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Click here or scroll down to respond to this candidateCandidate's Name
Miami, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWork ExperienceDelivery DriverUberEATS - Miami, FLMarch 2019 to PresentPick up order at the restaurant and deliver to customer home address. Multiple orders delivered to customers and I also pickup customer and deliver them to their destination. Provider/Member ServiceUnitedHealth Group - Miramar, FLJanuary 2016 to PresentProvider ServicesCommunicate directly with providers viaphone using pertinent data and facts to and identify the type of assistance the provider needs (i.e. benefit and eligibility, billing and payments, and explanation of benefits (EOBs) Review and research incoming healthcareclaims from members and providers(doctors,clinics, etc) by navigating multiple computersystems and platforms and verifies thedata/information necessary for processing (e.g.pricing, prior authorizations, applicablebenefits)Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processingpolicies and procedures, grievance procedures,state mandates, benefit plandocuments/certificates).Provide explanations and information to others on topics within area of expertise Deliver all information and questions in apositive, conversational and compassionatemanner to facilitate developing a relationship with the provider, while providing the best customer service experience possibleMeet the department quality and productionmetricsEvery interaction gives me that opportunity to improve the lives of our customers and exceed their expectations. Majority of day I respond to calls from our providers and help answer questions and resolve issues regarding healthcare eligibility, claims and payments also spend a portion of reviewing, researching and processing healthcare claims with the goal to ensure that every claim has a fair and thorough review..Resolution Supervisor / Customer Care RepAlpine Access IncSeptember 2009 to PresentAbility to ask for payment and negotiatepayment scheduleAbility to empathize and establish positiverapport with customerExcellent customer service, interpersonal, and communication skills Excellent verbal and written communicationincluding grammar and voice qualityAbility to learn via live, instructor-ledphone/conference callAbility to multi-task in a fast-paced and changing environment Good typing, data entry and spelling skillsAssist reps with customer calls that areescalated, and show great empathy whenlistening to customers concerns. Takeescalated calls when customer requestsupervisor. Provide clear, concise call support and assistance in chat rooms. Do everything in my power to save customer when customerthreaten to cancel services. Assist with everycall on a timely matter. Take over flow call.As a supervisor I solve serve and satisfycustomer and reps.Customer Service RepresentativeAT&TApril 2008 to July 2009As a Customer Service Representative/Sales, Ianswer phone, setup home phone line, offerAT&T products, cordless phone, wirelessphone, antivirus protection, Direct TV, highspeed internet, and other services. Disputebilling with the customer, data entry, and contact customers direct customers to places where they could find answers to relatedquestions provide good customer servicesatisfaction.Medical Record ClerkMount Sinai Medical CenterSeptember 2000 to August 2005Medical Records Clerk Responsible formanaging medical records department forlarge Medical Center. Prepare medical records for appointments the following day. Facilitate scheduling between technicians and physician.Handle over 2,000 active patients, and150,000 archival records. Reorganized charts and revamped original filing system into a universal filing system. Operate telephonebusiness system switchboard to relayincoming, outgoing, and interoffice calls.Responsible for providing administrativesupport in the day-to-day management of theMedical Department and including but notlimited to, drafting correspondence, organizing and scanning documents. EducationHome Health AidFive Star Training Center2009High School DiplomaWorld Hope Academy1996Skills CUSTOMER SERVICE (10+ years) RETAIL SALES (3 years) DATA ENTRY (10+ years) ACROBAT (Less than 1 year) Call Center Medicaid Customer Care CSR Microsoft Excel Accounting Microsoft Windows Insurance Verification Medical Records Pricing Medical Billing Adobe Illustrator Microsoft Outlook Operating Systems Driving Delivery driver experience Communication skills Heavy liftingCertifications and LicensesHome Health AidAdditional InformationSKILLS:Windows 95, 98 & 2000 Microsoft Word,Excel, Power Point, Internet, Email, XPSystem, Soft Med, and Spreadsheet Invoices,Data Entry, Novell system and Adobe Acrobatsoftware programs. Ability to learn new thingsat a fast pace, as well as customer serviceskills. |
