Service Representative Customer

Ana Ybarra

**********@*****.*** 702-***-**** Las Vegas, NV

SUMMARY

Seasoned professional with 20 years of experience in customer-oriented roles, seeking a Customer Service Representative position in Las Vegas, Nevada. Skilled in managing high-volume phone operations, chat support, and maintaining meticulous records. Proven ability to navigate complex insurance information and advocate for clients, ensuring informed customer interactions.

WORK EXPERIENCE

Landmark Recovery Center Las Vegas

Patient Financial Counselor Mar 2022 - Oct 2022

• Facilitated patient understanding of insurance coverage and out-of-pocket expenses through individual and group consultations.

• Compiled and processed essential patient documentation, and managed daily outreach for outstanding patient balances to ensure timely payments.

• Developed and submitted accurate cash collection forecasts, maintaining a consistent track record of a minimum of 10 patient consultations and 50 outbound calls daily. Livanta

Patient Service Representative Clerk III Mar 2019 - Jun 2021

• Managed beneficiary inquiries and case intakes via the Medicare helpline, ensuring informed understanding of rights and responsibilities under Medicare coverage.

• Facilitated the review process, maintaining contractually mandated timeliness and accuracy, while serving as a neutral liaison between beneficiaries and their representatives.

• Prepared and dispatched correspondence to medical professionals and facilities, ensuring the maintenance of up-to-date contact information and coordination of mailings.

• Recorded and tracked all communication details using electronic applications, contributed to quality improvement initiatives, and upheld beneficiary confidentiality in compliance with HIPAA and HITECH regulations. Smith's Grocery Store

Cashier/Deli Clerk Oct 2019 - Nov 2020

• Maintained a high level of customer service under pressure, ensuring a positive shopping experience by efficiently operating the cash register and communicating effectively.

• Adhered to store policies, demonstrated meticulous attention to detail in pricing, merchandising, and ensuring product freshness through vigilant stock rotation.

• Upheld cleanliness and safety standards in all work areas, while assisting customers in locating and obtaining products from various store sections.

Candyapple Girl

Phone Operator/Phone Dispatcher Feb 2009 - Aug 2019

• Answered incoming calls, provided accurate information to inquiries, and efficiently directed calls to appropriate parties.

• Managed message distribution for guests and internal staff, ensuring timely and accurate relay of voicemails and other communications.

• Coordinated and prepared corporate boardroom for conference calls, maintaining a clean and orderly environment.

• Executed various administrative duties, including document proofreading, phone directory updates, and routine switchboard maintenance.

• Handled the reception and distribution of company mail and ensured recording of out-of-office voicemail messages for public holidays.

Twin Medical

Patient Representative Feb 2001 - Mar 2005

• Liaised with insurance companies to reconcile payments and utilized aging reports to maintain accurate financial records.

• Managed Medicare, Medicaid, and commercial insurance billing, ensuring proper authorization and completion of necessary documentation for reimbursement.

• Served as a point of contact for patients, hospitals, and insurers, providing information on financial policies and advocating for patients throughout the billing cycle. Sunrise Hospital

Reimbursement Clerk/Account Representative Mar 1998 - Feb 2001

• Managed the billing process by following up on claims, re-billing as needed, and addressing billing inquiries with professionalism.

• Ensured the confidentiality and accurate maintenance of patient medical records, including electronic data recording and the preparation of insurance and claim forms.

• Supported front desk operations by checking in patients, processing co-payments, scheduling appointments, and verifying insurance, while also assisting with medical record requests and patient billing inquiries. EDUCATION

King City High School

Diploma

Jun 1988

SKILLS

Proofreading • Word Processing • EMR Systems • Hipaa • Insurance Verification • Medical Billing • Writing Skills • Medical Office Experience • Transcription • Medical Coding • Medical Terminology • Guest Services • Administrative Experience • Clerical Experience • Active Listening • Verbal Communication • Written Communication • Customer Support • Team-oriented

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