Yanessa Barreto
Hialeah,FL
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Hardworking medical administrative professional offers great people skills, organized file management and deep understanding of patient protections. Enhances office operations by staying on top of patient and staff needs. Experience with electronic recordkeeping and insurance documentation.
Skilled Insurance Verification Specialist with experience in verifying insurance coverage, understanding policies, and processing claims. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues.
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations.
Overview
6
6
years of professional experience
Work History
Insurance Verification Specialist
U.s supply
Miami, FL
10.2022 - 12.2023
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Routed laboratory or diagnostic results to appropriate staff.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Conducted regular audits of patient accounts for accuracy of demographic data.
- Performed daily audits of submitted claims to ensure compliance with industry standards and regulations.
- Developed and maintained professional relationships with insurance representatives.
Intake Coordinator Pharmacy
Medcare
Hialeah, Florida
04.2023 - 09.2023
- Scheduled appointments and coordinated logistics for initial assessments and follow-up meetings.
- Maintained accurate records of client intakes in electronic database system.
- Resolved customer complaints or answered customers' questions.
- Delegated work to staff, setting priorities and goals.
- Developed work schedules according to budgets and workloads, covering priority tasks.
- Provided information and resources to individuals, families, and groups seeking assistance.
- Communicated effectively with supervisors regarding current caseloads and resource availability.
- Provided education about available services, benefits, rights, responsibilities, risks and benefits of treatment options.
- Addressed and resolved client concerns or complaints related to the intake process.
- Created individualized service plans for each client based on their unique needs and goals.
- Managed confidential client data in compliance with HIPAA and other relevant regulations.
- Issued work schedules, duty assignments and deadlines for office or administrative staff.
- Coordinated the intake process, ensuring all required documentation was collected and processed.
- Coordinated the intake process for new clients, including scheduling initial assessments and providing necessary paperwork.
DME Customer Service
Medcare
Hialeah, FL
02.2023 - 09.2023
- Prevented key account losses by researching discrepancies and correcting problems.
- Assisted team members with difficult calls or queries when required.
- Conferred with customers by telephone or in person to provide information about products or services and take orders.
- Resolved customer complaints in a timely manner by addressing root causes of the issue.
- Improved product knowledge on continuous basis to provide optimal service and achieve sales quotas.
- Took special orders in person and over telephone, generating additional revenue every month.
- Tracked all customer interactions using internal software applications.
- Developed and maintained strong relationships with customers through exceptional service and communication.
- Explored alternative solutions when initial attempts failed to resolve an issue.
- Processed orders, forms, applications, and requests efficiently, maintaining accurate records.
- Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
Customer Service Representative
Teleperformance USA
Hialeah, FL
12.2020 - 06.2022
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Provided primary customer support to internal and external customers.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Updated account information to maintain customer records.
Sales Associates
K1 Speed
Hialeah, FL
09.2017 - 01.2020
- Engaged with customers to build rapport and loyalty.
- Provided positive first impressions to welcome existing, new and potential customers.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Educated clients on current promotional offerings and products using persuasive selling tactics.
Education
GED -
American Worldwide Academy
MiamiAssociate of Arts - Medical Coding And Billing
Florida Career College - Miami
Miami, FLSkills
- P>Professional telephone demeanor
- P>Order fulfillment
- P>Money handling abilities
- P>Account management
- P>Staff education and training
- P>Creative problem solving
- P>POS systems expert
- P>Fluent in English and Spanish
- P>Expert in Microsoft Office
- Insurance plan verification
- Prior authorization processing
- Patient contact
- Electronic authorization processing
- Medicaid
- Coverage and authorizations
- Insurance coverage verification
- Deductible & co-pay calculation
- Customer service
- Medical terminology
- Patient communication
- Eligibility determination
- Healthcare industry
- Work monitoring
- Workflow development
- HIPAA compliance
Education
Miami, FL,Miami
Personal Information
Title: Customer Service
Playing Soccer
I play with my older brother on the weekends as a fun way to exercise and stay close with my family.
Timeline
Intake Coordinator Pharmacy
Medcare
04.2023 - 09.2023
DME Customer Service
Medcare
02.2023 - 09.2023
Insurance Verification Specialist
U.s supply
10.2022 - 12.2023
Customer Service Representative
Teleperformance USA
12.2020 - 06.2022
Sales Associates
K1 Speed
09.2017 - 01.2020
GED -
American Worldwide Academy
Associate of Arts - Medical Coding And Billing
Florida Career College - Miami