Registration Specialist Center Representative
Resume:
Maria Cruz
Batavia IL *****
Dupage Medical June 2020 to present
Scheduling Pulmonary
●Answer incoming calls
●Schedule,reschedule and cancel any appointments for pulmonary/Sleep specialist
●Schedule any prior testing in office PFT, SST
●Page on call doctors for ER,ICU and Hospitals
●Take messages for nurses and doctors forward them to the correct department
●Answer any questions regarding appointments
●Return any voicemail or messages
Rush Copley Hospital. August 2019 to 03/2020
Registration/Cashier
●Collected hospital and medical group payments
●Verified observation and inpatient insurance update if needed
●Set up payment plans for potions
●Give estimates on any procedures that need to be done without insurance
●Help patients with clarity applications
●Translated patients when needed
●Talk to patients regarding any assistance that we can help
●Close daily cashier
●In charge of other locations deposits
●Help with registration
AMITA Health Care January 2019 to July 2019
Pre-Registration Specialist
●Obtained referrals if needed for MRI, CT scan, hospital, and physician visits
●Verified insurance plan for patients
●Collected co-pays regularly
●Worked with all providers such as BCBS, United, Medicare, Medicaid
●Obtained authorizations regularly
●Obtained and sent medical records regularly
●Notified patients if referral was denied
●Contacted doctors and insurance providers for documents needed
●Handled appointment scheduling/rescheduling
REV MD Partners November 2017 to January 2019
Insurance verification
●Worked on hospital and physician claims daily
●Verified insurance and updated any new information given
●Worked on denials; submitted any documentation (referral, ext.)
●Called insurance for any missing information or researched reason of denial
●Placed payments, closed accounts regularly
●Mailed letters to patient to verify patient responsibility
●Daily meetings with hospital to update claim process
●Sent claims to correct department regularly
Byram HealthCare September 2015 to November 2017
Call Center Representative
●Answered high volume of Incoming calls daily
●Handled orders regularly
●Followed up on denied claims for reimbursement
●Responsible for being a translator (Spanish/English)
●Opened new accounts for correct department
●Reorder for all medical necessities
●Updated insurance information daily
●Worked with various insurance companies (Medicaid, Medicare, United Healthcare, BCB, Aetna)
●Followed up on insurance and existing claims
Addus Home Care July 2014 to January 2015
Call Center/ Team leader
●Worked with high risk CLT
●In charge scheduling and multi-tasking
●Attended daily conference call with office manager on call
●Sent Home care to CLT, made sure CLT had proper necessities
●Responsible to cover any call off’ s, vacations, and training of staff
Buick GMC Dealerships December 2013 to July 2014
Customer Service/Cashier
●Opened office organized daily tasks
●Answered large amount of incoming and outgoing calls with professional manners
●Sent calls to the correct department
●Took payments; handled cash, and credit cards on a daily basis
●Responsible for logging every incoming and outgoing key
●Filed all new and used deal bags with corresponded key that enters dealer
●Translate when needed ( Spanish/English)
●Counted large volumes of money manually and with bill- or change-counting devices,
●Find and track daily funds transfers
Sound Quest November 2011 to November 2013
Customer Service Representative
●Responsible for taking and receiving payments
●Made orders, organized daily tasks, performed office duties such as data entry, payroll, fax, e-mails sales, set appointments end off day deposits
●Communicated with supervisors to escalate customer concerns, stored issues and inventory requirements
●Collected customer feedback and recommended procedural or product changes to enhance future service delivery
Surface Guard September 2008 to October 2011
Quality Control Technician
●Handled long-term testing on different surfaces
●Responsible for checking quality and performing quality test on incoming material
●Maintained shipping and receiving filing system
●Reported daily production information
●Performed clerical office duties such as data entry and typing
●Handled and retrieved files in response to request from authorized staff
●Ensured that proper work procedures and practices were followed to prevent incidents
●Checked daily material, organized daily tasks, kept track of orders with vendors
●Performed draw downs
Insurance Plus June 2002 to September 2008
Office manager/Insurance Agent
●Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications
●Skillfully and patiently explained coverage options to potential policyholders,
●Answered any questions or concerns
●Analyzed customer needs and provided the best options, selling products and services
●Engaged customers and provided high level of service by carefully explaining details about documents
●Developed insurance cross-selling opportunities in partnership with [insurance companies]
●Received underwriting approvals after accurately completing applications for insurance coverage
●Coordinated appointments and consultations with clients to a certain individual needs and gained a better understanding of overall financial situations
Bilingual in English/Spanish
Software: Availity, Epic, Cerner, Nebo, Passport
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