Dynamic health professional with extensive experience at CVS Health, excelling in patient advocacy and claims processing. Proven ability to enhance customer relations and streamline operations under pressure. Skilled in data entry and processing payments, consistently delivering high-quality service while maintaining confidentiality and compliance with HIPAA regulations.
Overview
3
3
years of professional experience
Work History
Health Concierge
CVS Health
Woonsocket, RI
06.2025 - Current
Educated clients about available health programs and benefits options.
Responded to patient inquiries with accurate information and support.
Collaborated with healthcare providers to ensure seamless service delivery.
Managed patient records using electronic health systems efficiently.
Advocated for patient needs within the healthcare system confidently.
Processed payments for medical services rendered as required by insurance companies or other payers.
Conducted research on various health plans to identify coverage options for clients.
Scheduled appointments with healthcare professionals for clients as needed.
Answered incoming calls regarding membership benefits and services.
Maintained detailed records of claims in the company's database system.
Reviewed claim documentation for accuracy and completeness before submission.
Customer Service Representative
Department of Health Services
Austin, TX
06.2024 - Current
Responds to requests by phone, fax, or email from health care professionals requesting confidential patient test results using current LIMS systems (Harvest, Labware, Perkin Elmer), following all HIPAA policies, or routes to appropriate personnel.
Prints laboratory reports using Labware, Harvest, and Perkin-Elmer computer systems. Prints reports according to the stated times established for each computer system. Prepares and delivers reports to the mailroom by 11:30 daily. Removes all inter-agency reports and sends them via inter-agency mail.
Reports out verbally the rabies test results to the submitter, and if necessary, to Public Health Regions, depending on the final test result.
Verifies, generates, and distributes laboratory submission forms as requested, and also ensures all information is correct prior to distributing. Provides monthly totals of the number of calls received, and the number of duplicate reports generated. Performs all tasks according to the Standard Operating Procedure (SOP) manual.
Other duties as assigned include, but are not limited to, actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery, or continuity of operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Supports the creation of a laboratory-wide safety culture by serving as a liaison to the Safety Office to ensure a healthy and safe workplace.
Medical Screener
CSL Plasma Center
Round Rock, Texas
09.2023 - 06.2024
Performed finger sticks and used equipment to test blood for iron and protein levels.
Greeted, guided, and offered assistance to patients and visitors.
Established new donor files and added detailed information.
Restocked supplies and cleaned equipment between patients.
Adhered to HIPAA regulations when dealing with confidential patient information.
Maintained a clean and organized work environment by disposing of used supplies properly.
Performed medical screening on patients to ensure they meet the requirements of the clinic.
Assisted in collecting patient data, including vital signs, and personal information.
Managed inventory levels of supplies used during the scanning process.
Reset examination rooms between appointments by cleaning surfaces, and restocking supplies.
Checked expiration dates on perishable items to ensure freshness.
Accurately completed paperwork associated with stocking activities.
Customer Service Representative
Signature Performance
Omaha, NE
04.2022 - 03.2023
Promoted high customer satisfaction by resolving problems with
knowledgeable and friendly service.
Answered incoming calls and emails, providing frontline customer support
or assistance with product and service transactions.
Demonstrated excellent communication skills in resolving product and
consumer complaints.
Consulted with customers to resolve service and billing issues.
Made outbound calls to obtain account information.
Improved customer service wait times to mitigate complaints.
Conversed and forwarded clients using multi-line phone system.
Answered inbound calls, chats and emails to facilitate customer service.
Education
High School Diploma -
C E Ellison High School
Killeen, TX
05.2020
Skills
Call center operations
Customer relations
Inbound and outbound calling
Quality control
Calm and professional under pressure
[40] WPM typing speed
Responding to difficult customers
Data entry
Multitasking and prioritization
General office skills and knowledge of standard office equipment
Working knowledge of software such as Excel and Word