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Title Data Entry Prior Authorization
Target Location US-TX-San Antonio
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
San Antonio, TX Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEProfessional experience as a Customer service representative and Insurance specialist, Patient care with Healthcare industries.Handling inbound and outbound calls, Patients inquiries, resolution of problems, data entry. Initiate prior authorization with various insurance companies, whether it be online, fax submission or phone request.Experience with verifying details prior authorization status and alternative Product options for existing and newly Customer/Patients.Experience with Registration of patient information, verifying all patient demographics. Insurance information, insurance verifications, copying and scanning insurance cards as well as appropriate patient identificationProficient with MS Office, word, excel, Medicaid/healthcare insurance verification, Typing +35WPMEducation:Associate degree. in Licensed Medical Assistant- KaplanSandra Day OConnor High School - Northwest VistaSkillsPayroll, Medical scheduling (1 year), Microsoft Windows Server, Appointment scheduling (1 year)I love to resolve issues, Works great with people, Familiar with all Microsoft softwareOnboardingHuman ResourcesNew hire specialistConduct screeningsTechnical Support, Troubleshooting, Human Resources, Microsoft Windows, IT Support, Desktop Support, Help DeskWork Experience:Patient Service Representative / Customer serviceUnitedHealth Group - San Antonio, TX Jan 2023 - Jul 2023I call patients and get them scheduled for appointments. Open new referral. Contact doctors, patients' chart etc, Insurance verification, Initiate prior authorization with various insurance companiesHandling Inbound and outbound calls, data entry, Handling customer and patient inquiries.Responsible for verifying patient insurance coverage, to ensure procedures are covered by an individual's provider.Registration of patient information, verifying all patient demographics.Insurance information, insurance verifications, copying and scanning insurance cards as well as appropriate patient identification.Initiate prior authorization with various insurance companies, whether it be online, fax submission or phone request.Insurance specialistMercury Insurance-- San Antonio, TX Oct 2021  Nov 2022I take inbound calls from customers reporting the claim. Get details of claim and transfer information to claims team so an adjuster can handle claim,Responsible for verifying patient insurance coverage, to ensure procedures are covered by an individual's provider.Experience with verifying details prior authorization status and alternative Product options for existing and newly Customer/Patients.Registration of patient information, verifying all patient demographics. Insurance information, insurance verifications, copying and scanning insurance cards as well as appropriate patient identification.Initiate prior authorization with various insurance companies, whether it be online, fax submission or phone request.Handling Inbound and outbound calls, data entry, Handling customer and patient inquiriesHuman Resources Oct 2020 - Oct 2021Wells Fargo - RandstadI took inbound calls from managers assisting them with onboarding and getting new employees system accessDocumentation, paperwork, data entry, managing the meeting, Handling the calls, resolution of Inquiries.Human Resources coordinator/ Medicaid registration. Aug2019-Mar 2020MMC (Medicaid)Helped doctors with applications to be in Medicaid network.Handling Inbound and outbound calls, data entry, Handling customer and patient inquiries.Experience with verifying details prior authorization status and alternatives, to ensure procedures are covered by an individual provider.Registration of patient information, verification, fast-paced, problem solvingFinancial AdvisorFrost Bank - San Antonio, TX October 2017 -August 2019Answered inbound callsAssisted with all banking needs, Handling Inbound and outbound calls, data entry, Handling customer and patient inquiries. Assisted with all banking needsCustomer service / Card Services Rep. Apr 2013  Sep 2017Kohls Corp OfficeI took care of inbound calls. Assisted customers with balanced information.Processed payments. Assisted customers with balance transfers.Customer Service representative Sep 2009 - Apr 2013West CorporationI took incoming calls for DIRECTV customers who were losing their 12-month promotions.Worked in a fast-paced environment with back-to-back calls. Retention

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