Insurance Agent Medical

Anna Colon

Insurance Agent/Medical Claims Specialist - Aegis Communications

Bronx, NY

*****************@*****.*** - 347-***-****

WORK EXPERIENCE

Insurance Agent/Medical Claims Specialist

Aegis Communications - New York, NY - October 2010 to Present

New York, N.Y. 10/2010 to Present

Insurance Agent/Medical Claims Specialist

• Call Center Representative '

• Discussed Health Insurance options and submitted applications for currently enrolled

Medicare members and prospective members in regards to in and out of network plans

Such as; Preferred Provider Organization Plans, HMO) or capitated plans as well as

Private Fee for service and Prescription Drug Plans

• Utilized Customer Interface and Fast App Tracking System to locate eligibility status

• Utilized Customer Care Portal(CCP) system for eligibility for contact information

• Reviewed benefit plan information for authorization and notification requirements

• Informed members of Annual Enrollment Period and Special Enrollment Periods

• Reviewed clams and verified co pays and benefits for services rendered

• Researched claims billing information in the Customer Interface system

• Resolved Claim discrepancies by reviewing the ICD 9 and CPT coding

• Analyzed claims according to Medicare guidelines and member responsibility

Telephone Interviewer

Opinion Access Corporation - Queens, NY - May 2010 to August 2010

Queens, N.Y. 5/2010 to 8/2010

Telephone Interviewer

• Conducted outbound calls and documented individual phone interviews

Assisted company with rating system in regards to preferred products and services

• Accredited interviewing and survey data processing of telephone questionaires

• experienced in telephone-based data collection for collection of statistical purposes

Day Care Provider Bronx, N.Y.

6//2009 to 4/2010

• Provided educational materials for development of Cognitive an motor skills

• Organized daily activities and lesson planning to provide a structured environment

• Implemented instruction in regards to spelling and word recognition and phonics

• Utilized observation skills for progress, development and redirection

Office Support

Good Temps - New York, NY - February 2009 to May 2009

Utilized call answering system to document client concerns

• Comfortable working in a fast paced call center environment

• Able to type a minimum of 40 wpm

• Able to troubleshoot and maintain customer satisfaction

Health/Office Support

Winston Temp Staffing - New York, NY - May 2008 to January 2009

New York, N.Y. 5/2008 to 1/2009

Health/Office Support

• Resolved clients concerns when assigned to Montefiore Medical group

• Filed records in alphabetical and numerical order for various Montefiore clinics

• learned and applied use of equipment that were essential for monitoring purposes

• Handled a large volume of inbound and outbound calls in a fast paced environment

• Provided medical services in reference to TPR, Phlebotomy, weight height

Resume

Day Care Assistant

Volunteer - Bronx, NY - March 2007 to December 2007

Day to day planning for individual growth and development

• Assess and observe individual's daily progress

• Set goals to develop individual's cognitive skills and physical needs

• Utilize websites to provide resources for activities and events

EDUCATION

Medical Assistant Specialist

Borough Manhattan Community College - New York, NY

2008

Education

Boricua Community College - New York, NY

2005

ADDITIONAL INFORMATION

Skills: Bilingual (Spanish-English speaking). An administrative professional with experience in providing

key support to various organizations. An effective multi-tasker with great organizational, interpersonal and

computer skills. Possess a courteous disposition and can work with diverse populations.

Contact this candidate