Customer Service Front Desk

ENID JIMENEZ

**** *. **** ******, *** FL, Philadelphia, PA 19140

Cell: 267-***-****

**************@*****.***

Customer service-oriented professional with strong administrative skills and a solid understanding of the importance of accurate claims processing. Pays close attention to detail for accurate and compliant documentation and remains committed to ensuring optimal client outcomes.

Bilingual — Fluent in English and Spanish.

Maintains accurate data to ensure details are not overlooked.

Ultimate Medical Academy I HIPAA Essentials for Healthcare Professionals Certificate. Skype Telecommunication Application.

EMR & EHR: QSI Dental Web NextGen Healthcare Software / Perfect Care EHR Software. Microsoft Office Applications (Word, Excel, PowerPoint, Outlook, and Access. Typing Speed: 45 WPM.

Possesses 10+ years of cross-functional medical experience in direct care, administrative, and front desk management.

Medical Billing • Accounts Receivable • Collections • Co-Pay • Deductibles • Co-insurance • EOB’s• Cisco Finesse

Revenue Cycle Management • Posting Payments Government (Medicare & Medicaid) • Third-Party Payers

Electronic Health Records (EHR) • Electronic Medical Records (EMR) • Managed Care (HMO • PPO • POS)

Workers Compensation • Insurance Verification • Insurance Claim Processing • CMS 1500 CMS 1450 (UB-04)

Front Office Operations • Medical Office Procedures Scheduling • Medical Terminology • Anatomy & Physiology

HIPAA Compliance • Medical Coding (ICD-IO-CM HCPCS • CPT) • Customer Relationship Management • (CRM) • Call Center Operations • Client Relations

Hays Us/ Blue Cross Blue Shield Association/ VillageCare Max Tampa, FL 07/202- Present

Consultant- Remote

Provided excellent customer service through active listening, utilized de-escalation techniques, proposed ideal solutions for customer issues, and communicated with patience and understanding.

Handled and carefully responded to all customer inquiries with accuracy and efficiency.

Assisted members with questions of eligibility, and other member inquiries.

Navient B P O LLC - Herndon, VA 09/2023- 04/2024

Customer Service Representative

Handled and carefully responded to all customer inquiries with accuracy and efficiency.

Provided excellent customer service through active listening, utilized de-escalation techniques, proposed ideal solutions for customer issues, and communicated with patience and understanding.

Understood the wants and needs of the customers, recommended them a great service plan tailored to their specific circumstances, and achieved a 92%-95% customer satisfaction rating month over month.

Help at Home / Excel Home Care Philadelphia, PA 01/2020 -02/2022

Open Systems Healthcare Trevose, PA 09/2018 - 02/2020

Patriot Homecare Inc. Philadelphia, PA 12/2017 - 09/2018

Home Health Aide

provided care for a disabled client, managed medication reminders, and prepared meals.

Accompanied the client to appointments and managed the patient's personal health information and finances.

Offered companionship and contributed to a positive environment to enhance the quality of life.

Warwick Family Services MCC Bensalem, PA 08/2016 - 12/2017

Medical Administrative Assistant

Assisted the psychiatrist with translation services for Spanish-speaking patients.

Updated demographics, trained new team members, and managed emergency calls from patients.

Checked patients in and out of the office, collected co-pays, verified insurance, managed medication authorizations for the patients, scheduled appointments, and answered inbound phones.

Cichetti & Delligatti Orthodontics Philadelphia, PA 03/200712/2015

Supervisor/ Front Desk Assistant

Set up consultations for Orthodontists and interpreted for Spanish-speaking patients.

Answered inbound phones and verified insurance for patient verification.

Scheduled appointments, checked patients in/out of the office, collected co-pays, and trained new employees.

Ultimate Medical Academy

Associate of Science Degree — Medical Billing and Coding, 2021

Sanford Brown Institute

Diploma — Medical Assistant, 2009

Thompson Institute

Diploma — Medical Office Management, 2004

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