Service Representative Patient
Resume:
C O N TACT
**********@*****.***
Fall River, MA 02723
Driver's License
phone
address
driving license
P R O F E S S I O N A L S U MMARY
Dedicated Patient Service Representative adept at
resolving insurance benefit issues and ensuring accurate patient information submission. Skilled in HIPAA
compliance and medical terminology. Known for guiding and assisting colleagues through challenging accounts and providing exceptional customer service.
E D U C ATION
June 2001
High school or equivalent in Academics
Massasoit Community College, Brockton, MA
E X P E R I E N C E
December 2023 - December 2024
Patient Service Representative
WPS Health Solutions
• Identify and solve complex insurance benefit issues Obtain detailed patient information to accurately
submit to the proper insurance carriers
•
Contact health care providers to obtain referrals or additional information as necessary
•
Follow up with insurance companies to ensure
receipt of patient benefit authorizations
•
Must maintain strong attention to detail to
transpose data and information accurately
•
Guide and assist Patient Care Coordinators through difficult accounts
•
Provide information and assist patients when help
is needed by researching benefit coverage
•
Assist other departments as needed, including
Billing and Front Office
•
Assist with provider creditaling and certification for Certification unit
•
Ensured compliance with HIPAA regulations
through proper handling of confidential patient
information.
•
• Processed payments and reconciled accounts.
Obtained proper authorization and identification
prior to release of confidential medical records.
•
Resolved patient billing issues and collected
payments.
•
Processed authorizations for medical tests and
procedures.
•
Counseled and assisted patients with application
processes for available financial assistance
programs.
•
Assisted patients with insurance information and
billing questions.
•
Explained policies, procedures, and services to
patients using medical and administrative
knowledge.
•
Referred patients to appropriate health care
services or resources.
•
J I L L I A N VARELA
July 2022 - April 2024
Assistant Manager
The Fragrance Outlet, Medford, MA
March 2022 - June 2022
Consistently create a welcoming environment for
guests by greeting, anticipating needs, exceeding
expectations and implementing creative solutions
to provide an exceptional experience and customer
service
•
Provide training and development of staff through
servant leadership and continuously assess talent
at all levels by leading by example and exemplifying a positive demeanor
•
Supervise, motivate, and inspire staff to cultivate exceptional levels of performance and
appropriately counsel staff when they are not
meeting expectations
•
Regularly coach and provide feedback in order to
develop and maintain the best talent in the industry and encourage the team to maximize their personal
growth and development
•
Supervising all staff positions, including hiring,
training, scheduling, breaks, coaching, and
developing, and disciplining employees in
accordance with company policies and staffing
needs
•
Performing daily opening and closing, operational
and administrative duties as needed while
upholding and administering all policies
•
Ensure facility is kept in a clean, safe, and good general working order
•
Constantly monitor the store, property and
equipment
•
Must be able to perform minor repairs around
facility, troubleshoot equipment and perform minor repairs as needed
•
Controlling costs, including all direct operating
expenses, stock items and any other supplies
needed for daily operations, as well as the
inventory and auditing processes involved in
tracking those supplies and minimizing inventory
loss or waste
•
Learning and enforcing proper cash handling
procedures
•
Responsible for cash drawers, petty cash, and
deposits
•
Monitoring risk management as it pertains to
employee and guest safety, loss prevention,
emergency situations, and the proper handling
reporting, and investigating of accident
•
Onboarding Specialist
Randstad, Woburn, MA
January 2018 - January 2020
Customer Service Representative
Ready Refresh Nestle, Raynham, MA
January 2010 - January 2013
Dental Receptionist
Dr Morris Cohen, Brockton, MA
Maintained accurate records of onboarding
documents to ensure compliance with employment
laws and regulations.
•
Completed paperwork related to background
checks, I-9 forms, and tax forms accurately before start employment start date.
•
Developed and implemented onboarding plans for
new hires, ensuring smooth transition into
company.
•
Issued background checks and drug screens to new
hires to verify authorization to work.
•
Created handbooks to detail company operations
and policies.
•
Collaborated with HR personnel to identify areas
for additional support during onboarding
processes.
•
Collaborated with cross-functional teams to
streamline onboarding processes and reduce time-
to-productivity for new employees.
•
Designed onboarding strategies to increase
employee engagement and retention.
•
Handled customer complaints and inquiries in a
courteous and efficient manner.
•
Developed strong customer relationships and
loyalty through effective communication.
•
Responded to telephone inquiries and complaints
following standard operating procedures.
•
Addressed customers courteously using suitable
methods and problem-solving skills.
•
Utilized problem-solving techniques to identify
solutions for complex customer inquiries.
•
Delivered personalized customer service relating to questions and promptly resolved basic problems on
customer accounts.
•
Provided account information to customers and
explained bill service policies and customer rights.
•
Gave accurate and appropriate information to
answer questions, troubleshoot issues and resolve
complaints.
•
January 2000 - January 2010
Executive Administrative Assistant/Office Manager
Cm Fine Offset, Taunton, MA
Answered and managed incoming calls to schedule
patient appointments and confirm upcoming
appointments.
•
Contacted insurance companies to verify patient
eligibility and coverage.
•
Received and processed payments for services
rendered, including cash and credit transactions.
•
Assisted with general administrative duties such as filing and scanning documents, entering data into
computer systems, faxing forms, and ordering
supplies.
•
Managed patient records, ensuring accurate and
up-to-date information, and maintaining
confidentiality in accordance with HIPAA
regulations.
•
Maintained confidentiality of patient records in
compliance with HIPAA regulations.
•
Answered telephones and directed calls to
appropriate staff.
•
Transmitted correspondence and medical records
by mail, e-mail and fax.
•
• Completed insurance or other claim forms.
Followed up with patients after dental procedures, scheduling post-treatment appointments, and
addressing any concerns or questions.
•
Assisted with patient registration and completion of necessary forms, ensuring accurate and complete
documentation for each visit.
•
Schedules and organizes complex activities for
corporate-wide and executive team meetings,
travel, conferences and department activities
•
Assists Director of Finance with tracking and filing corporate annual reports and state filings
•
Sets up and maintains tracking system for state
filing deadlines
•
Plans and coordinates various Company meetings
such as Company Update, Monthly OSHA meeting
•
Collaborating on other departmental or ad hoc
requests as needed and occasionally covering for
other admins
•
Attended key meetings, captured follow-up tasks,
and kept tasks current
•
Provided executive-level administrative support to senior management, including calendar and travel
coordination.
•
Handled sensitive information confidentially in
accordance with regulations.
•
Composed routine correspondence such as emails,
memos, letters and reports in accordance with
established standards.
•
Coordinated meetings with internal and external
stakeholders, prepared agendas, distributed
minutes and followed up on action items.
•
Answered phones, handled calls, and fielded
appointment requests to assist supervisors.
•
Created presentations utilizing MS Office Suite for
various departments within the organization.
•
Assisted in budget preparation by analyzing
financial statements for discrepancies or
irregularities.
•
Prepared travel arrangements and coordinated
logistics for executives traveling internationally.
•
• Managed and maintained executives' schedules.
Set up and oversaw administrative policies and
procedures for offices and organizations.
•
S K I L L S
• Google Docs
• Windows
• Calendar management
• Office Management
• Time management
• Customer service
• HIPAA compliance
• Medical terminology
• Office administration
• Payment collection
FLUENT IN Spanish,Portuguese, Cape verdean
Creole
•
• Verbal and written communication
• Phone etiquette
C E R T I F I C ATIONS
Professional In Human Resources, Driver's License, 11/01/20, 11/01/25
•
G A P I N E M P L O Y M E N T
01/01/20, 12/01/22, Medical leave: Took time off to address a health issue, now fully recovered. P E R S O N A L I N F O R M ATION
Work Permit: Authorized to work in the US for any employer R E F E R E N C E S
References available upon request
Contact this candidate