Dedicated healthcare professional with over 10 years of administrative experience, committed to leveraging a strong background in customer service and leadership to enhance operational efficiency. Proven ability to adapt quickly and learn new concepts, complemented by meticulous attention to detail and a robust work ethic. Passionate about contributing to the healthcare field while fostering positive patient experiences and supporting team success. Eager to embrace new challenges that drive personal and professional growth within the industry.
Overview
10
10
years of professional experience
Work History
Beneifits Verification Representative
CVS Specialty Pharmacy
04.2025 - Current
Verified customer information for accuracy and completeness to ensure compliance with company standards.
Resolved discrepancies in verification processes, enhancing overall operational efficiency and effectiveness.
Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
Contacted insurance companies to determine levels of coverage and benefits information for patients.
Maintained strict confidentiality, handling sensitive personal information with discretion and professionalism.
Developed effective communication skills through regular interactions with clients, colleagues, and external agencies involved in the verification process.
Managed multiple priorities simultaneously, consistently meeting deadlines while maintaining high-quality work standards.
Collaborated with team members to develop new strategies for improving verification processes.
Caregiver
IHSS
10.2016 - Current
Schedule, cancel and reschedule appointments
Responsible for taking client to all doctor’s appointments
Preparing of daily healthy meals
Washing, drying, folding, and putting away all laundry
Grocery shopping
Cleaning home
Assisting with bathing
Calling to order oxygen tanks
Assist with physical needs (walking, stretching and etc.).
IHSS Recipient: Shana Bass (909)503-2935
Radiology/Community Care-Advanced Medical Support Assistant, GS-6
Department of Veterans Affairs
08.2019 - 04.2025
Communicate with physicians, technicians, and nurses to implement goal setting for patients receiving medical care.
Reviews complaints of discrimination received in the office to determine if the agency has jurisdiction.
Apply knowledge of medical terminology, human anatomy/physiology, and disease processes to fully understand the content of a patient's medical record. Navigate efficiently through the electronic medical record to find the needed information.
Meet deadlines and ensure that I follow processes, policies, and regulations.
Ability to have effective communication via phone, email, and in person to veterans internal and external.
Observes behaviors that might indicate difficulty adapting or responding to treatment, completes appropriate documentation, and reports concerns to the treatment team in a timely manner.
Informs Veterans about VA and community supports and resources, including how to effectively utilize them in the recovery and wellness process.
Compiling and handling correspondence and packages, to include printing, filing, mailing, and shipping.
Collecting and categorizing all personnel workload and fiscal reports, as required by the program and as directed by your supervisor.
Coordinates review activities with the Quality Improvement Program to satisfy external accreditation requirements and to satisfy current Medical Center performance measures.
Receive and processes Release of Information request within a strict time frame.
Ensuring accurate, timely, and consistent entry of information into appropriate databases.
Train new employees with processes and scheduling practices for the VA.
Participates in the service, training, consultation, and other professional activities of VA health care services and functions as a fully vested member of the multidisciplinary team.
Acting as a timekeeper, maintaining time and leave records.
Receive, send, and distribute medical records.
Utilize VISTA and CPRS to make appointments, retrieve veteran information and print reports.
Communicated with Upper Management via email, phone, paging system and or in person to provide information and reports as needed.
Tracks incomplete reports for completion using various systems including database and multiple spreadsheet formats. Upload clinical reports directly into VistA/CPRS using the various clinical software packages.
Proficient in the use of Enrollment System (ES), Veterans Information Solution (VIS), HINQ, Defense Personnel Records Information Retrieval System (DPRIS), VistA, CPRS and other facility and national level programs.
HRSM and Right fax knowledge
Managed high call volume, addressing patient inquiries and concerns with professionalism and empathy.
Promoted effective communication among medical staff by serving as a reliable liaison between physicians, nurses, and administrative personnel.
Provided exceptional customer service to patients, visitors, and colleagues, fostering a welcoming environment at all times.
Medical Support Assistant, Covid Vaccine Clinic GS-5
Department of Veterans Affairs
03.2021 - 06.2021
Provide administrative/clerical support to patients and nursing staff
Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations.
Serve as the front line of contact for patients
Setting the tone for the quality of healthcare services at the VA
Ability to communicate effectively, electronically, by phone, in person, and in writing, with internal and external customers.
Advanced knowledge of medical terminology
Utilize a high degree of tact and diplomacy in a caring, compassionate, and sensitive manner
Verify third party insurance and updating the insurance information in the Insurance Capture Buffer (ICB) system.
Responsible for delegating all daily no shows to all employees within the vaccine clinic
Refers all questions requiring immediate medical attention to appropriate health care team member (nurses)
Scheduling, canceling, no-showing, re-scheduling patient appointments and/or consults, including interpreting and verifying provider orders in accordance with VHA national scheduling guidelines
Participating in huddles with other MSAs and/or clinic staff to determine the daily needs of the clinic
Gathering evidence while verifying and updating demographics when the patients need to check-in for appointments.
Participates in team huddles and team meetings to manage, plan, problem solve, and follow up with patient care.
Assist in training of new employees
Navigate appointment management software package, including VISTA, CPRS and GUI to schedule patients, and input patient notes, letters, and messages
Maintains and secures all medical information as appropriate and in accordance with Health Insurance Probability and Accountability Act of 1996 (HIPAA).
Additional duties as assigned
Effectively listened to, and responds accordingly to, verbal cues and requests from patients, co-workers, and leadership alike.
Proficiently assisted my supervisor with all Microsoft applications, using excellent spelling and grammar, to complete time sensitive reports including spreadsheets, word documents and PowerPoint presentations for management as requested.
Reviews newly released Directives, Facility Policies, and Released Patches for implementation and compliance within the service line.
Implements improvements of current practices for more effective customer service.
Uses sound judgment and decision-making that focuses on meeting and improving quality customer service and the delivery of Veteran-focused outcome-oriented healthcare.
Adapts to facility changes as directed with quick implementation for process improvement.
Utilize cisco soft phone with multiple lines
Makes changes as they occur and assures that all backup material is readily available.
Lead: Renisha Jackson, 323-540-2710
Lead Customer Service Representative
Prime Health Care
02.2016 - 11.2019
Ensure that each customer, patient, and co-worker is treated in a professional in a friendly manner.
Answer phones to process requests and equipment orders.
Collaborates with team member to review special orders and assist with coordinating medical equipment and supplies to be delivered per healthcare.
Assist with special projects or other assignments that may be given with expectations to be completed in a specified timeframe.
Epic and Meditech knowledge.
Provide documents requested by patients, insurance providers, and law offices.
Provide medical records, bills, UB-04 forms, appeal letters, LOA’s, refund request, and other documents upon request.
Owner: Nikki Blake, (909) 235-4400
Education
Associate's Degree - Health Science
Los Angeles Pacific University
San Dimas, California
04.2022
Certificate of Completion - Medical Assistant
Concorde Career College
San Bernardino, California
04.2010
High School - undefined
Colton High School
Colton, California
06.2007
Skills
Clerical expertise
Microsoft Office Professional
Recognized for exceptional customer service
Extensive Experience with Vista, GUI and CPRS
Conflict resolution specialist
HIPAA compliance expert
Expert Using CISCO Phone System
Medical record management
Timeline
Beneifits Verification Representative
CVS Specialty Pharmacy
04.2025 - Current
Medical Support Assistant, Covid Vaccine Clinic GS-5
Department of Veterans Affairs
03.2021 - 06.2021
Radiology/Community Care-Advanced Medical Support Assistant, GS-6