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Click here or scroll down to respond to this candidateCandidate's Name
Customer service officePhiladelphia, PA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEWilling to learn new tasks and complete training for a new position. Interested in understanding job duties and working.Authorized to work in the US for any employerWork ExperienceVdart (Infosys/Vanguard)Vdart (Infosys/Vanguard) - Alpharetta, GADecember 2023 to PresentCurrently I am taking incoming calls from participants and or authorized callers for a participant account. I'm able to complete transactions such as withdrawals from 401k and retirement Plan accounts. Also I am able to process loans and and assist participant with online access which can include walking through requesting statements, withdrawals and other transactions. I go over plan rules with callers and provide fast and accurate service, transferring callers to the appropriate departments if I do not handle the inquiry.Customer Service RepresentativeAmeriHealth Caritas - Philadelphia, PANovember 2017 to October 2023Currently,I am taking incoming calls from Members and Providers for four different lines of business. I have been trained on the following insurances:Amerihealth Caritas Pennsylvania, Keystone First Insurance and Keystone First CHC (Community Health Choices)/Amerihealth Caritas Pa CHC which are all Medicaid plans. I am also trained on the Personal Care Coordination (pcc) line. When answering the PCC calls I speak with participants and providers. On the PCC line the callers are trying to get in contact with their service coordinator,put in requests to change the service coordinator,change home care agencies/ service coordinator entities,check authorization for services such as Home delivered meals,authorization for home care...I am trained to assist with all those things. The customer service position requires me to speak with both Members and Providers to assist with plan/benefit questions, billing questions and also assisting with filing Grievances and Dissatisfactions. With billing it includes claim status information and sometimes on provider calls directing providers to the correct department's when necessary including Dme (durable medical equipment),Prior Authorization,Provider full services etc. Also I update members demographic information daily and have access to the Pa state system that allows me to check member eligibility and plan information.Manual RepresentativeReimbursement Technologies - Conshohocken, PA2016 to 2017Responsible for working independently and collaboratively within a team environment Collect delinquent accounts by obtaining medical insurance and verifying insurance eligibility Maintains quality results by following standards and meeting daily quotas Submit billing data to insurance providersIn 2016 was given an award for 5 years of serviceAmerican Medical Response (AMR)Reimbursement Technologies - Conshohocken, PA2013 to 2016Responsible for obtaining and verifying patient information,including patients medical insurance along with payment plans when necessary;obtaining personal account information for billing Ability to adapt in high - call volume environment Ensure all patient files are up to date and available for verification due to their emergency transport with AMRInsurance Inquiry RepresentativeReimbursement Technologies - Conshohocken, PA2011 to 2013Provide commendable customer service by assisting patients with inquiries, concerns or general information Update insurance information in system as received Work as a team player with multiple departments to resolve patient request, inquiries or concernsSales AssociateMacy's - Montgomery County, PA2006 to 2009As a sales associate I was always responsible for providing excellent customer service. I served as a cashier and also helped maintain the organized store setting. In 2007 I was awarded with the Macy's award of Excellence for Outstanding Achievement.EducationDiploma in Medical Assistant w/Phlebotomy DiplomaCHI Institute - Broomall, PAJuly 2005 to June 2006High school in CommunicationsGermantown High School - Philadelphia, PASeptember 2001 to June 2005Skills Medical Billing Medical Insurance Customer Service,typing,multi-tasking (10+ years) Call Center Phlebotomy Medical Coding Insurance Verification Medical Office Experience Medical Terminology CPT coding Medical collection ICD coding Account reconciliation ICD-9 Medical records HIPAA Time management MedicareAdditional InformationI am very adaptable with experience in a busy call center environment and also working alone while remaining responsible. My experience has prepared me to multi task. Also, I am reliable and have my own transportation. |
