Medical Customer Service

Wendi Ballenger

**** ******* ***. ***. ***, Carmichael ca.95608 916-***-**** **************@*****.***

Skills & Abilities

Leadership, supervisory

Superior communication, telephone, and organizational skills

Excels at multitasking in a fast paced environment

Complete projects on time constraints and meeting goals

Micro Soft Office

10, 000 Key Strokes Per Hour

35 Word Per Minute

Excellent Customer Service skills/expresses empathy /patient

Education

MTI College, Sacramento CA., 1996- 1997

Professional Experience

River City Medical Group/ Aerotek 2/2018 – 6/2018

UM Coordinator

Reviewed and processed Medical Referrals from providers’ offices.

Verified eligibility for Medical members.

Cleared system hold for member that eligibility need to be updated

Built authorization from referral to be processed for review by a medical team.

Verified medical codes (ICD 10) and Services codes (CPT codes).

Verified on mcg and Medical website if Medical Guidelines are needed to process authorizations

Tri West Health Care Alliance Rancho Cordova Ca 9/2017-2/2018

Medical Authorizations/Med Docs Clerk/CAS Department

Review and respond to complex referral requests from the VA and outside providers to create new authorizations.

Identified correct diagnosis codes and specialist patient needs to see.

Filed and or attached Medical documents for medical claims in data base (Care Radius)

Effectively communicates medical information, test results, diagnosis and or prosed treatment for patients.

Responds to inquiries from the VA and providers regarding specific aspects of the VA program.

Health Net Federal Services/Kelly Services/Able, Rancho Cordova CA.

Authorization and Appointing Operations 5/2016 – 9/2017

Processing medical authorizations and all scheduling of appointments for Veterans

Assisted new hires in the training, and on the production floor

Ability to multi-task with many different computer programs

Maintains operations by following policies and procedures

Assigned to multiple different projects with high priority cases

Employee of the month November 2016

Return Mail/updated addresses for Vets

ACT, Carmichael, CA. Customer Service Rep. 05/2014- 5/2016

Meeting daily benchmarks, provide bank statements

Providing balance inquire, change of address, set up direct deposit

Cancel bank cards, send new cards as requested, update phone number in system

Accomplish resolve escalated phone calls with a positive resolution

Helped company attain highest customer service rating earned 100% in quality

Benefit Management Corporation & Life, Accountant clerk, Rancho Cordova, CA.

05/2008-08/2014

Managed mentally and physical disabled adults and children, SSI/ SSA benefits

Served a population of 565 clients monthly

Greeted customers, performed administration duties

Communicated with Social Security Administration, for recertification

Ensured daily account reconciliation, and verify account balance maintain monthly budget

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