Customer Service Medical

Professional Background

Skill Highlights

Professional Experience

Education and Training

Patricia Garza

**** ******* ***, *** ******* TX 78201

Home: 210-***-**** Cell: 210-***-****

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

Responsible Customer Service Claims Specialist with excellent communication skills demonstrated experience in healthcare.

Healthcare billing proficiency

Strong medical ethic

Problem resolution ability

Extensive medical terminology knowledge

Medical coding capability

Competency in procedure development

University Health System October 2014 to Current

Configuration Specialist

San Antonio, TX

Processing batch claims report to locate correct providers. Referencing Medicaid file to locate correct tpi numbers for providers to add to provider information and payclasses.

New credentials added to systems

Change form information from providers to add addresses, tax id information, any updates from provider relations reps.

University Health System July 2003 to October 2014 Customer Service Claims Specialist

San Antonio, TX

Processed batch claim reports. Process appeals from phonelog reports. First 5 years in claims department took calls from provider office for claim status, payments. appeals and coding. Several online training sessions per year. Humana Customer Service Center November 1997 to June 2003 Claims Processor

San Antonio, TX

processing claims for all Chip. Medicaid. HMO.

also trained to process claims by contract agreements Supervised customer services reps to help with claim issues. Palo Alto 2004

no degree: Basics

San Antonio, TX, USA

Mid Plains Community 1994

Associate of Arts: Medical Secretarial/Business

North Platte, TX, USA

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