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Enrollment and Billing Membership

Location:
Oxnard, CA
Posted:
September 25, 2015

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Resume:

Alfred Torres

*** ******** *****

Oxnard, CA ****6

805-***-****

acruhm@r.postjobfree.com

Objective

To obtain a position that allows me to utilize my current skills to assist in advancing a business that offers me a stable employment opportunity. I also want to learn new skills and business and technological advancements.

Special Skills

Computer savvy, customer service skills, adaptable, able to handle pressure.

Attention to detail, bilingual in English and Spanish.

Personal Qualities

Neat, detail, focused, organized, and logical expressive.

Team player, challenged, committed, and inspire motivated.

Education Background

Frontier High School, Camarillo, CA

General Education, 1997 Graduate

Employment History

Primary Home Care Provider 2012-2015 Palmdale and Oxnard, CA

Caring for ill parent.

Membership Specialist/Enrollment & Billing Senior Services 2005-2012 WellPoint, Newbury Park, CA

Premium coding, scanning checks, enhancing and releasing loose checks, refund check reissues, encrypted bank draft, credit card processing, unprocessed cash, billing escalated correspondence, shared box billing escalated issues, premium bank errors, NFS report, mentoring and coaching temporary employees. Calling subscribers, agents and providers to obtain missing information on applications. Underwriting and enrollment processing using Ultera system, death certificate processing, enrollment daily correspondence, ID card ordering and pulling. New ID card special project.

Underwriter Assistant, Clerical Associate/Individual & Senior Services, 2001-2005 Kelly Services & WellPoint, Newbury Park, CA

Medical records logging, medical record folder review setting, filing medical records and applications, interpreting Spanish calls for underwriters. Opening, prepping, researching, and filming/scanning mail/correspondence, microfiche and reel/DCN image pulling. Logging and auditing enrolled applications and preparing and mailing out new enrollment welcome kits, ordering department supplies.

Intake Rep./ Transition Assistant and 2nd Opinion Program Individual Services 1999 Adecco Services, Newbury Park, CA

Answering calls for medical TA and Mental Health case management. Interviewing and In- taking medical care notes.

Tracking all incoming calls in an excel spreadsheet.



Contact this candidate