EM

ELVA MUNETON

elvascoffice@yahoo.com 559-***-**** Fresno, CA 93722

Communicative customer service professional motivated to maintain customer satisfaction and contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory relationships with customers. Offers skill with CRM systems paired with outstanding active listening and multitasking abilities. Appointment Scheduling

Inbound and Outbound Calling

Data Entry

Complaint Resolution

Scheduling

Paperwork Processing

Account Updating

Documentation

Microsoft Outlook

Multi-Task Management

Active Listening

Customer Relations

Call Center Operations

Aetna Fresno, CA

Customer Service Representative

07/2019 - 10/2023

Answered incoming calls from Medicare beneficiaries, providing them with information regarding their benefits.

Assisted customers in navigating the Medicare website, helping them to find the resources they needed.

Provided technical assistance when necessary by troubleshooting any problems with online accounts or applications.

Participated in team meetings to discuss best practices for responding to customer inquiries.

Researched and resolved discrepancies in medical billing codes, insurance coverage details, and other data required for claims submission. Processed appeals for incorrect payment or denial of services rendered by healthcare providers on behalf of patients covered under Medicare plans. Assisted claimants, providers and clients with problems or questions regarding claims.

Provided detailed explanations of Medicare benefits, services, and coverage options to customers.

Conducted outreach activities to educate potential enrollees about available plans and programs.

Resolved customer complaints and concerns in a timely manner. Processed enrollments for new Medicare members according to established procedures and guidelines.

Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Sanjay Chauhan MD Fresno, CA

Medical Assistant

03/2005 - 04/2019

Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.

Ordered medical supplies, maintained inventory logs and restocked exam Summary

Skills

Experience

rooms when needed.

Organized patient charts before each day's clinic sessions began. Greeted patients and visitors, verified patient information, and managed patient flow in the reception area.

Answered incoming calls, scheduled appointments, and provided general information to callers.

Verified insurance eligibility and collected copays and deductibles at time of service.

Maintained accurate medical records including filing, retrieving, scanning, copying and faxing documents as requested by physicians or staff members.

Provided assistance to clinicians during exams when needed. Managed inventory of medical supplies and placed orders for replenishment when necessary.

Coordinated care between multiple providers within the practice setting if needed.

Assisted with scheduling follow-up appointments and referrals as requested by providers.

Galen College of Medical And Dental Assistants Fresno, CA Associate of Science in Medical Assisting

05/2003

Spanish:

Native/ Bilingual

Education and Training

Languages

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