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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional Summary Expert knowledge in Medicare/Medicaid/HIPAA/PHI/CMS guidelines and regulations to excel as a Insurance Sales Specialist. Resourceful healthcare team player with Senior Insurance Verification skills to confirm member benefits/eligibility. Acquire self motivation, hard-work while being a team player using superior customer service skills and outstanding attention to detail as a Data Entry agent.Core Qualifications Data Entry (54 wpm) Extensive experience in handling insurance discrepancies and authorizationsProfound knowledge with MS Office applications: Excel, Word, Quickbooks,etc. Senior knowledge of ICD-10 and HCPC billing and coding Understanding of Medical Terminology Ability to multi-task while resolving internal/external customer issues Broad understanding of Medicare and Medicaid~CMS to sale based on members needs for healthcare.Work Experience05/2018 to 07/2019 DMS Sales AgentHumana * San Antonio, TX Keen expert on Medicare Supplemental plans and Medicare Advantage products. Also, individual dental and vision plans for those outside the Medicare/Medicaid population Computer proficiency excelled in order to navigate multiple online agent tools in order to confirm in network providers or simple medication price matches. Displayed excellent telephone etiquette and verbal communication skills for an optimal customer service experience via Inbound/Outbound Sales metrics. Maintained over 95% QA average to ensure Humanas protocols and procedures were displayed on every call. Simplified complexity with the Senior population in order to identify the members healthcare needs and closing the sale at 92% avg. rate. 03/2017 to 10/2017 Intake SpecialistAerotek-KCI San Antonio, TX Responsible for verifying patients DME benefits and eligibility Educate internal/external customers on the advantages of wound vac therapy Conducted timely filing and authorization submissions to various insurances Strong and open communication with Territory Field agents to ensure customer satisfaction on every wound vac order Reconciled and processed Workers Comp and Auto caused cases Provided accurate use of ICD-10 and HCPC billing and coding 06/2011 to 12/2016 Sr. Patient Financial Services Insurance Collection Specialist Medtronic Inc . San Antonio, TX Ability to process orders under the Diabetic DME benefit provisions Knowledge of private and public insurance companies which follow Medicare/Medicaid guidelines Provided inbound customer order support Initiated and Received authorization timely filing Provided accurate use of ICD-10 and HCPC billing and coding 02/2008 to 11/2010 Medication AideSan Pedro Manor San Antonio, TX Administered medications Performed and recorded basic vital signs and routine shot administrations. Monitored and reported patients adverse reactions or progress while maintaining a clean-safe environment. Performed general office duties such as fax, answer MD calls and file charts Collaborated with nursing staff to lead productive staff meetings and quarterly reports04/2007 to 02/2008 Home Health ProviderCommunity Council Oaks Ltd . San Antonio, TX Evaluated the physical and mental conditions during daily grooming Administered am/pm medications Performed and recorded basic vital signs and routine shot administrations. Provided housekeeping and laundry services for the designated group homes Maintained friendly and Open-minded relationships with down-syndrome teens, their family and staff to continue positive rehabilitation. 01/2007 to 06/2008 Medical AssistantTexas Medclinic San Antonio, TX Maintained clean and sterile environment for staff and patient interaction Meet and Greet patients Organized daily financial reports while performing clerical duties such as filing, typing and scheduling appointments Collected payment for services rendered Performed and recorded basic vital signs and routine shot administration Education 2016 to 2018 Business Administration-HealthcareSt. Philips College San Antonio, TX2009 Medication AideDept of Aging Austin, Texas2008 Vocational Nurse DiplomaTexas Careers (Kaplan College) San Antonio, Texas 2007 Medical Assistant DiplomaTexas Careers (Kaplan College) San Antonio, Texas 1999 High School DiplomaJudson Senior High School Converse, TexasReferences Available Upon Request |
