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Summary

Friendly Customer Service experience with can-do attitude and willingness to help at all times. Seasoned customer service specialist with background in providing advice on diverse customer situations.

Data Entry, Accounting experience, I love to work as a team with everyone.

Highlights
  • Bilingual Fluent English & Spanish
  • Knowledge in Microsoft Office, Outlook, Word, Excel,
  • Knowledge in Quick books - Payroll, Book keeping, & Accounts
  • Adobe, Sales Force TOPS & CINC, Tax software proficiency
  • Public Notary
  • Strong client relations point,
  • Quick learner
  • Scheduling
  • Compliance testing knowledge
  • Strong organizational skills
Experience
Receptionist/Customer Services/Admin Assistant 07/2018 to Current SWFL CAM Services Fort Myers, FL
  • Multi Task answering phone and computer work
  • TOPS & CINC Software Program
  • Work ARC or ACC modification applications to condo & Homeowner Board for approvals
  • Certificate Of Approvals for home or units purchase/Lease
  • Organize and filing
  • Lee county Property Appraiser
  • Lee Clerk.Org (For Condo or HOA Docs & By Laws)
  • Estoppel Request & Condo questionnaires
  • Collecting payments for HOA's , Over due payment, App fees, Questionnaires
  • Mail Outs
  • Excel spread sheets (Accounting)
  • Directed clients to appropriate personnel to address concerns, resolve complaints or answer account-related questions
  • Managed and anticipated clerical needs of company employees, including copying, faxing and file management
Bilingual Certified Tax Specialist 11/2015 to 04/2019 HR Block Fort Myers, FL
  • Filing 1040 EZ,1040A Schedule A B C D & Self Employment Taxes, Amendments & Audits
  • Microsoft Outlook, HR Block software, E file , Tax Act
  • Politely assisted customers in person and via telephone
  • Provided an elevated customer experience to generate a loyal clientèle
  • Answered product questions with up-to-date knowledge of sales and store promotions
  • Developed reputation as an efficient service provider with high levels of accuracy
  • Provided onsite training
  • Created communication strategies to meet client objectives
  • Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival
Administrative Assistant / Accountant (Temp) 05/2019 to 07/2019 Crown Linen LLC Fort Myers, FL
  • Controlled and managed document processes by reviewing files, records and critical information to confirm accuracy and ensure compliance with company policies and procedures
  • Processed financial documents including contracts, expense reports and invoices
  • Communicated with vendors to place and receive orders, request maintenance services and deliver instruction on behalf of office management
  • Tracked and submitted employee time sheets to accounting department for payroll processing
  • Created and maintained spreadsheets and developed administrative and logistical reports
Bilingual Customer Service Representative/ Shipping Department Assistant Manager 05/2017 to 12/2017 Direct Cellars Fort Myers, FL
  • Inbound out bound calls nation wide / and UK for wine club members
  • UPS Exceptions for address updates, orders returned to sender Emailed or Left Voice mails
  • Wine Direct Software & Company Website
  • Exigo Administration site software
  • Company Outlook Software
  • Reviewed and provided comments on the adequacy of documents and took necessary steps to cure any deficiencies.
  • Consulted club members and distributors out in the field to progress more along with company
Bilingual Enrollment Specialist 12/2014 to 08/2015 Alta Resources Gateway, FL
  • Website of BCBS & Market Place(Healthcare.gov) Enrollment
  • Described product to customers and accurately explained details and care of merchandise
  • Answered product questions with up-to-date knowledge of sales and store promotions
  • Handled daily heavy flow of paperwork and cooperated with the accounting departments on invoicing and shipping problems
  • Accurately documented, researched and resolved customer service issues
  • Mastery of customer service management systems and databases
Accomplishments
Competitive Analysis
  • Performed competitive analysis to make recommendations for future company growth.

Accounting Reviews
    • Conducted detailed technical and analytical review of federal/state corporate, partnership and S corporation tax returns, FAS 109 provisions, and quarterly estimates prepared by associates.
    Operated computers programmed with accounting software to record, store, and analyze information.
Skills


  • Client Relations
  • Computer Proficient
  • Creative Problem Solving
  • Customer Satisfaction
  • Lead Development
Education
High School Diploma 2006 New Direction Academy High School Fort Myers, FL  2 programs attended J.R.O.T.C (3yrs) J.R.O.T.C Drill team, Choirs, Business computer tech
Rasmussen College Fort Myers, FL studied in the fields of correctional officer, paralegal, attorney
This resume is created in 7 minutes.
Professional Profile

A skillful qualified and dedicated individual with over 20 years of excellent customer service experience and over 15 years of management experience.  Over 30 years of insurance industry experience; Also, two years of Outpatient Case management health care experience. Motivated and a hard worker that supports all team goals, reacts positive to change, adapts to skills quickly and successfully.  Organized and able to comprehend directions at all levels. Experience includes:

  • Clerical and customer service experience in the health care field    (responsible for obtaining demographic and insurance financial information during their initial patient registration for billing and insurance purposes)
  • Emergency Room Registration
  • Knowledgeable of insurance plans and guidelines
  • MMA( Managed Medical Assistance)
  • Case Management- Transitional Care Coach
  • Care Coordinator
  • Adult and Pediatric Medicaid
  • Extensive experience with third party payors requesting prior authorizations for inpatient admission.
  • Home Health Referrals
  • Health Risk Assessment
  • Proficient in the use of Microsoft Office: Word, Outlook, Excel, Access, and Power Point. 
  • Completed Health IT Workforce Training
  • Knowledgeable of basic medical terminology
  • Hospital Epic System and Point Click Care systems (Outpatient Case Management documentation)


Key Skills
  • Clear Concise Communication Skills
  • Interpersonal Skills
  • Mediation and Problem Solving
  • Supervision and Training
  • Courteous Demeanor
  • Ability to work accurately and effectively/Multi-tasking
  • Excellent Verbal and Written Communication Skills
  • Enthusiastic, friendly, and provides personable professional service to all customers in healthcare
  • Advanced Computer Skills
  •  Proficient in responding to customer complaints and finding solutions
  • Relationship building


Professional Experience
Rep Client Service II- Admin 03/2017 to 08/2017 UF Health Jacksonville Jacksonville, FL
  • Reports directly to the designated immediate manager for the specific practice or outpatient department.
  • Responsible for scheduling patient appointments. 
  • Interviews patients to obtain appropriate demographic and financial information. 
  • Registers patients and performs other registration functions. 
  • Obtains necessary signatures and documentation from patients for billing and insurance purposes. 
  • Orders laboratory tests and other tests via the computer system at the direction of the physicians. 
  • Performs end-of-day disposition and gathers appropriate statistical information relating to patients.
  • Announces the arrival of patients and answers incoming telephone calls for the department/practice. 
  • Serves as a liaison between patients, nurses, physicians, and others. 
  • Provides excellent customer service and greets patients entering the department/practice. 
  • A professional multi-skilled person dedicated to assisting in all aspects of medical practice including administrative and clinical procedures under the direct supervision and responsibility of a licensed physician.
Program Coordinator 06/2015 to 03/2016 Centene Corporation
  • Provided services for the needs of Child Welfare and Florida Healthy Kids.
  • Screen for eligibility and benefits.
  • Updated Primary Care Provider change requests.
  • Screen members by priority for case management assessment.
  • Performed transition of care duties for home health and special equipment needs.
  • Completed one on one assessments and documented all notes into the system.
  • Assisted in locating specialty providers.
Financial Representative 03/2015 to 12/2015 UF Health Jacksonville Jacksonville, FL
  • Complete the pre-admission required steps in the clinical area to process the registration for the customers.
  • Interact daily with a high volume of customers from 250 to 300 per day, where the acuity levels may be more severe in assigned registration areas
  • Knowledgeable of all insurance plans and guidelines. 
  • Ability to prioritize tasks and organize workflow. 
  • Able to handle stressful situations in a professional customer service related manner. 
  • Verify all demographic information in a timely and accurate manner. Load, verify all insurance information.
  • Evaluate self-pay and insurance deficient patient accounts for financial assistance programs
  • Responsible for extensive tracking and identification of third party payors insurance plans from admissions through discharge.
  • Research and identify collection of payments needed from the patient; Cashiering.
  • Maintain stable work environment in high pressure situations.
Case Manager 01/2013 to 12/2014 First Coast Advantage, LLC Jacksonville, FL
  • Promoting desirable patient outcomes by means of identifying emotional, social, or environmental barriers while using critical thinking.
  • Conduct risk assessment to identify emotional, medical, social or environmental needs of member over 250 members per month.
  • Maintain accurate and up to date documentation in patient's hospital records.
  • Efficient in the usage of the Medicaid fee schedule and handbook.
  • Face to Face interaction in the clinical area with members seen in the Emergency room to schedule PCP follow appointments.
Care Coordinator 01/2013 to 12/2013 First Coast Advantage, LLC
  • Complete daily calls to members seen in the various hospital settings which are seen in the emergency room or have been hospitalized for more than 300 members a month.
  • Scheduled provider and specialist appointments, arrange transportation for members seen in the ER and encourage support from family units.
  • Interact and provide assistance to transitional care team members to ensure members' transitional needs are met, Refer members to higher level of transitional care when needs are identified.
Emergency Room - Financial Representative 12/2010 to 02/2013 UF Health Jacksonville Jacksonville, FL
  • Complete the pre-admission required steps in the clinical area to process the registration for the customers.
  • Interact daily with a high volume of customers from 250 to 300 per day, where the acuity levels may be more severe in assigned registration areas.
  • Knowledgeable of all insurance plans and guidelines. 
  • Ability to prioritize tasks and organize workflow. 
  • Able to handle stressful situations in a professional customer service related manner.  Verify all demographic information in a timely and accurate manner.
  • Load, verify all insurance information.
  • Evaluate self-pay and insurance deficient patient accounts for financial assistance programs
  • Responsible for extensive tracking and identification of third party payors insurance plans from admissions through discharge.
  • Research and identify collection of payments needed from the patient; Cashiering.
  • Maintain stable work environment in high pressure situations.
Provider Enrollment Specialist 08/2010 to 11/2010 First Coast Service Options
  • Screen, validate and process sensitive information received from the provider.
  • Process South Florida enrollment applications and review for high risk providers to determine whether site verification is required.
  • Research and resolve problems via telephone and written inquiries from providers.
Supervisor 03/2003 to 02/2009
  • Responsible for 20 employees in the Front End Services Department that received and processed the incoming mail of over 3,500,000 claims and correspondence for Blue Cross Blue Shield of Florida.
  • Provide daily coaching for achieving high production performance.
  • Collaborate with the team regarding their annual performance appraisals based on their production performance.
Education
Associate of Arts Degree May 2017 FLORIDA STATE COLLEGE AT JACKSONVILLE Jacksonville, Florida
Completed Six Months Health IT Workforce Training Program - Implementation Manager July 2011 - December 2011 Certificate of Completion December 2011 SANTE FE COMMUNITY COLLEGE Gainesville, Florida
Professional Affiliations
ADVANTAGE, LLC - Jacksonville, Florida 48 Hours of Member Coach Training UF Health Training Basic Life Skills Certified 2014 Awards and Community Involvement Ovation Award - March 2014 Applause Award - September 2014 Women's Missionary Community Clothing and Food Pantry
This resume is created in 7 minutes.
Professional Summary
Skills
  • Operating systems: Windows 98/2000/XP
  • Software Applications: Excel, PowerPoint, Word, Outlook, Project Explorer, Photoshop and Internet Explorer
Work History
Enrollment Specialist Apr 2010 - Current
Virginia College AL

  • Facilitate full-cycle recruitment process across all business lines and source candidates through proven recruitment channels.
  • Conduct all activities in accordance with the highest ethical standards. Adhere to all state, and federal accreditation and college rules regulations regarding student recruitment.
  • Increased retention rates by working with executive leadership.

Educational Recruiter Sep 2008 - Apr 2010
ITT Technical Institute AL
  • Duties consist of recruiting potential prospects to higher education.
  • As a recruiter, I developed marketing plans and skills that delivered results to an outstanding number of students enrolled.

Licensed Agent Sep 2007 - Sep 2008
New York Life AL
  • Duties consist of sales and marketing, while maintaining a business/client relationship.
  • The marketing abilities I've obtained generated extensive growth to the company.
Certified Medical Assistant Team Leader Aug 1998 - Jan 2009
SouthernCare Hospice AL
  • Assists patients with activities of daily living, filed medical notes, ordered supplies.
  • As team leader, I made sure all the clients and caregivers were satisfied with the hospice care they were receiving.
Education
Bachelor of Science: Human Resource Management Oct. 2007
Faulkner University Alabama
Human Resource Management
Associate of Science Degree: Dec 2005
Bishop State Community College Alabama
Certified Nursing Assistant, Certificate: May 1996
Associate of Science Degree: June 1993
Bishop State Community College Alabama
Phillips Junior College Alabama
This resume is created in 7 minutes.
Summary
A professional Patient Account Representative with over 10 years experience in a hospital and Independent Blue Cross Insurance. With an ability to effectively communicate with patients and insurance carriers regarding billing and insurance matters. Strong ability to listen and understand concerns and questions from patients resulting with positive outcomes.
Skills
  • Experience with software and dedicated data bases.
  • Electronic billing and collections.
  • Customer Service, office operations and healthcare.
  • Claims and billing specialist.
  • Team oriented
  • Self driven and motivated.
  • Adaptable to new concepts, practices and procedures.
Experience
Self Employed Hospice Care Feb 2011 to Current
Hospice of America Cherry Hill, NJ
  • Home Health and Hospice Care
  • Cared for patients recently discharged from medical facilities.
Self Employed Mentor Feb 2005 to Jan 2011
Community Alternatives Cherry Hill, NJ
  • Provided therapeutic care and emergency treatment for special needs patients.
  • Communicated with state agencies, patients and families.
  • Maintained accurate documentation as per state requirements.
Enrollment Specialist Mar 2003 to Jan 2005
Unisys Corporation Trenton, NJ
  • Validated qualified potential providers for New Jersey Medicaid.
  • Efficient communication for processing and revising files
Customer Service Representative Apr 1997 to Dec 2000
Independent Blue Cross Philadelphia, PA
  • Administered inquires for more than 300 members per day concerning their benefits.
  • Resolved complaints and billing discrepancies.
Patient Accounting and Financial Counseling Jan 1990 to May 1997
West Jersey Health System Marlton, NJ
  • Obtained data for patient charges and insurance verification.
  • Billed insurance and collected delinquent accounts.
Education
Liberal Arts Burlington Community College
General Studies Philadelphia Community College