Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Nafissa Amiree

Edmonton,Alberta

Summary

Customer Service Representative

Overview

17
17
years of professional experience

Work History

Jewelry Sales Associate

Jewelry Boutique
05.2022 - Current
  • Displayed merchandise by arranging in appealing ways to boost sales.
  • Greeted customers, helped locate merchandise, and suggested suitable options.
  • Checked pricing, scanned items, applied discounts, and printed receipts to ring up customers.
  • Engaged in friendly conversation with customer to better uncover individual needs.
  • Managed efficient cash register operations.
  • Listened to customer needs and desires to identify and recommend optimal products.

Insurance Coordinator

Roshan Telecom Company
09.2009 - 12.2017
  • Validated insurance providers and medical codes for procedures and services provided
  • Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports; efficiently managed collections and receivables, referrals process and billing to meet revenue goals
  • Analyzed weekly and monthly financial reports, reviewed accounts receivable reports and insurance contracts to facilitate revenue cycle management
  • Followed appropriate policies and procedures by complying with insurance regulations dictated by agencies, and with confidentiality regulations in handling customer information
  • Verified policy holder data, including age, contact number and physical address and maintained records through timely updates to employee and other files; updated patient and insurance data and input changes into the company’s computer system
  • Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings; Created master spreadsheet to record status of procedures, approvals, and denials
  • Assisted new policyholders with processing claims
  • Contacted insurance companies to ascertain pertinent information regarding policies and payment benefits for patients, and informed patients of claims status after filing insurance claims
  • Processed and submitted claims to insurance companies and clearinghouses for payments or forwarded to appropriate personnel for further investigation
  • Reviewed documentation for appropriate coding, catching errors and making revisions
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology
  • Verified patients had proper insurance coverage prior to procedures or appointment scheduling
  • Examined claims, records, and procedures to grant approval of coverage and signed payment approvals for accepted claims
  • Collaborated closely with other team members to manage and resolve processing of large volume of claims on monthly and yearly basis.

Nurse

Roshan Telecom Company
03.2007 - 09.2009
  • Monitored and recorded patient condition, vital signs, recovery progress, medication side effects, respiration activity, and blood glucose levels in response to medical administration
  • Communicated concerns regarding patients’ status, care and environment to nursing supervisors, clinical care supervisors, and case managers
  • Assisted physicians with examinations, tests, and procedures and patient scans during diagnostic processes
  • Observed and carried out physician and nursing orders
  • Managed intravenous medication to stabilize patient heart and blood pressure
  • Collected lab specimens, ordering and interpreting diagnostic tests and lab results
  • Maintained thorough, accurate and confidential documentation in electronic medical records
  • Prioritized nursing tasks and assignments and accurately reported patient status
  • Administered medications, tracked dosages, and documented patient conditions
  • Educated patients, caregivers and families on diagnoses, treatment options, disease prevention and optimal treatment procedures.

Education

Diploma in Midwifery -

Aga Khan Hospital for Women’s Health
Karachi, Pakistan
01.2004

Graduate High Secondary School Certificate -

Al-Azhar Academy
Karachi, Pakistan
01.2002

Skills

  • Superb analytical and problem-solving skills leveraged to proactively improve customer service processes with experience medical insurance claim, receptionist and nursing care setting
  • Enhance office operations through great people skills, organizational skills, and a deep understanding of patient and staff needs
  • Sound experience in aspects of the administrative skills such as managing collections and receivables, referral process and insurance billing functions
  • Deliver consistent and outstanding customer service through friendly attitude, positive professional manner and strong knowledge of products and services
  • Ability to think quickly and successfully handle difficult clients while working in fast-paced environments
  • Committed to excellent customer service to build productive relationships, resolve complex issues and providing valuable support
  • Attentive listener, solve problems creatively and use tact and diplomacy to find common ground
  • Take prompt, decisive and corrective action, accountable, liable and answerable for actions and decisions
  • Proficient in work related application including Microsoft Office Suite and strong data entry skills
  • Retail Merchandising
  • Store Organization
  • Customer Assistance
  • Inventory Management

Languages

English
Full Professional
Hindi
Full Professional
Persian
Professional Working

Timeline

Jewelry Sales Associate

Jewelry Boutique
05.2022 - Current

Insurance Coordinator

Roshan Telecom Company
09.2009 - 12.2017

Nurse

Roshan Telecom Company
03.2007 - 09.2009

Diploma in Midwifery -

Aga Khan Hospital for Women’s Health

Graduate High Secondary School Certificate -

Al-Azhar Academy

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Nafissa Amiree