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Click here or scroll down to respond to this candidateCandidate's Name
Goodyear, Arizona Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEPROFILEPursuing a career as a Healthcare Service Representative, bringing over six years of related experience and over 20 years of Customer Service.SKILLS/ABILITIES Leadership Time Management Call center/high volume phones Excellent follow-through to resolution Ability to develop relationships & trust Outbound marking calls for promotions Multi-tasking, organized Ability to work independently or with a team Excellent customer service skills Knowledge of Healthcare policies and proceduresEMPLOYMENTDecember 2022 Satellite Healthcare/Wellboundto Current Verification/AuthorizationSpecialist Mesa, Arizona Utilizing computer technology applications (QMS, Patient 360, Spin) Data entry Making outbound calls Navigating multiple systems Verifying multiple insurance plans (Medi-Cal, Medicaid, Commercial, Medicare, etc) Submitting authorizations Updating patient demographics Call center environmentJuly 2022 to State FarmDecember 2022 Claims Specialist Phoenix, Arizona Utilize computer technology to handle in and outbound calls Review police Reports & photos Take recorded statements from all involved parties Analytical thinking Gather facts of loss to determine liability Attention to detail Multitasking while utilizing several systems Able to use and understand available resourcesJanuary 2021 to Optum CareSeptember 2021 Service Advocate Phoenix, Arizona Utilize computer technology to handle high in-bound call volumes Answer provider and member calls regarding claim issues, eligibility, benefits, and prior authorizations Data entry, call documentation Research/verify pertinent information Review EOC and EOBs Provide overall excellent customer serviceJuly 2015 toJanuary 2021 United Health Care Phoenix, ArizonaStrategic Account Service Utilize computer technology to handle high in-bound call volumes Answer provider calls regarding claims, eligibility, benefits and authorizations Data entry, call documentation Create authorizations Provide details of a processed claim, send the claim back for further review if processed incorrectly Research/verify pertinent information Process fax transmissions Review Explanation of Benefits (EOBs) with customers Answer any provider inquiries, provide over all excellent customer serviceJanuary 2015 to Delta Management Associates Phoenix, Arizona June 2015 Collection Specialist Utilize computer technology to handle out-bound calls Updating demographics Processing payments Script tracing to locate account holders Adhering to FDCPA compliance regulatory Explaining products, services, and benefits of the program Using multiple systems to navigate through accounts Completing verification process to identify the safety of clients account information Answering any customer inquiries and providing overall excellent customer serviceNovember 2002 to Wal-Mart Sacramento, CaliforniaMay 2014Customer Service Representative Resolve customer complaints via phone Use telephones to reach out to customers and verify account information Greet customers warmly and ascertain problem or reason for calling Assist with placement of orders, refunds, or exchanges Advise on company information Gather payment and other pertinent information Answer questions about warranties or terms of sale Suggest solutions for malfunctioning product Handle product recalls Attempt to persuade customer to reconsider cancellation Sell products and services Utilize computer technology to handle high call volumes Work with Customer Service Manager to ensure proper customer service is being deliveredEDUCATIONStockton School for Adults, Stockton, CA G.E.DClaims Adjuster License #W895573DeVry University (no degree earned) |
