Yochebed Melendez
Portland,OR
Summary
Driven professional with a proven track record at Dignity Health Management Services, excelling in customer service and data entry. Mastered insurance verification and confidentiality, significantly contributing to operational excellence and team motivation.
Overview
12
12
years of professional experience
Work History
COB Coordinator
Dignity Health Management Services
02.2017 - Current
- Processes eligibility files for all lines of business
- Reconciles membership to the capitation payments received from the delegated lines of business
- Contacts health plans and/or employer groups to resolve questions on member enrollment
- Verifies primary care physicians and effective dates. Confirms member information including coverage and termination effective dates, member address and plan benefits.
- Responds to general inquires or questions in the area of eligibility.
- Maintains and process eligibility files within the database to ensure information is accurate
- Assists System Configuration Manager with various tasks to ensure department goals are met in timely manner.
Medical Appointment Scheduler
Kern Radiology
01.2013 - 02.2016
- Maintained patient confidentiality by strictly adhering to HIPAA regulations while handling sensitive personal information.
- Improved communication between the front desk and clinical staff by providing accurate, up-to-date appointment information.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing cancellations.
- Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
Education
High School Diploma -
North High
Bakersfield, CASkills
- Team motivation
- Customer Service
- Data Entry
- Insurance Verification
- Discretion and Confidentiality
- Medical Terminology
- Attention to Detail
- Reliability
- Adaptability and Flexibility
- Effective Communication
- Scheduling
- Professionalism
Timeline
COB Coordinator
Dignity Health Management Services
02.2017 - Current
Medical Appointment Scheduler
Kern Radiology
01.2013 - 02.2016
High School Diploma -
North High
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