Customer Service Medical

LEIGHANNE VARILLA

***** **** ** * *** ***, Tukwila WA 98188 C: 206-***-**** ***********@*****.***

CAREER OVERIEW

Dedicated Program Coordinator motivated to maintain patient, clients and provider satisfaction and driven to reach company goals.

ACCOMPLISHMENTS

Coordinated with over 200 clinics all over the US to make sure that we can provide medical screening for our program participants.

Interviewed participants via research to determine if they qualify for medical screenings.

Received awards in recognition to valuable contributions to the Building Trades National Medical Screening Program and Department of Labor Employment verification Program

WORK EXPERIENCE

11/2006 to current PROGRAM COORDINATOR

ZENITH AMERICAN SOLUTIONS/ BUILDING TRADES NATIONAL MEDICAL SCREENING PROGRAM – Seattle WA

Regularly evaluate the operational processes and recommend to line management suitable changes to improve efficiency.

Interview participants, schedule medical exams and follow-up with medical providers for exam results in accordance with company guidelines, client needs and legislative requirements.

Coordinated with the Department of Labor for employment and claims verification.

Analyze, monitor and handle large volume of phone calls from clients to ensure that we meet their needs.

Provides administrative and analytical support for the medical program

Documents, QA and archives all relevant confidential information on a timely basis

Make suggestions for improvement and provide statistical and/or productivity analysis.

REGENCE BLUE SHIELD

08/2000 to 12/2000 CUSTOMER SERVICE SPECIALIST III

REGENCE BLUESHIELD – SEATTLE WASHINGTON

Provide information and assistance to members, providers, and other insurance companies regarding benefits, billings, claims and eligibility.

Schedule and coordinate job assignments with other department for completion.

Set up and review appeal cases for pre/post-authorization review.

Write and study effectiveness of action plans for all customer complaints.

Maintained quality records.

Provide a comprehensive admin system support service including data entry, maintenance, update and support.

Collate, analyze, archive and retrieve data/information when necessary

ORTHOPEDIC PHYSICIAN ASSOCIATES

12/2005 TO 12/2006 BUSINESS OFFICE REPRESENTATVIE

ORTHOPEDIC PHYSICAN ASSOCIATES - SEATTLE WASHINGTON

Troubleshoot and problem solve accounts, posting of private and insurance payments/vouchers and completing adjustments to patients accounts.

Customer service, answer billing inquiries from patients and or health care providers.

Handle customer/ employee requests, actioning transactions and queries in timely manner and actively seek feedback to provide a high level of service.

Obtain and disseminate information from relevant sections if available.

EDUCATIONAL BACKGROUND

2004 MEDICAL ASSISTANT TECH - DIPLOMA / CERTIFICATE

PIMA MEDICAL INSTITUE - SEATTLE WASHINGTON

class honor recepient

2000 BUSINESS OFFICE MANAGEMENT - DIPLOMA/CERTIFICATE

SEATTLE VOCATIONAL INSTITUTE - SEATTLE WASHINGTON

Coursework in Business, Marketing and Communications

1998 COMPUTER PROGRAMMING SPECIAL COURSEWORK - DIPLOMA / CERTIFICATE

SISTECH - PHILIPPINES

1998 NURSING COURSEWORK

RENTON TECHINICAL INSTITUTE - RENTON WASHINGTON

1997 ST. PAUL SCHOOL APARRI PHILLIPINES

HIGHSCHOOL GRADUATE

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