and procedures.
Utilized good communication skills during interactions with patients and co-workers.
Achieved and maintained positive working relationships and rapport with colleagues, physicians, employees, and other health care providers to ensure quality delivery and promotion of health care.
Responded to patients regarding their appointments Via Text message.
Provider Enrollment Specialist
Robert Half
06.2021 - 12.2022
Ensured timely approvals and compliance by processing and tracking provider enrollments.
Maintained accurate provider databases that improved overall operational efficiency.
Collaborated with billing teams to effectively resolve enrollment issues, enhancing service delivery.
Communicated risks associated with enrollment to leadership, aiding strategic decision-making.
Streamlined workflows by managing applications and resolving billing issues while ensuring payer compliance.
Implemented systematic tracking methods in database management for provider credentials.
Optimized operational efficiency through meticulous file maintenance and proactive communication of risks.
Established strong partnerships with billing staff while addressing enrollment challenges.
Guest Resolution Specialist/Store Support Team Lead/CSR
Zale Corp.
04.2004 - 11.2018
Responsible for case managing the most highly escalated guest complaints and issues, advocating on behalf of Zales Jewelers Fine Jewelry store and Kiosk and e-commerce guests, through full resolution.
Handled escalations from Level 1 Guest Service in the form of calls and case tickets.
Handled executive escalations from, amongst others, the Office of the Zales President, the Office of the Signet CEO and other VPs, SVPs, senior leaders and their assistants; Better Business Bureau; states Attorneys General; state and federal regulators.
Utilized negotiation and mediation techniques in order to 'make it right' seeking outcomes that balance the Guest's wishes and the company's interest. Negotiate legal settlement agreements.
Continuously develop and improve knowledge of products, services and customer service skills; attend training as required/needed.
Perform other related duties as assigned.
Demonstrated leadership stature and acted as an agent for change and set work priorities for the group.
Monitor volumes of calls, emails, trouble tickets and escalations and redistribute as needed to support attainment of operational goals.
Monitor quality of calls and issue handling and ensure staff effectively addresses requests.
As A Service Consultant II I assisted with jewelry sales and customer service. Assisted customers with purchasing jewelry and warranty products.
Processes orders, handled customer inquiries and issues providing resolution on the first contact.
Handled calls, online chat, email, Social Media and/or other contact types as assigned.
Researched product orders and service inquiries to provide timely, accurate and complete resolution.
Escalate calls as appropriate to Internal Help Desk or Supervisor as well as Appropriately assign unresolved issues to the correct resolving groups via case management system.
Education
Associate of Science - Health Sciences
Grand Canyon University
Phoenix, AZ
07-2026
Diploma -
May Pearl High School
Maypearl, TX
Skills
Medical terminology
Patient care
Electronic health records
Data management
Healthcare compliance
Customer service
Effective communication
Data protection
Team collaboration
Patient Satisfaction Metrics
Check-in coordination
Goal setting
Problem solving
Caring and empathetic
Health Insurance Policies
Analytical skills
Telehealth support
Phone etiquette
Patient documentation
Case management
Multitasking capacity
Reliability and dedication
Data entry
Office administration
Health insurance knowledge
Self motivation
Resource management
Patient education
Compliance regulations
Health data analysis
Communication skills
Account reporting
Live reporting capabilities
Key account development
Timeline
Provider Enrollment Specialist
Robert Half
06.2021 - 12.2022
Patient Service Rep/Authorizations
Urology Clinics of North Texas
11.2018 - Current
Guest Resolution Specialist/Store Support Team Lead/CSR
Certified Medical Assistant/Mobile Phlebotomist at Urology Clinics Of North TexasCertified Medical Assistant/Mobile Phlebotomist at Urology Clinics Of North Texas
Oculoplastics Technician & Authorizations Rep. at Dr. Asa Morton -Eye Care Of San Diego/UVPOculoplastics Technician & Authorizations Rep. at Dr. Asa Morton -Eye Care Of San Diego/UVP