Customer Service Insurance
Resume:
Mirella Hernandez *************@*******.***
*** ******** ***, *** ****, NY
10025
Over 15 years of customer service, looking to obtain a position where I can maximize my strong interpersonal communication skills, problem analysis and problem solving. Organizational skills and customer service orientation. Adaptability and ability to work under pressure.
Employment History
03/2001-07/2016 Emblem Health: Benefit Coordination & Recovery Representative
Collected, managed and applied group health plan
Information, prescription drug plans, liability, no fault and workers
Compensation insurance information, prescription drug plans, liability, no fault
And workers compensation insurance information, to protect
Medicare’s interest, and streamlined claims payment process and avoid errors.
Answered telephone inquiries regarding Medicare Secondary Payer rules and
Recovery laws. Educated callers on policies and procedures, hippa
Authorizations such as power of attorneys. Recovery of non-
Group health plans (liability, no-fault, workers compensation insurance)
Related mistaken payments. Provided information on disputes/appeals and
Debt resolution request. (Waiver & compromises).
Referred callers to other agencies or departments of Medicare if necessary.
06/1999-01/2001 New York Sport Club- Billing Specialist
Resolved billing inquiries, disputes, payments, change of service request.
Provided professional, courteous, and responsive service to customers
Education History
09/1998-10/1998 La Guardia Community College: certificate Secretarial Studies
Knowledge of word, PowerPoint, outlook, type 45 wpm
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