As a highly motivated and experienced public health professional, I am committed to improving healthcare outcomes for diverse populations through innovative solutions and evidence-based practices. With a strong background in leadership, data analytics, and customer service, I bring a unique blend of skills and expertise to every project. Whether working with cross-functional teams or engaging with patients and healthcare providers, I am dedicated to delivering exceptional service and driving measurable results. With a Master of Public Health degree from Florida International University and a track record of success in both academic and professional settings, I am confident in my ability to make a positive impact in any public health role.
Skills
Leadership: Demonstrated ability to lead teams and manage projects in fast-paced, high-pressure environments Excellent communication skills and proven success in collaborating with cross-functional teams
Computer Skills: Proficient in a wide range of software applications, including Microsoft Office Suite, Power BI, SQL, SAS, and other data analytics tools Experience with data management and analysis
Medical Coding and Billing: Extensive knowledge of CPT (Current Procedural Terminology) and ICD 10-CM, with a track record of ensuring accurate and timely reimbursement for healthcare services
Customer Service: Skilled in providing exceptional service and support to patients and healthcare providers Capable of handling complex inquiries and resolving issues in a timely and professional manner
Social Media: Experience in developing and executing social media campaigns, with a focus on engaging diverse communities and promoting public health initiatives Proficient in social media platforms and analytics tools
Insurance Verification: In-depth understanding of insurance verification processes and procedures, with a focus on ensuring accurate and timely verification of patient eligibility and benefits Skilled in using insurance verification software and databases
Work History
Clinical Operations Representative
Turning Point Healthcare Solutions
01.2018 - Current
Successfully validated and ensured high-quality insurance verification for over 500 providers, facilities, and members with a meticulous attention to detail and accuracy.
Collaborated with cross-functional teams, including Data Services and CRM Help Desk, to identify and implement innovative initiatives, resulting in a 20% increase in operational efficiency and a 15% improvement in customer experience.
Identified and resolved 50+ complex issues in error reports for Fidelis & WellCare, demonstrating a deep understanding of the healthcare industry and saving $10,000 in potential losses.
Skillfully handled 100+ complex calls with minimal assistance, utilizing exceptional problem-solving and communication skills to deliver optimal solutions and improve customer satisfaction by 25%.
Accurately and efficiently entered 1000+ updates to insurance data from Document Management System or FAX while strictly adhering to departmental procedures and ensuring compliance with HIPAA confidentiality guidelines.
Senior Medication Therapy Management Technician
Enhanced Medication Services
01.2018 - 02.2021
Conducted medication therapy management outreach for 500+ patients, resulting in a 30% reduction in medication complications and an overall improvement in patient satisfaction.
Successfully trained and mentored a team of 10 technicians, resulting in a 50% increase in productivity and a 20% reduction in errors.
Served as a Tier 1 Support Liaison for 50+ TDS family pharmacies, resolving 200+ technical issues with a 95% resolution rate and improving overall IT operations by 20%.