Wiselys Custodio Rosa
Lithonia,GA
Summary
Hardworking and passionate bilingual professional with a solid background in customer service, healthcare, and remote work. Skilled in managing administrative tasks, coordinating patient care, and supporting billing processes. Adaptable problem-solver with excellent communication abilities across phone, email, and in-person interactions. Eager to bring diverse experience and dedication to a dynamic, growth-focused organization.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Insurance Risk Interviewer
Quest Exam One
01.2024 - 10.2024
- Conduct interviews with clients to assess and evaluate insurance risks
- Gather detailed information regarding clients' medical history, lifestyle, and other risk factors
- Ensure accuracy and completeness of client data for insurance underwriting processes
- Maintain compliance with privacy regulations while handling sensitive client information
- Conducted interviews with participants to assess eligibility.
- Managed approximately 60 incoming calls per day from clients.
Medical Assistant
First Lithonia Medical Center
01.2023 - 01.2024
- Provided essential support to healthcare professionals, ensuring efficient patient care delivery
- Managed administrative tasks such as appointment scheduling, medical records updates, and patient inquiries handling using the eClinicalWorks system.
- Handled prior authorizations for procedures, medications, and treatments, ensuring timely approval from insurance companies
- Conducted electrocardiograms (EKGs), phlebotomy, and performed basic laboratory tests as required
- Assisted with billing and insurance verification, supporting accurate claims processing
- Helped patients understand their insurance coverage and benefits
- Maintained strict compliance with patient confidentiality and healthcare regulations (HIPAA)
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Managed approximately 50 incoming calls, emails and faxes per day from patients.
- Performed medical records management, including filing, organizing and scanning documents.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.
Manager
Boost Mobile
01.2021 - 01.2022
- Demonstrated effective leadership in managing daily operations, staff oversight, and inventory management
- Implemented strategies to enhance sales performance and meet targets
- Conducted accurate cash transactions and delivered exceptional customer service
- Maintained cleanliness and organization of the checkout area
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Cross-trained existing employees to maximize team agility and performance.
Education
Medical Assistant -
Herzing University
Atlanta01.2023
High School -
Martin Luther King Jr. High School
Lithonia, GA01.2021
Skills
- Bilingual
- Medical terminology
- Administrative tasks
- Patient interactions
- Problem-solving
- Fast-paced environments
- Communication skills
- Typing skills
- Professionalism
- Data Collection
- Telephone Etiquette
- Data Entry
- Insurance Verification Knowledge
- Prior Authorization Knowledge
References
Available upon request.
Additionalskillsandexperience
- Fast typing skills and proficiency in handling multi-line phone systems, fax, and email.
- Adherence to professionalism and company policies.
Certification
Certified Medical Assistant CMA
Languages
Spanish
Native or Bilingual
Timeline
Insurance Risk Interviewer
Quest Exam One
01.2024 - 10.2024
Medical Assistant
First Lithonia Medical Center
01.2023 - 01.2024
Manager
Boost Mobile
01.2021 - 01.2022
Certified Medical Assistant CMA
Medical Assistant -
Herzing University
High School -
Martin Luther King Jr. High School
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