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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLESkills: Proficient in Microsoft Word, Excel, Outlook, and PowerPoint Operating multi-line switchboards Bilingual in English and Spanish Filing, faxing, scanning, and copying Ability to type 45 wpm Sharp accuracy and high attention to detail Ability to maintain equanimity under stress Collect, organize, analyze, and interpret dataProfessional Experience:AmeriHealth Caritas 09/2020 - 10/2022Bilingual Operation Specialist Philadelphia, PA Answer high-volume incoming calls from members and providers Verify HIPAA and PHI prior to disclosing eligibility information Assist callers with all inquiries within first-call resolutions Submits and process request within company policies and timeline Transcribe conversations into the system as stated in company policy Inform clients of services covered in insurance policies Provide updates on any prior request submittedGRB Law 06/2017 - 11/2019Bilingual Customer Service Representative Philadelphia, PA Answer incoming inquiries and forward them to appropriate associates. Schedule appointments for attorneys in practice Input intake forms into multiple systems Process phone intake for new consumers Submit billing, coding, and balance reportsDell Results 10/2016 5/2017Bilingual Customer Service Representative Blue Bell, PA Assisted customers in the acquisition department Provided information on various Medicare for New York residents Processed inquiries for prospected Medicare members Home Health Aide 03/2013 8/ 2016Ponce, PR Provided support by providing housekeeping Monitor the patients physical and mental condition Administer medication as needed Assist with medical and daily activities.Seguros Multiples 03/2011 - 01/2013Customer Service Representative Ponce, PR Assisted consumers with insurance inquiries Scheduled appointments for in-office consumer visits Managed a high-volume workload within a productivity requirement Organized appropriate insurance plans per consumer needs Answered a high volume of incoming calls, e-mails, and voicemails within the company policy time frame.Border Com International 12/2009 - 02/2011Recruiter Miramar, FL Recruited students for Information Technology Courses. Created packages, monitored, and distributed resource materials for student recruitment and retention programs. Scheduled student Assisted students with payment plans, via phone or in-office. Developed strategies for program progression and evaluation of students. The Signal 09/2007 - 11/2009Customer Service Representative Philadelphia, PA Processes payments for customers over the phone Interpreter for Spanish customers Data entry Processed insurance claims Assisted customers with troubleshoot inquiries Provided training to new trainees on proper company protocol for tracking customers' claims.Mobile One 05/2004 - 08/2006Customer Service Representative Hallandale, FL Processed payments and handled insurance claims. Process customers' insurance claims in the system. Advice on protocol and time frame. Acquired payment from members as needed to be reflected on the account. Opened customer accounts by recording account information. Maintained customer records by updating account information. Resolved customer dissatisfaction by providing information or service inquiredEducation:Schenk Conservation Center - Brevard, N.C. - GED |
