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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLEResourceful individuals consistently meet and exceed company goals and are able to resolve issues quickly and effectively. Constantly maintaining a high level of professionalism, patience, and communication.CORE QUALIFICATIONSCustomer Service Abilities Easily Adaptable to Policies and Procedures Troubleshooting skills Bilingual English / Spanish Able to work under Pressure Problem Solver Computer Skills / 45 wpm Confident and able to Learn Quickly Positive Attitude WORK HISTORYUnitedHealth Group San Antonio, Texas 8/29/21- Current Hearing Aid Dept Customer Services (REMOTE)Healthplex Inc merged with UHC grp as of 8/29/21 I continue working as customer service senior rep for this company now in the Hearing aid dept. I continue to perform the function as before.. Customers via inbound/outbound telephone calls. Verified Hearing aid insurance verification Emailed to members provider listing, Referral Letters. Demonstrated excellent verbal and written communication skills. Update files,confirm insurance eligibility, benefit availability, breakdown of benefits, Go over claims Status follow up on claims information and predetermination status Healthplex Inc, San Antonio, Texas 05/17/21- 8/29/21 Dental Customer Services Specialist (REMOTE) was hired permanently from Hawkins Personnel Group and continued to perform the same duties. Customers via inbound/outbound telephone calls. Verified dental insurance verification Emailed to members provider listing, Referral Letters. Went over appeals denial/approved decisions to members,,submitted member complaints Demonstrated excellent verbal and written communication skills. Update files,confirm insurance eligibility, benefit availability, breakdown of benefits, Go over claims and appeal status follow up on claims information and predetermination status Hawkins Personnel Group San Antonio, Texas 8/20/20-5/17/21 Dental Customer Services Specialist (REMOTE) Customers via inbound/outbound telephone calls. Verified dental insurance verification Emailed to members provider listing, Referral Letters. Went over appeals decisions,submitted member complaints Demonstrated excellent verbal and written communication skills. Update files,confirm insurance eligibility, benefit availability, breakdown of benefits, Go over claims and appeal status follow up on claims information and predetermination status Carenet Health San Antonio, Texas 07/2019 08/2020 Engagement Specialist Kindheartedly and efficiently out-reached customers via outbound telephone calls. Demonstrated excellent verbal and written communication skills. Utilized excellent customer service skills. Accurately imputed data and maintained patient databases. Verified patient insurance information with kindness and accuracy. Performed trouble-shooting and coordinating with team Members to resolve customer issues. Responsible for understanding and analyzing health plan benefits..EDUCATIONLouis E. Dieruff High School High School Diploma Allentown, Pennsylvania |
