Experience

Florida ENT & Allergy

• United States
• Medical Practices
• 1 - 100 Employee

• Front Desk Coordinator

  • May 2021 - Aug 2022

  Verify and/or update active insurance policies prior to patient’s appointment Update patient demographics Check patients in and out for their medical specialist appointment Calculate and collect patient’s financial responsibility at the beginning and end of their appointment Schedule upcoming appointments for multiple office locations in person or by phone Post charges and payments to patient’s account Request future authorization documents to offer medical service Balance… Show more Verify and/or update active insurance policies prior to patient’s appointment Update patient demographics Check patients in and out for their medical specialist appointment Calculate and collect patient’s financial responsibility at the beginning and end of their appointment Schedule upcoming appointments for multiple office locations in person or by phone Post charges and payments to patient’s account Request future authorization documents to offer medical service Balance out cashier’s drawer Cross check personnel and financial records to present to management Complete teller transactions for biweekly cash/check deposits Implement financial security procedure(s) for fraud prevention Show less Verify and/or update active insurance policies prior to patient’s appointment Update patient demographics Check patients in and out for their medical specialist appointment Calculate and collect patient’s financial responsibility at the beginning and end of their appointment Schedule upcoming appointments for multiple office locations in person or by phone Post charges and payments to patient’s account Request future authorization documents to offer medical service Balance… Show more Verify and/or update active insurance policies prior to patient’s appointment Update patient demographics Check patients in and out for their medical specialist appointment Calculate and collect patient’s financial responsibility at the beginning and end of their appointment Schedule upcoming appointments for multiple office locations in person or by phone Post charges and payments to patient’s account Request future authorization documents to offer medical service Balance out cashier’s drawer Cross check personnel and financial records to present to management Complete teller transactions for biweekly cash/check deposits Implement financial security procedure(s) for fraud prevention Show less



Sunshine Health

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Customer Service Specialist

  • Sep 2018 - Apr 2021

  Primary contact for providers serving as a liaison between the provider and the health plan Provide benefits and eligibility on previous or existing medical coverage Investigate and resolve provider claims issues for government and self-funded coverage Respond to client inquiries and/or verify information via telephone and written correspondence Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and… Show more Primary contact for providers serving as a liaison between the provider and the health plan Provide benefits and eligibility on previous or existing medical coverage Investigate and resolve provider claims issues for government and self-funded coverage Respond to client inquiries and/or verify information via telephone and written correspondence Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and problem solving Document all activities for quality and metrics reporting through the OMNI application Make referrals to other departments as appropriate Maintain performance and quality standards of call center metrics Perform credentialing and re-credentialing activities according to plan specifications Follow up with physicians and providers on missing information Assist other departments in meeting client needs Show less Primary contact for providers serving as a liaison between the provider and the health plan Provide benefits and eligibility on previous or existing medical coverage Investigate and resolve provider claims issues for government and self-funded coverage Respond to client inquiries and/or verify information via telephone and written correspondence Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and… Show more Primary contact for providers serving as a liaison between the provider and the health plan Provide benefits and eligibility on previous or existing medical coverage Investigate and resolve provider claims issues for government and self-funded coverage Respond to client inquiries and/or verify information via telephone and written correspondence Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and problem solving Document all activities for quality and metrics reporting through the OMNI application Make referrals to other departments as appropriate Maintain performance and quality standards of call center metrics Perform credentialing and re-credentialing activities according to plan specifications Follow up with physicians and providers on missing information Assist other departments in meeting client needs Show less



Health Net Federal Services, LLC

• United States
• 1 - 100 Employee

• Customer Service Specialist

  • Mar 2017 - Sep 2018

  Customer service to veterans and vendors via phone Provide service on existing and potential veterans' medical coverage Operate switchboard to appropriate service departments Stay abreast of current medical insurance policies Locate and disclose medical providers' information within corresponding network Update insurance plans and submit for review Interpret medical coding, ICD-10 codes, and provide service updates Service medical claims for ex-military personnel Process… Show more Customer service to veterans and vendors via phone Provide service on existing and potential veterans' medical coverage Operate switchboard to appropriate service departments Stay abreast of current medical insurance policies Locate and disclose medical providers' information within corresponding network Update insurance plans and submit for review Interpret medical coding, ICD-10 codes, and provide service updates Service medical claims for ex-military personnel Process medical documentation for ex-military personnel Show less Customer service to veterans and vendors via phone Provide service on existing and potential veterans' medical coverage Operate switchboard to appropriate service departments Stay abreast of current medical insurance policies Locate and disclose medical providers' information within corresponding network Update insurance plans and submit for review Interpret medical coding, ICD-10 codes, and provide service updates Service medical claims for ex-military personnel Process… Show more Customer service to veterans and vendors via phone Provide service on existing and potential veterans' medical coverage Operate switchboard to appropriate service departments Stay abreast of current medical insurance policies Locate and disclose medical providers' information within corresponding network Update insurance plans and submit for review Interpret medical coding, ICD-10 codes, and provide service updates Service medical claims for ex-military personnel Process medical documentation for ex-military personnel Show less



Hillsborough County PublicSchools Out-Of-School Time

• Tampa/St. Petersburg, Florida Area

• Teacher Aide

  • Feb 2013 - Mar 2017

  Help students receive a better understanding of classwork Help students with homework, and fundamental learning skills Register students on Cayan software to meet their educational placement needs Inventory and ordering materials for educational projects and productions Plan and preparing for field trips, field days, and creative development activities Organize and file applications and weekly paperwork Help students receive a better understanding of classwork Help students with homework, and fundamental learning skills Register students on Cayan software to meet their educational placement needs Inventory and ordering materials for educational projects and productions Plan and preparing for field trips, field days, and creative development activities Organize and file applications and weekly paperwork