Customer Service Patient Financial
Resume:
Los Angeles, CA
adyazx@r.postjobfree.com
Gloria Silva
Insurance Verification Specialist
Professional Summary
Multifaceted, analytical, and dedicated professional driven for producing effective outcomes. With my well-rounded experience in personal healthcare, billing/collections and as an insurance specialist, I will focus on providing the company with successful leadership in all scopes of the business while maintaining a patient-oriented approach to cultivate growth and development to maximize effective outcomes for the business.
Promote and drive impactful and innovative solutions to drive business initiatives
Exceptional competence in learning and succeeding in versatile assignments
Personable and professional with well-defined communication and presentation skills
Experienced in cultivating loyal relationships with business colleagues and patients
Comprehensive knowledge of medical billing concepts and medical terminology
Professional Experience
Independent Contractor, CA 2016 – 2019
Personal Patient Provider
Key Accomplishments:
Responsible for providing personal assistance and daily care and services related to two seniors.
Assisted with daily living activities such as cooking, serving meals, personal hygiene, mobility,
Responded to clients’ needs promptly, while maintaining a safe and secure environment, following established safety standards and regulations.
Provided medication reminders and organized doctors schedule, including driving clients to and from medical appointments.
Engaged the client in daily activities and companionship to maximize their well-being, socialization and quality of life.
Complied with HIPAA Privacy Acy to ensure confidentiality of client information.
All Care 1 Medical Center, CA 2011 – 2015
Billing/Insurance Specialist
Key Accomplishments:
Acc Responsible for providing personal assistance and daily care and services related to two seniors.
Assisted with daily living activities such as cooking, serving meals, personal hygiene, mobility,
Responded to clients’ needs promptly, while maintaining a safe and secure environment, following established safety standards and regulations.
Provided medication reminders and organized doctors schedule, including driving clients to and from medical appointments.
Engaged the client in daily activities and companionship to maximize their well-being, socialization and quality of life.
ountable for daily tasks related to submitting claims and accurate billing processes.
Delivered success in high volume phone calls to assigned delinquent customers and reducing delinquency for these accounts.
Provided excellent & considerate customer service regarding collection issues, process and review account adjustments, resolve client discrepancies.
Effectively supported the company’s key performance indicators while prioritized portfolios to secure that collection efforts result in maximum benefits.
Bioscript Pharmacy, CA 2006 – 2010
Billing/Collections Specialist
Key Accomplishments:
Responsible for receiving and posting cash receipts, work exceptions, and reconciles cash received to systems.
Reviewed accuracy of claim payments received from payers and patients.
Understanding of insurance procedures, working with insurance carriers, PBMs, Medicare and Medicaid.
Additional Experience
ITS Pharmacy, CA 2004 – 2006
Billing/Collections Specialist
Key Accomplishments:
Prepared and created invoices and credit memos to ensure quality patient financial services and streamlined access to service for all patients.
Managed operations at front desk and responsible for payroll submissions.
Researched and verified patient demographic information through online verification systems to determine patient financial responsibility as determined by the insurance company.
Investigated payment status and determined ultimate patient financial responsibility.
Minimized patient dissatisfaction by maintaining strong patient relationships to adhere to business protocols in effort to maximize all financial driven initiatives.
EDUCATION
General Education
Los Angeles Los Angeles, CA
References Available upon request.
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