Customer Service Call Center
Resume:
Veronica Jones
***** *********** **., ***. **
Newhall, CA 91321
ad2mm4@r.postjobfree.com
Objective:
A versatile, dynamic, and outgoing oriented professional with expertise in customer service, attention to detail,
and a team player, seeking new outlet for multi-faceted skill set.
Relevant Qualification:
Extensive experience in customer service, general office, and call center environments.
Ability to work well independently with minimal supervision, as well as in a team environment.
Self-motivated, able to multi-task and complete all assignment in a timely manner.
Displays an ability to learn rapidly and adapt quickly to changing situations.
Work Experience:
HealthNet Insurance Company Woodland Hills, CA
HealthCare Administrator June 2015 – Present
Conducting inbound and outbound calls with members, physicians, and medical group.
Conducting research to identify and resolve claims.
Process appeals and grievances in accordance with company procedures.
Perform data analysis on Network Change reports to ensure accuracy and efficiency.
Ensuring strict compliance with PHI and HIPPA regulations for security and patient confidentiality.
Generating reports for all medical and physician groups to track performance and trends.
Utilizing CPT and ICD-9 code for accurate medical documentation and billing.
Engaging in professional telephone interaction with clients to provide information and assistance.
HealthNet Insurance Company Woodland Hills, CA
Eligibility and Benefit Worker, September 2012 June 2015
Engaging in professional telephone interaction to provide eligibility and benefits.
Conducting inbound and outbound calls with members
Conducting research to identify and resolve claims.
Education:
College of the Canyons September 2013 Present
Los Angeles Valley College - August 2010 - 2012
Locke High School, Diploma 1983
Skills:
Computer Literate - Type 35 - 40 wpm
Knowledge of Microsoft Windows XP
Data Entry alpha/numerical
References:
Available upon request
Contact this candidate