Darius Ridout-Grandberry
Albuquerque, NM
adtufz@r.postjobfree.com
Friendly and enthusiastic customer service representative with several years specialization in customer service. Able to learn new tasks quickly and proficient in growing key customer relationships. Provide outstanding customer service with friendly, professional demeanor at all times. Work Experience
Receptionist
Dermatology and Skin Cancer Center of New Mexico - Albuquerque, NM October 2021 to August 2022
Greet, welcome, and register patients while working to minimize and solve wait times or other reception area issues
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Collect, verify, and document patient information including but limited to demographics, validation of identity, primary and secondary insurance, intake forms and prior authorizations
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Collect signatures on documents such as HIPAA privacy statement, consent forms, authorization for treatment and release of information
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Accurately identifies Fee Scale /Co-pay determinations
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Collects and processes visit charges, co-pays, deductibles, previous cash balances and notices of overdue payments at time of visit
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Manage incoming phone calls, emails, messages and referrals to completion and in a timely fashion
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Prepare for upcoming visits such as review of next day activities, visit reminders, document preparations, form completion and chart flags
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Performs appointing functions with accuracy and per patient or provider request, such as scheduling appointments, managing cancellations, re-schedules, visit cycles and wait lists
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Patient check-out duties such as next appointments, patient education hand-outs and instructions
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Maintain medical records with timely input of incoming scans, documents, or test results
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Works with healthcare team to assure smooth and efficient patient flow and operations Customer Service Representative
Lovelace Medical Group - Albuquerque, NM
September 2020 to October 2021
Verifying members information before getting in the account(HIPPA)
• Keying data (Logging calls)
• Helping patients with scheduling appointments
• Speaking with Medical staff regarding patients need(s)
• Sending medication rx refill(s) to Pharmacy of patients’ choice
• Providing members with lab information (fasting, certain results etc.)
• Advising patients of Insurance changes
• Adhering to daily emails/Contact center changes
• Processing payment(s) via Credit/Debit card for billing purposes
• Locating
Claims Specialist
Prime Therapeutics - Albuquerque, NM
January 2021 to May 2021
Sorting/Keying claims regarding medical request
• Search and retrieve members information
• Updating member information
• Making outreach call with Doctor(s)
• Adding notes regarding claim
• Using multiple systems to locate and key for medication
• Uploading documents
Customer Service Representative
Lowes Customer Support Center - Albuquerque, NM
February 2018 to January 2021
• Effectively operating telephone and computer to assist customers.
• Answering questions regarding customer inquiries.
• Processing payment(s) via Credit/Debit card for billing purposes.
• Reviewing of orders status and scheduling for payments.
• Active listening and advising of the best solution regarding issue of call.
• Transmitting information or documents to customers, using computer, or mail.
• Hear and resolve complaints from customers or the public.
• Schedule appointments and updating appointment calendars.
• Gather/registering information regarding customers.
• Provide correct and prompt answers to all questions asked from customers or the public Medical Records Clerk
Altura Homecare & Rehab - Albuquerque, NM
July 2016 to June 2017
Verify Patients information
● Filling/Sorting documentation daily and in a timely manner
● Meeting daily quota regarding filling record of patients
● Handling receptionist duties(faxing, emailing, scheduling)
● Documenting daily calling in/outbound
● Providing correct information regarding orders for health departments/Doctors
● Staying on task and multi-tasking throughout the day Education
High School Diploma
Albuquerque High School
May 2015
Skills
• Customer and Personal Service
• English Language
• Speaking
• Clerical
• Active Listening
• Coordination
• Reading Comprehension
• Time Management
• Negotiation
• Complex Problem Solving
• Instructing
• Troubleshooting
• Repairing
• Insurance Verification
• Microsoft Outlook
• Medical Records
• Medical Billing
• HIPAA
• Intake Experience
• Medical Scheduling
Certifications and Licenses
Class A CDL
October 2022 to October 2026