To secure a challenging position in a growth oriented, esteemed organization that will utilize my knowledge to drive excellent customer service.
Overview
17
17
years of professional experience
Work History
General Studies - Associate of Applied Science
Phoenix College
Associate Collection Representative
United Health Group, Optum
09.2023 - 05.2024
Researched patient and insurance company accounts to ensure accuracy of refund being submitted.
Verified previous notes to make sure amounts and addresses matched check being processed.
Emailed the appropriate department of any discrepancy's so changes could be made.
Mailed out checks, scanned, documented and followed up on accounts pending missing information.
Generated regular reports on collection activities and performance metrics
Maintained a data base of patient and insurance company contacts and payment history.
Performed other duties as assigned by supervisor or manager.
Revenue Cycle Customer Service
Honor Health
04.2022 - 05.2023
Received, handled and routed revenue cycle phone calls, digital communications or in person requests. Reviewed patient’s accounts in all service areas. Responsible for collection of patient liability, set up/monitor payment plans, detailed documentation on accounts and/or explained/offered financial assistance. Made outbound calls as follow up on delinquent accounts. Have understanding of insurance benefit/adjudication and terminology, in order to review accounts for insurance updates, rebills or further insurance/coding review. Provided follow up communication to patients regarding status on accounts needing further review. Responsible for working assigned account and credit WQ to keep at department benchmarks.
Performed a variety of clerical duties, including, but not limited to scanning, mailing, updating registration, release of information, balancing according to established policies. Responsible for communication of problem situations or changes in department flow. Performed other related duties as assigned or requested.
Maintained effective communication with internal and external customers. Participated as a team member in all aspects of department functions. Assisted in keeping communications clear between patients, family, leadership and other team members.
Patient Coordinator
Optum RX
09.2017 - 04.2022
Handle incoming oncology calls by greeting customer or provider, schedule delivery, assisting with copay's and questions pertaining to the script or benefits
Utilize computer system to enter, access or verify patient data by ensuring accuracy and completeness of information
Make outbound calls when necessary to reach out to customer or provider for questions or additional information.
Customer Care Representative
Avesis
01.2017 - 09.2017
Warmly greeted customers and ascertain problems or reason for calling
Assisted with providing information regarding benefits, verified the type of coverage and eligibility
Searched for providers in and out of net work, check credentials and assisted if not updated
Documented call details and solution into data base and call back when needed
Requested information needed to be faxed or emailed to provider to better assist clients.
Dual Customer Service Representative
Willis Towers Watson
06.2016 - 01.2017
Professionally handled inbound and outbound calls for members and providers regarding medicare or medicaid benefits
Entered required
documentation into the system pertaining to the chosen plan
Verified all required information
Reached out to other departments if any additional
information was missing or needed to complete customers request.
Document Support Specialist
ADOT - Arizona Department Of Transportation
12.2014 - 06.2016
Maintained archived and confidential documents for review
Responsible for uploading contracts, report graphs and assure the accurate scanning of documents into the data base
Kept a daily log of the project that was scanned
Sent weekly reports of documents that were reviewed after scanning.
Centralized Doucument Specialist
Department of Economic Security
03.2012 - 12.2014
Provided accurate quality assistance to managers and staff by scanning documents and up loading clients information applying for Food Stamps,
Medical or Cash Assistance benefits into data base
Submitted changes and documents clients provided to complete cases
Uploaded all clients
personal and confidential information into On Base System so FAA could make timely and accurate eligibility decisions.
Statistical Research Analyst
AZ Department of Economic Quality
09.2007 - 03.2012
Researched compliance inspectors information from sites inspected
Looked for discrepancies and transferred files that were accurate into data base
Scheduled daily mail room pick ups that needed to be distributed to different departments
Provided customers with any additional information after
inspection and verified any missing information
Performed a variety of clerical support, filing, copying, faxing, and mailing critical documents.
Education
Associate of Applied Science - General Studies
Phoenix College
Phoenix, AZ
Skills
Ability to utilize variety of basic office equipment
Competent of functions such as Microsoft Office
Word, Excel, One note, Teams, and other Data Base
System
Ability to prioritize so that tight deadlines can be met with a minimal
error rate
Ability to perform variety of clerical tasks specific job functions