Service Representative Customer
Resume:
Justin Rivera
Bronx, NY ***** • 917-***-**** • ****************@*****.***
Professional Summary
Talented Community Health Worker adept at handling medical and personal needs of patients with focused and compassionate mentality. Proven skills in updating case and progress information in computer system for healthcare staff and patients.
Skills
Proficient in eClinicalWorks (ECW)
Data entry
Customer service
Schedule coordination
Data collection and management
Medicaid management information systems
Microsoft Office proficiency
Setting appointments
Work History
Patient Service Representative, 2/2021 to 3/2022
The Institute for Family Health
Knowledge of insurance verification, prior authorization, referrals
Operate PC workstation for registration, scheduling and billing
Answer telephone calls and route them to appropriate staff member
Knowledge of EMR EPIC
Customer Service Representative, 3/2020 to 6/2020
Affinity Health Plan
Received inbound phone calls from insurance members regarding their insurance information
Assisted members regarding eligibility, PCP information and premium payments
Assisted providers with patient eligibility and benefits
Documented phone calls using Facets system
Community Health Worker, 4/2018 to 1/2020
SOMOS Community Care – New York, NY
Provided outreach to Medicaid patients regarding visits with their Primary Care Provider
Educated providers in proper billing and coding for DSRIP Program
Liaison between PCP and patient
Created and maintained computerized record management systems to record and process data and generate reports
Continually maintained and improved company's reputation and positive image in markets served
Improved delivery of patient care through reviewing and implementing improvements to clinical approaches
Maintained community-based customer relationship management (CRM) database by entering data for referrals and appointments
Managed over 50 customer calls per day
Education
Lehman College - New York B.A: Business Administration, Marketing, 2017
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