Derrontae Gonzalez
Aurora
Summary
Reliable professional offering an extensive career promoting positive customer experiences. Sharp Eligibility Specialist boasting expertise in managing and eligibility information for members and groups.
Overview
13
13
years of professional experience
Work History
Medical Registrar
UI Health
07.2024 - Current
- Greeted every guest with personable approach and provided knowledgeable service.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Updated computer system with latest information to keep records current and accurate.
- Verified paperwork accuracy and checked for completion prior to processing.
- Facilitated student registration with admissions and records departments for smooth administration processes.
- Developed and implemented registration policies, procedures and timelines for smooth administration processes.
- Performed regular quality and validation assessments on patient data to verify accuracy.
- Upheld HIPAA regulations and standards for protecting patient information.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assisted in patient admission process based on federal and state laws.
- Confirmed all insurance benefits met standards of admissions as dictated by policy.
- Completed preliminary paperwork for incoming and outgoing patients.
Medicare Enrollment Specialist
Zing Health
01.2022 - 01.2024
- Developed and implemented procedures for ensuring accuracy in Medicare enrollment applications.
- Created and maintained a database to track enrollment status of applicants.
- Reviewed applications to verify accuracy and completeness of information provided.
- Provided detailed explanations of Medicare benefits, services, and coverage options to customers.
- Researched customer inquiries regarding eligibility for Medicare programs.
- Assisted customers with completing the application process for Medicare enrollment.
Medicaid Representative
Evolent Health
01.2020 - 10.2022
- Assisted clients with Medicaid applications and renewals, answering questions and providing guidance throughout the process.
- Conducted outreach to low-income individuals in order to inform them of their eligibility for Medicaid services.
- Researched and responded to inquiries from clients regarding Medicaid coverage and benefits.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Updated customer information in CRM database daily to document latest interactions and activity.
Housekeeping Room Attendant
Sheraton Grand Chicago
01.2017 - 01.2020
- Cleaned guest rooms, including vacuuming carpets and dusting furniture.
- Maintained cleaning cart with supplies, such as fresh linens and towels.
- Checked rooms to ensure they met standards for cleanliness and tidiness.
- Replenished room amenities according to established guidelines.
- Followed safety procedures when using chemical cleaners and power equipment.
- Inspected all assigned rooms upon completion of cleaning duties.
Field Interviewer
NORC at the University of Chicago
02.2015 - 03.2017
- Accurately recorded data from survey responses and entered into database.
- Assessed the accuracy of collected data to ensure quality control.
- Provided clear instructions to survey respondents regarding interview process.
- Ensured adherence to ethical guidelines for collecting sensitive information from respondents.
- Created detailed reports summarizing findings and results of field interviews.
Billing Specialist
Xerox
08.2012 - 01.2015
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Resolved discrepancies between customers' remittances and invoices received.
- Answered customer inquiries regarding billings, payments, account status.
Education
GED -
Chicago City College
09-2017
Skills
- Insurance Knowledge
- Organization
- Negotiation
- Documentation
- Strong Presentation Skills
- Eligibility Determination
- Cold Calling Expertise
- Excellent Communication
- Attention to Detail
- Adaptability and Flexibility
- Payment Collection
- Application Review
- Recordkeeping and Data Input
- Relationship Building
- Problem-Solving Abilities
- Team Building
- Active Listening
- Applicant Support and Service
- Professional Demeanor
- Telephone Etiquette
- Application Support
- Multitasking
- Decision-Making
- Time Management
- Teamwork and cooperation
- Confidentiality and HIPAA compliance
- Data entry
- Medical insurance
- Verification and eligibility
- Admissions and registrations
- Admissions support
- Payment processing
References
References available upon request.
Timeline
Medical Registrar
UI Health
07.2024 - Current
Medicare Enrollment Specialist
Zing Health
01.2022 - 01.2024
Medicaid Representative
Evolent Health
01.2020 - 10.2022
Housekeeping Room Attendant
Sheraton Grand Chicago
01.2017 - 01.2020
Field Interviewer
NORC at the University of Chicago
02.2015 - 03.2017
Billing Specialist
Xerox
08.2012 - 01.2015
GED -
Chicago City College
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