Nahlisia Boneparte

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Claims Representative

The Cigna Group

Jun 2023 - Current (2 years 3 months)

- Process and adjudicate insurance claims accurately and efficiently, ensuring compliance with company policies and regulatory requirements. - Review claim submissions for completeness, verifying necessary documentation and identifying discrepancies. - Utilize claims management software to track, manage, and document claim statuses and outcomes. - Analyze claim data to identify trends, patterns, and opportunities for process improvement. - Prepare and maintain detailed records of claims activity, ensuring data integrity and confidentiality. - Stay updated on changes in insurance policies, procedures, and regulations to provide accurate information to clients and colleagues.

Customer Service Representative

CVS Health

Nov 2021 - Apr 2023 (1 year 6 months)

- Served as a primary point of contact for clients, providing expert guidance on pharmacy services and medications - Educated patients and healthcare providers about prescription benefits, formulary options, and medication adherence programs. - Collaborated with pharmacists and healthcare professionals to resolve medication-related inquiries and optimize patient care. - Analyze and address issues related to claim denials, coordinating with insurance providers to ensure timely resolutions. - Maintained up-to-date knowledge of pharmaceutical products, industry trends, and changes in healthcare regulations.

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Temporary Medical Assistant

CLINICAL COUNSELING AND CONSULTING SERVICES PLLC

Jul 2021 - Sep 2021 (3 months)

- Conducted initial patient assessments, including documenting medical histories, and collecting relevant information for treatment plans. - Managed appointment scheduling and coordinated patient follow-ups to enhance continuity of care and improve patient outcomes. - Maintained accurate and confidential patient records in compliance with HIPAA regulations and office policies. - Collaborated with therapists and clinical staff to facilitate effective communication and treatment planning for patients with behavioral health issues. - Assisted with administrative tasks, including insurance verification, billing, and handling patient inquiries via phone and in-person.

Contracted Medical Assistant

Dascena

Jan 2021 - Apr 2021 (4 months)

- Administered COVID-19 tests, including nasal swabs and saliva samples, ensuring adherence to proper protocols and safety guidelines. - Educated patients on testing procedures, potential outcomes, and follow-up steps to ensure understanding and compliance. - Collected and processed patient information for testing documentation, maintaining accuracy and confidentiality in accordance with HIPAA regulations. - Maintained cleanliness and organization of testing areas, ensuring all equipment and supplies were properly sanitized and restocked. - Monitored and documented adverse reactions or complications, promptly notifying supervising medical staff as needed.

Program Guide

Amazon

Aug 2020 - Jun 2021 (11 months)

Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. • Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. • Implement corporate or departmental policies, procedures, and service standards in conjunction with management. • Discuss job performance problems with employees to identify causes and issues and to work on resolving problems. • Train or instruct employees in job duties or company policies or arrange for training to be provided. • Evaluate employees' job performance and conformance to regulations and recommend appropriate personnel act

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Temporary Medical Assistant

Prana Health

May 2020 - Jun 2020 (2 months)

- Assisted healthcare providers in patient assessments and examinations, preparing rooms and ensuring the availability of necessary supplies. - Conducted routine patient intake procedures, including obtaining vital signs, medical histories, and other relevant information. - Supported patients by providing education on treatment plans, medications, and wellness strategies to promote health and well-being. - Assisted with administrative tasks, including processing insurance claims, verifying patient eligibility, and handling billing inquiries. - Implemented and upheld infection control protocols to maintain a safe and clean environment for patients and staff. - Engaged in ongoing professional development by participating in training sessions

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Contracted Medical Assistant

Docs

Jan 2020 - Jul 2020 (7 months)

- Administered COVID-19 tests, including nasal swabs and saliva samples, ensuring adherence to proper protocols and safety guidelines. - Educated patients on testing procedures, potential outcomes, and follow-up steps to ensure understanding and compliance. - Provided compassionate support to patients, addressing their concerns and answering questions related to the testing process. - Maintained cleanliness and organization of testing areas, ensuring all equipment and supplies were properly sanitized and restocked. - Monitored and documented adverse reactions or complications, promptly notifying supervising medical staff as needed. - Participated in team meetings and training sessions to stay updated on best practices and evolving guideline

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Program Assistant

Child Youth School Services

May 2019 - May 2020 (1 year 1 month)

Maintain a safe play environment. • Dress children and change diapers. • Observe and monitor children's play activities. • Communicate with children's parents or guardians about daily activities, behaviors, and related issues. • Sanitize toys and play equipment. • Keep records on individual children, including daily observations and information about activities, meals served, and medications administered. • Support children's emotional and social development, encouraging understanding of others and positive self-concepts. • Identify signs of emotional or developmental problems in children and bring them to parents' or guardians' attention. • Assist in preparing food and serving meals and refreshments to children. • Instruct children in heal

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Internship Medical Assistant

PREMIER CARDIOVASCULAR CENTER

Sep 2018 - Oct 2018 (2 months)

- Assisted in patient intake by recording vital signs, medical histories, and reason for visit in electronic health records. - Supported healthcare providers during patient examinations and procedures, ensuring the availability of necessary instruments and equipment. - Educated patients about cardiovascular health, treatment plans, and lifestyle modifications to promote heart health. - Conducted preliminary tests such as EKGs, stress tests, and other diagnostic procedures under the supervision of licensed staff. - Documented patient interactions and updated records accurately, ensuring compliance with HIPAA standards.

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Food Service Worker

ARMY AIRFORCE EXCHANGE SERVICE AAFES

Sep 2016 - Sep 2018 (2 years 1 month)

Accept payment from customers, and make change as necessary. • Serve customers in eating places that specialize in fast service and inexpensive carry-out food. • Request and record customer orders, and compute bills using cash registers, multicounting machines, or pencil and paper. • Clean and organize eating, service, and kitchen areas. • Notify kitchen personnel of shortages or special orders. • Communicate with customers regarding orders, comments, and complaints. • Prepare daily food items, and cook simple foods and beverages, such as sandwiches, salads, soups, pizza, or coffee using proper safety precautions and sanitary measures. • Select food items from serving or storage areas and place them in dishes, on serving trays, or in takeou

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