To obtain an office administrative position in which I support the enhancement and increase of productivity for an organization or brand that offers a creative, secure and progressive environment.
Overview
13
13
years of professional experience
Work History
CSS - Remote Customer Service
American Specialty Health
Houston, TX
08.2024 - Current
Answered phones, resolved patient insurance claims, and answered questions regarding medical care and benefits information.
Provided detailed explanations of clinical services using medical terminology expertise.
Maintained up-to-date records on all customers interactions, complaints, comments and inquiries.
Researched patient accounts for billing discrepancies or errors.
Collaborated with other departments to ensure that customer needs were met promptly and accurately.
Ensured compliance with HIPAA regulations when handling confidential patient information.
Utilized medical terminology knowledge to provide detailed explanations of clinical services.
Investigate verbal complaints concerning billing, claims, or service rendered.
Escalate complaints of service failures to designated departments for investigation.
Maintain current knowledge of Member & Provider services policies and procedures.
Remote Office Manager
VGNBae Studios
Houston, TX
01.2021 - 06.2023
Coordinates various events by creating and managing schedules efficiently
Managed schedule and contract negotiations for various studio and meeting spaces
Overseeing daily building operations and appointments
Provided administrative support to management team including preparing reports and presentations.
Answered phone calls, responded to emails, routed mail and coordinated courier services.
Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
Ensured compliance with applicable laws regarding employment practices.
Provided customer service support to customers over the phone, responding to inquiries and addressing concerns.
Answered incoming calls in a timely manner and provided accurate information on products and services.
Resolved customer complaints by identifying problems, researching solutions, and providing corrective action plans.
Utilized computer systems to access accounts for research purposes.
Intake Senior Care Associate - Work From Home
Cigna
Houston, TX
02.2016 - 01.2021
Managed authorization process and supervised team members.
Verified provider credentials prior to managing authorizations.
Establishes authorization criteria according to organizational guidelines
Offered guidance and training on preauthorization submissions
Deliver professional, high-quality customer service in written, verbal, and electronic communication with callers from diverse backgrounds such as doctors' offices, hospitals, healthcare representatives and members.
Interacted with clients and customers via phone, inputted data into electronic databases, verified details, and finalized application outcomes.
Managed communication between healthcare providers and insurance companies, addressing inquiries and resolving complaints over the phone.
Pharmacy Advocate
United Health Group
06.2014 - 02.2016
Resolves member service inquiries related to medical benefits, eligibility and claims, financial spending accounts and pharmacy benefits
Assist members with selecting benefit plan options that best suit their needs through the designated enrollment process
Showcases oral communication and listening skills to communicate with patients and supervisors
Initiate resolutions on behalf of the member in real-time or through comprehensive and timely follow-up with UHG member
Internal Auditing Clerk
Grand Court Order of Calanthe
06.2012 - 06.2014
Manages accurate financial records while working closely with bookkeepers and accountants
Responsible for verifying records and financial statements created by fellow employees
Ensures compliance with company policies and associated laws
Compile and mail out endowment reports quarterly
Scheduler
Centralized Showing Services
07.2011 - 11.2013
Communication liaison for relators and potential home buyers