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Customer Service Insurance

Location:
Pasadena, TX
Posted:
August 27, 2013

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Resume:

V IOLET GOMEZ

*** * **** ** * Laporte Tx n Home: 713-***-**** n Email: *******@*****.***

Receptionist

Customer Service Expert MS Office “Power User” Adept Written/Verbal

n n

Communicator

KEY SKILLS

Office Skills: Telephone & Front Desk Reception n Customer Service n

Filing,Payroll,Calling in medication to pharmacy,and give correct dosage

medicine to patients.

Database & Records Management n Executive & Administrative Support

Reports & Spreadsheets n Complaint Handling n Data Entry (75 WPM)

Computer Word n Excel n PowerPoint n Access n Visio n Outlook n Windows Vista/XP

Skills: Bilingual,Spanish & English,Read & Write, Experienced in Dexis &

Dentrix Software

PROFESSIONAL EXPERIENCE

MATTIS-PROGRESSIVE INSURANCE(HOUSTON TX,) 04/04-05/06

RESPONSIBILITES INCLUDE ANALYSIS OF THE LOSS POTENTIAL OF

CLIENTS AND FOR THE VARIOUS CLIENTS CONSULTED THE CAUSALITY

AND PROPERTY INSURANCE.DIRECTLY INTERACT WITH THE GENERAL

AND FINANCIAL MANAGEMENT PROFESSIONAL FOR THE

ESTABLISHMENT OF POLICIES AND PROCEDURES.

PETROCHEM (Houston Tx,) n Receptionist, 6/06 to 8/08

Excelled in role requiring the ability to handle a variety of customer service and

n

administrative tasks and resolve customer issues with expediency.Coordinate with

various staff operational support activities of the unit; serve as a liaison between

departments and operating units in the resolution of dat -to-day administrative and

operational problems .Provide administrative/secretarial support for various

departments/divisions such as answering telephones, assisting visitors and resolving

a range of administrative problems and inquiries .Operate desktop computer to

compose and edit correspondence and memorands from dictation,verbal direction

and from knowledge of policies of established departments/ divisions ; prepare,

transcribe,compose,type,edit and distribute agendas and minutes of numerous

meetings.

Demonstrated proficiencies in telephone and front-desk reception within a high-

n

volume environment. Calmed upset/angry customers, researched and rapidly solved

problems and rebuilt client trust to prevent the loss of key accounts.

Led “cleanup” of company database and files. Restored organization to personnel,

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financial and operational records and accelerated data input, processing and retrieval

times.

Consistently praised by management for the quality and timeliness of reports,

n

attention to detail, exemplary customer service delivery and team-player attitude.

AMERICAN ABC DENTAL (Houston, Tx) n Receptionist, office manager 2008

to present

Greet patients every morning, Set up appointments, take vital signs when

n

needed,process payroll,verify insurances,process claims, translator when

needed,answer multi phone lines,making sure everything is running smoothly and in

order,also make sure every claim gets pay,and provided prompt, courteous and

knowledgeable assistance.Updated patient insurance information onto patients’s

profile .Coordinated with referral source .Assessed insurance coverage of

medications .Collaborated with doctor’s office for prior authorization,Corresponded

about urgent cares.

Transformed previously manual processes relating to vendor/supplier records into an

n

efficient, computerized system. Efforts exposed overcharges and double billing to

recover $10,000 in erroneous payments and prevent their recurrence.

‘ Remarkable experience with Medicaid and Commercial insurance. Huge knowledge

of healthcare of pharmacy setting .Deep knowledge of database integrity procedure, familiarity with Word Processing software .

EDUCATION

Hastings High School 1998-2001

4410 Cook Rd, Houston TX 77072

San Jacinto College (Central Campus) 2010-Present

8060 Spencer Hwy, Pasadena, TX 77506



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