Experience

Sunshine Billing

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Team Lead

  • Jun 2018 - Present

  Manage work flow for the insurance and authorizations department.On top of workflow making sure all of the doctors we work for schedules and patients have been verified and correct referral or authorization is obtained before visit.Work with a multitude of doctors in a variety of specialties.Obtain patient benefits and authorizations for surgeries and office to ensure maximum payment from insurance companies.Collect and run patient payment for surgeries done in a surgical center, hospital, or office.Investigate claims and claim denials. Resubmit claims/ corrected claims to be sent to insurance company for further review.



Liberator Medical Supply, Inc.

• United States
• Medical Practices
• 1 - 100 Employee

• Insurance Verification Specialist

  • Jun 2016 - May 2018

  Verifying and obtaining patient benefits for their durable medical supplies.Run and collect payment for patients. Submit claims and authorizations to insurance companies. Verifying and obtaining patient benefits for their durable medical supplies.Run and collect payment for patients. Submit claims and authorizations to insurance companies.



Humana

• Brazil
• Professional Training and Coaching

• Customer Service Specialist

  • Sep 2014 - Apr 2015

  Provide customers with information on such topics as prescription medications, mail order pharmacy, questions and concerns, contacting doctors’ offices with customer related problems, process credit payments for purchasing medications.Able to please the needs of Humana insurance members at peak enrollment seasons, and how to control escalating situations.Insurance verification, checked eligibility of members benefits, contacted doctors’ offices for insurance members prescription medications Provide customers with information on such topics as prescription medications, mail order pharmacy, questions and concerns, contacting doctors’ offices with customer related problems, process credit payments for purchasing medications.Able to please the needs of Humana insurance members at peak enrollment seasons, and how to control escalating situations.Insurance verification, checked eligibility of members benefits, contacted doctors’ offices for insurance members prescription medications



JCPenney

• United States
• Retail
• 700 & Above Employee

• Seasonal Sales Associate

  • Sep 2013 - Dec 2013

  Assist clients with any questions, work behind the register and required for closing/opening store register. Manage P.O.S operating system and able to deal with costumers at eager points of shopping. Assist clients with any questions, work behind the register and required for closing/opening store register. Manage P.O.S operating system and able to deal with costumers at eager points of shopping.



BJ's Wholesale Club

• United States
• Retail
• 100 - 200 Employee

• Cashier

  • Nov 2012 - Dec 2013

  Described use and operation of merchandise to customers.Received and processed cash and credit payments for in-store purchases.Opening and closing the store and cash registers, including counting cash.Demonstrate that customers come first by serving them with a sense of urgency.Due to my excellent customer service I was able to exceed personal goals by 39%. Described use and operation of merchandise to customers.Received and processed cash and credit payments for in-store purchases.Opening and closing the store and cash registers, including counting cash.Demonstrate that customers come first by serving them with a sense of urgency.Due to my excellent customer service I was able to exceed personal goals by 39%.