Joan Gaines
************@*****.*** 313-***-****
SUMMARY
Seasoned business professional with over 20 years of experience in call centers and remote based customer service. Highly skilled in high-volume call center operations, data entry, and bilingual communications, and Microsoft Office. Currently looking for employment in my field of expertise, but willing to branch out explore different professions. WORK EXPERIENCE
Elevate
Patient Service Representative Jun 2023 - Oct 2024
• Provided customer service and assisted with bill payment and CPT code review, ensuring accurate and timely processing.
• Conducted data entry and verified insurance information, contributing to efficient and effective administrative operations.
Livingston International
Operation Assistant Mar 2022 - Apr 2023
• Ensured accuracy and efficiency in data entry processes, enhancing the overall quality of shipment tracking and tracing.
• Managed import-export document uploads, facilitating seamless logistics operations. R1 Solutions
Physician Billing Bilingual Rep Jan 2020 - Mar 2022
• Provided customer service by advising on claim processing and payment information, ensuring clarity and satisfaction for clients.
• Managed and processed physician billing information to support accurate and timely payment transactions. Conifer (DMC Radiology)
Scheduler II Oct 2018 - Dec 2020
• Scheduled radiology procedures across multiple hospital locations, ensuring efficient coordination and patient satisfaction.
• Verified patient information and performed accurate data entry to maintain up-to-date and reliable patient records. Harbor Health (Aerotek)
Scheduler Member Service Representative Jan 2018 - Oct 2018
• Coordinated and scheduled transportation for clients to attend their medical appointments, ensuring timely and efficient service delivery.
• Facilitated provider changes and assisted in locating contracted specialists while delivering clear and accurate benefits information, claims, and authorization status to members. Molina Healthcare
Services Representative Oct 2015 - Dec 2017
• Advised clients on claims status updates and processed payments, ensuring accurate handling of financial transactions.
• Verified eligibility and benefits information, contributing to efficient service delivery and customer satisfaction.
• Assisted Medicaid members in locating providers and coached new employees to facilitate their development and integration.
Summit Health
Health and Wellness Scheduler Representative May 2013 - Oct 2015
• Coordinated and scheduled screening appointments, managed email correspondence, and conducted document research to ensure seamless operations.
• Provided detailed assistance to clients by mailing Home Biometric screen requests and addressing inquiries related to screening procedures and medical staff support. EDUCATION
High School Diploma
SKILLS
Bilingual Spanish • Typing • Analytical Skills • Shipment Track and Trace • Document Upload • High Quality Data Entry Processing Standards • Translations • Interpretation • Escalation • Billing • High Volume Call Center • Legendary Customer Service • Health Insurance • Proficient In: Microsoft Word, Excel, Outlook, and Database • Coaching • Time Management • Task-Driven • Detail Oriented