Full Stack Web Developer graduate of University of Central Florida Professional Certificate of Completion. 5 Years of experience in a healthcare setting. A health insurance professional with a background in health care benefits enrollment, Maintenance preregistration, Insurance, Verification, Prior authorization, Billing, Insurance follow-up, Plan contract, Disputes/Appeals, Collection, Records management, and Maintenance.
Work History
Medical Receptionist
Optum - Health Services Innovation Company
Provided advisory and technical assistance to veterans, beneficiaries, professional and administrative staff concerning a variety of intake and customer service matter.
Performed receptionist work, customer service, patient screening, and other duties as assigned for the proper and timely treatment of patients.
Gathered and entered accurate demographic, insurance and income information into Vista.
Helped patients complete necessary medical forms and documentation.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Customer Service Representative
Florida Medical Clinic
Building a bond with customers to find out the best solutions and opportunities for policy holders
Know when to listen, when to speak, and how to speak to a policy holder
Answering the customer inquiries in a patient manner, interacting well, and most importantly listening
Handle personal information accurately and appropriately, while reassuring the policy holder of willingness to help
Consumers want customer service staff they can trust to provide them with accurate information regarding the company’s products
Being able to identify which products and services match a customer’s needs while applying then business goals and objectives in every transaction with a customer
Serves patients by greeting and helping them scheduling appointments and check out as well Welcomes patients in person or on the telephone and answering or referring inquiries
Maintains patient accounts by obtaining, recording, and updating personal and financial information
Maintains operations by following policies and procedures, reporting needed changes
Contributes to team effort by accomplishing related results as needed
Printing out next appointments, referrals, labs results, patients encounter Prepare billing packets and summaries at end of day each day
Assists patients with insurance papers and billing questions
Scan inpatients paperwork and forms into each patient’s chart.
Data Reconciliation Analyst
Wipro Information Technology
Analyzed and interpreted data in existing databases to support projects and reconcile data discrepancies
Analyzed data to identify trends using root cause analysis
Analyzed and evaluated data trends to guide strategic business decisions
Reconciliation processes, including 834 transactions, enrollment files, HICS casework, and disputes
Worked pre-Audit AUD16 files, ER&R disputes, flags, cancellation, termination reason codes, and disenroll
Electronic data interface transactions received from the Centers for Medicare & Medicaid
IT Technician
USPS
Set up new desktop systems and configured laptops for incoming employees and loaded required software and server permissions
Responded to or escalated tickets based on severity and internal policies governing responses
Installed software updates and vulnerability patches on servers to prevent possible threats from penetrating networks
Performed troubleshooting on networking and connectivity issues to restore connections and network access.
Education
Full Stack Web Development -
The University of Central Florida
03.2021
High School Diploma -
Armwood High School
Seffner, FL
06.2011
Skills
Social Services
Customer Service Representative
Analyst
Microsoft Excel
Microsoft Word
Reviewing medical records for completeness and accuracy Medicare, Medicaid, Managed care contract
Medical referrals and prior authorization
Maintaining medical records;
Timeline
Medical Receptionist
Optum - Health Services Innovation Company
Customer Service Representative
Florida Medical Clinic
Data Reconciliation Analyst
Wipro Information Technology
IT Technician
USPS
Full Stack Web Development -
The University of Central Florida
High School Diploma -
Armwood High School
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