Patient Care Customer Service
Resume:
Rosa
Gamillo
P A T I E N T C A R E A D V O C A T E
***********@*****.***
PRAIRIE, USA, 53590
Data Entry and Administration expert with over two decades of experience in data analysis, healthcare administration, and executive assistance. Mastery of Microsoft Office, Concur, and diverse administrative systems, with a focus on optimizing claims processing and eligibility management. Known for enhancing
operational efficiency and fostering stakeholder
collaboration, with a passion for driving strategic initiatives in dynamic environments.
PATIENT CARE ADVOCATE Jan 2025 - Present
Sagility REMOTE
Dedicated Patient Care Advocate with over 5 years of experience in enhancing patient satisfaction and support within the healthcare industry. Skilled at navigating complex healthcare systems to ensure patients receive timely and appropriate services. Proficient in communicating effectively with patients, families, and healthcare professionals to address concerns and needs. Assisting with plan management to process claims. Stopping and cancelling claims. Conducting research and analysis to ensure claims are processed correctly.
EXECUTIVE ASSISTANT II Nov 2018 - May 2024
University of Wisconsin Madison, Wisconsin, USA
Manage AVP calendars, travel; support operations, boosting efficiency and collaboration. Facilitated 100+ meetings yearly, enhancing communication and strategic goals. Optimized purchasing, improving resource use and office productivity. Supported compliance, outreach, ensuring policy adherence and program success. Enhanced administrative processes, driving strategic initiatives and cross-unit collaboration. Implemented streamlined administrative processes, significantly improving workflow efficiency and enhancing outreach program effectiveness. Provided crucial support for student programs and compliance initiatives, contributing to the division's overall success and policy adherence. Facilitated seamless communication among stakeholders, coordinating over 100 annual meetings to advance divisional objectives. Streamlined administrative processes, boosting workflow efficiency and outreach program effectiveness while managing calendars and travel for AVP Orchestrated 100+ annual meetings, fostering communication among stakeholders and advancing divisional objectives through strategic coordination. Revamped purchasing procedures, optimizing resource utilization and enhancing office productivity through creative problem - solving approaches. Spearheaded cross-unit collaboration efforts, driving strategic initiatives and enhancing overall administrative efficiency across the organization. Orchestrated 100+ annual meetings, driving strategic goals and enhancing cross-unit collaboration, while managing AVP calendars and travel arrangements. Revamped administrative processes, significantly boosting workflow efficiency and outreach program effectiveness across the organization. Optimized purchasing procedures, enhancing resource utilization and office productivity through data-driven decision-making and problem-solving. Provided crucial support for student programs and compliance initiatives, ensuring policy adherence and contributing to divisional success. Spearheaded strategic initiatives, fostering interdepartmental collaboration and driving administrative efficiency improvements across the university.
DATA ANALYST Sep 2004 - May 2018
Wisconsin Physicians Services Madison, Wisconsin, USA Work hand in hand with outside vendor companies regarding member eligibility, claims processing and payments for services rendered. Update eligibility on external processing systems. Audit and reconcile difficult billing statements to ensure accuracy of premium billing statements to healthcare customers. Administer group and individual policies and adjust all coverage's, rate structures, premium and eligibility. Responsible for issuing all the required policy materials. Analyzed complex billing statements, ensuring accuracy for healthcare customers. Streamlined eligibility updates on external systems, enhancing data integrity. Optimized claims processing workflows, collaborating with vendors to improve efficiency. Implemented reconciliation strategies, reducing billing errors. Meticulously administered group and individual policies, adjusting coverage, rate structures, and eligibility. Ensured compliance with policy requirements. Fostered strong relationships with external vendors, enhancing communication for seamless member eligibility and claims processing operations. Developed innovative approaches to policy administration, streamlining processes and improving overall efficiency in premium billing and eligibility management. Streamlined claims processing, enhancing data integrity and reducing errors. Optimized workflows for improved efficiency in premium billing and eligibility management.
MASTERS IN BUSINESS
ADMINISTRATION
Nov 2019 - Jun 2023
University of Phoenix
BACHELOR OF SCIENCE IN
HEALTH
ADMINISTRATION/HEALTH
MANAGEMENT
Jul 2014 - Jul 2016
University of Phoenix
ASSOCIATES DEGREE IN
HEALTHCARE
ADMINISTRATION/MEDICAL
RECORDS
Mar 2009 - Apr 2011
University of Phoenix
CERTIFICATION Jul 2025 - Present
Medical Coding and Billing Online
S K I L L S
Citrix Systems (Experienced),
Express Scripts (Experienced),
Zoom (Experienced), Data Entry
(Expert),
Records Management (Expert),
Claims Processing (Experienced),
Customer Service (Expert), Medical
Terminology (Skillful),
Microsoft Office (Expert), Adobe Pro
(Experienced), Travel Wise (Expert),
Wiser (Experienced), Box (Expert),
Concur (Expert),
Billing (Experienced), Event
Planning (Expert), Report Writing
(Expert), Time Management (Expert)
.
Healthcare Administration and
Report Analysis
Understanding of insurance policies
and medical terminology
Linkedin : www.linkedin.com.
E X P E R I E N C E
E D U C A T I O N
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