Customer Service Physician Assistant

* **-** ***** ****** ● R osedale, N Y ***** ● 917-***-**** ● A ***********@***.***

Alcides Cruz

Objective

To secure a challenging position in a well established organization with a stable environment that will

lead to a lasting professional relationship.

Experience

2010 1199 SEIU National Benefit Fund New

York, NY

Claims Representative

Answered an extreme high volume of calls in a call center setting.

Responsible for verifying payment information, and following up on aged and outstanding claims.

Assisted medical providers with submission and payment release process.

Reviewed cost, disability periods, hospital stays and treatment averages to determine payment status.

Responsible for approving, denying, or referring the case to higher levels for further evaluation.

Actively provided a high standard of courteous and diligent customer service.

2008 - 2010 Mt. Sinai Hospital – Dept. of Genetics New York, NY

Lab Coordinator

Received and tagged specimens, entered specimen data into computer system.

Responsible for preparing laboratory specimens for further laboratory analysis and transported specimens to

designated labs and clinical departments upon laboratory analysis and testing.

Prepared excess specimen samples for storage as well as resolved and documented problem specimens.

Served as a liaison between other testing laboratories, lab technicians and providers.

Patient Coordinator

Manage a front desk for three different clinics – Metabolic, Genetic and Cancer.

Maintained a schedule of appointments using three different databases for 15 providers.

Verified insurance eligibility using IDX eligibility module.

Assisted genetic counselors screening patients for cancer research.

Consistently scored 100’s and 90’s in “Mystery Shopper” scenarios.

Became certified as the official Spanish language interpreter for the entire department.

2006 - 2008 Dr. Brisson (Spinal Surgeon) & Dr. Wright New York, NY

Medical Receptionist

Prepared and processed all incoming patients.

Responsible for obtaining authorizations for surgeries.

Responsible for booking surgeries and maintaining a schedule of appointments for five doctors.

Responded, reviewed and rectified patient’s medical billing inquiries, discrepancies and concerns.

Organized and updated all insurance, attorney and patient demographic information.

Responsible for verifying Worker’s Compensation and No Fault insurance.

Performed follow-up calls to patients after surgeries.

Assisted the Doctors and Physician Assistant with Spanish speaking patients.

Education

2010– Present Fordham University New York, NY

Currently pursuing a Bachelors Degree in Organizational Leadership.

Skills

• Fluent in Spanish, Proficient in Windows, MS Office, Word, Excel, PowerPoint, Eclipse, IDX, and Dentrix

(Physician’s software) Type 50 WPM.

References

• References available upon request.

Contact this candidate