Customer Service Insurance
Resume:
Delfina Villarreal
*** ****** **** *** ******, TX 78108
**********@*****.***
OBJECTIVE
To become employed with a company where my experience and knowledge of customer service, management, and handling currency transactions can be utilized.
PROFESSIONAL EXPERIENCE
Idea Carver Public Schools: April 2015 – May 2015: San Antonio, TX
Teacher’s Aide
•Recruited potential new students through informational sessions with parents
•Developed and facilitated after school programs for students
•Provided classroom support for educators through monitoring of class or providing substitute teaching as needed
•Assisted in all aspects of school administration to include answering of phones, directing visitors to proper locations, and maintaining of student records
San Antonio Gastroenterology: November 2008 – November 2014: San Antonio, TX
Lead Receptionist / Team Lead / Financial Counselor / Collections / Billing
•Responsible for efficient functioning of front office. Greeted and assisted all customers and patients as they enter the office. Demonstrated initiative, insight and judgment in the decision making process.
•Responsible for answering all incoming phone calls. Scheduled patient appointments. Demonstrated excellent customer service, as well as initiative, insight and judgement in the decision making process.
•Verified patient demographic and insurance information and update any changes as necessary
•Made outbound calls to patients regarding Insurance Benefits and co-pays/ deductible money due at the time of service
•Reconciled all cash and accounts receivables at the start and conclusion of each day
•Processed claims to insurance companies for our providers
•Complete the billing process to avoid denials from the insurance companies
•Returned patient phone calls to provide requested information and assisted in making referrals to appropriate physicians
•Assisted with patient check in check out, set expectations, and ensured all patient documentation was accounted for
Spherion / Siemens Building Technologies: June 2007–October 2008: San Antonio, TX
Administrative Assistant/ Collections/ Accounting Assistant
•Maintained accuracy, integrity, and completeness of the accounts receivable portfolio by resolving bill disputes and collecting past due monies.
•Prepared bi-weekly and monthly financial reports for assigned area or region. Various reports could include cash forecasting, 90-day or over 365-day analysis, and branch Top 5 reports.
•Placed collection calls to customers in assigned queue. Perform related follow-ups such as reconciliation, administrative paperwork, etc.
•Verified and process all lien releases.
•Verified all credit card requests to confirm accurate invoicing to prevent future receivable problems. Adjust transactions and credits, write-off bad debts, and review refunds for customer portfolios.
•Performed monthly reviews of all recurring invoices to ensure the stickers match the specified month of service referenced in the invoice.
•Collated invoiced service work orders. Filed original documents, and job file invoices in the accounting file room.
SWBC: November 2006–May 2007: San Antonio, TX
Mortgage Escrow Processor
•Provided outstanding customer service in a fast-paced, high volume call center environment
•Insurance: sent disbursements to companies on policies such as Flood, Wind, Fire and Homeowners Insurance.
•Reviewed closing documents on loans showing no insurance and update lines when good insurance is located.
•Referred complex questions, problems, or homeowner complaints completely and accurately to the appropriate resources to ensure customer and client satisfaction.
•Entered, edited, and/or modified pertinent insurance data into AS/400, Fidelity or Citrix, comparing data entered with source documents, verifying screen format to detect errors, and proof read new entries in database for accuracy, completeness and adherence to department procedures.
•Researched, verified, and updated the status of loan insurance information by website exploration and by making outbound calls to insurance agencies, lending institutions, and borrowers.
•Processed data exceptions from Unable to Locate (UTL) and Electronic Data Information (EDI) by manually updating information for existing accounts.
STRIC: June 2005–November 2006: San Antonio, TX
Customer Service Representative / Collections
•Responsible for the follow-up activity on all outstanding patient accounts according to established process and procedures.
•Responsible for appealing denied charges and electronic rejections.
•Answered and route all incoming calls in a professionally and efficiently.
•Coordinated patient accounts to insurance contracts. Review accounts for duplicates, charge errors or payer reimbursements discrepancies; forward to appropriate department for necessary audit and resolution.
•Corrected or added insurance information to bill account.
•Entered and edited adjustments for charges.
•Recorded payments to customers’ accounts and maintain accounts receivable records.
•Filed appeals with insurance companies.
•Analyzed accounts receivable.
•Called insurance plans to resolve denied claims
EDUCATION
St. Phillip’s College: San Antonio, TX
Have accumulated approximately 40 credit hours toward a degree in Education
Sidney Lanier High School: San Antonio, TX
High School Diploma
COMMUNITY SERVICE
Active member in women’s bible study group at Bethesda Church in San Antonio, TX. Assist in community outreach programs and church fundraising efforts
REFERENCES
Available upon Request
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