Customer Service Health

Tanya Bond

**** ******** ****** #***

Los Angeles,CA 9006

Phone:323-***-*****

*********@*****.***

Objective

Seeking a Member/Customer Service/Receptionist Positions

Abilities

Over 20 years receptionist and front office experience with over 12 years in health care insurance member service.

Knowledgeable in the operations of most computerized telephone systems including Meridian, NEC,Room,Dimensions 2000 & 5000,North Star,Hitachi, AT&The and Callmaster V

Excellent interpersonal communication skills,relates well with people on all levels and from diverse backgrounds

Organized,able to handle multiple tasks and work in stressful environments

Computer literate with experience in MS Windows,Outlook,Argus,Agile/DDE,STARS,ODM,MIMS,ECAAans AS400

Knowledge of HIPPA Guidelines

Employment History

Appeals Coordinator

02/2015 - 03/2015

United Health Group/Maxim Staffing

Set up cases received by members to establish if their appeal will be standard or expedited

Blueshield of California

04/2002 - 05/2014

Answering incoming calls from both members and providers promptly and accurately

Assists members with billing issues

Issuance of ID Cards

Benefits Information

Eligibility

Claims Inquiries

Obtaing referrals and authorization

Change of Personal Care Physicians

Composes routine and non routine correspondence to answer member inquiries that requires a written response

Coordinates with other departments to ensure timely and appropriate responses

Expedited and resolves complex issues and makes claims adjustments

Educates others on the company products,providing accurate information and updates to policies and procedures,improving overall customer satisfaction in the process

Works under close supervision or detailed instructions

References Upon Request

Contact this candidate