Customer Service Insurance
Resume:
GLORIA I. MONGE
***** ******** ***** *****, **** 204 § Bonita Springs, FL 34134
OBJECTIVE: To secure a position with a growing company where I can build upon my skills.
SUMMARY: A knowledgeable individual who is motivated and a quick learner. Have particular expertise in:
Cash Handling Telephone Techniques Typing (45 WPM)
Customer Service Filing Bilingual (Spanish & English)
Bookkeeping 10- Key Calculator
EXPERIENCE: NEIGHBORHOOD HEALTH CLINIC INC. Naples, FL
Pharmacy Technician July 2010 to Present
§ Excellent customer service.
§ Obtain information for new prescriptions.
§ Maintain patient's confidentiality.
§ Retrieve, count and measure drugs.
§ Bagging, cup and uncap vials and bottles.
§ Retrieve and file pharmacy prescriptions in the appropriate files and assist pharmacy with checking in and pricing drug orders.
§ Maintain inventory levels, pull outdated merchandise.
§ Maintain the pharmacy department / Fill pharmacy supplies.
§ Complete pharmacy paperwork.
MONTI ELIGIBILITY & DENIAL SOLUTIONS, INC. NAPLES, FL
Caseworker October 2009 to March 2010
§ Collected and review patient information to facilitate in determining patient's eligibility.
§ Prepared documents; review for accuracy and completeness.
§ Provided technical assistance on agency issues, services, programs.
§ Maintained and / or created files or record keeping systems. Sorted, label file and retrieved documents or other materials.
COLLIER HMA PHYSICIAN MANAGEMENT Naples, FL
Insurance Collector April 2007 to July 2009
§ Contacted private, state and federal insurance companies to secure payment for services rendered.
§ Followed up on denial of claims with insurance companies.
§ Self paid collections experience.
§ Conferred with patient by telephone to determine overdue payments.
§ Telephones and wrote insurance companies to verify patient's coverage and to obtain settlement of claims.
NEUROSCIENCE & SPINE ASSOCIATES Naples, FL
Worker's Compensation & Attorney Claims Analyst August 2005 to March 2007
§ Handled all worker's compensation claims and attorney claims.
§ Followed up on all denials, appeals from workman compensation claims.
§ Billed and mailed all new worker's compensation claims.
NAPLES COMMUNITY HOSPITAL HEALTHCARE SYSTEM Naples, FL
Collector. Self-Pay and Insurance April 2002 to July 2005
§ Resolves open receivables by having the ability to ask pertinent questions to determine collectability with ability to prioritize.
§ Collected cash and negotiated for payments in full of open receivables.
§ Completed daily / weekly reports timely and accurately.
§ Ensured that patient's personal and private information was kept confidential according to confidentiality policy.
§ Ability to cope with high levels of stress.
Insurance Representative May 1998 to April 2002
§ Billing insurance claims to third party carriers, state and federal agencies and patients.
§ Performing follow-up and research done on unpaid claims.
§ Account resolution of specific financial classes.
§ Medical record audit/review.
DILLARD'S DEPARTMENT STORE Naples, FL
Sales Associate (Part Time) November 1995 to February 2008 to March 2009 to Present
§ Provide excellent customer service.
§ Creating displays and assisting customers with their fragrance purchases.
§ Cash control duties, which include cash sales, reconciliation and closing out cash register.
§ Completing all tasks in a timely manner.
EDUCATION: Heritage Institute Ft. Myers, FL
Pharmacy Technician September 2009- September 2010
Edison Community College Ft. Myers, FL
Principles of Banking, Teller Operations June 1987 to January 1988
Lee County Area Vocational Technical School Ft. Myers, FL
Clerical Occupations Program September 1984 to January 1986
American Business Academy Costa Rica
Secretarial Skills Program Certificate March 1977 to December 1980
Universidad deCosta Rica Costa Rica
General Studies - 1 year completed. March 1975 to December 1976
PROFESSIONAL SKILLS:
§ Bilingual (English & Spanish)
§ Cash Handling
§ Bookkeeping
§ Front Office Procedures
§ Medical Records Audit/Review
§ 10-key Calculator
§ Typing (45 WPM)
§ Insurance Claims Analyst
§ Communication & Customer Service
§ Team Player
REFERENCES:
EXCELLENT REFERENCES ON REQUEST.
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