Carmen Matos

Houston, TX *****

ad2ofm@r.postjobfree.com

+1-832-***-****

To provide skilled professionalism, administrative abilities, and a pleasant attitude within the workplace to patients/clients.

Authorized to work in the US for any employer

Authorized to work in the US for any employer

Work Experience

Provider Services Advocate

Novitas Solutions Inc - Jacksonville, FL

September 2022 to December 2023

Answered all incoming calls in a fast paced environment to provide clarification on the processing of claims, denials, recoupments, appeal status, forward zip attachments such as EOB, duplicate remits, etc. Worked re/enrollment for providers certifying/re-certifying for Medicare Part B along with uploading insurance certifications in the system using EDI, CRM, and CMS.gov. Member Services Enrollment Specialist

Capgemini - San Diego, CA

March 2022 to October 2022

Processed enrollment/re-enrollment claims for Members eligible for Medicare Part D Prescription Insurance. Used Microsoft Office Systems, Outlook, Zoom for meetings and training. Sent appropriate letters to potential members for requested information. Made calls to members for information. Used google services, CRM, and CMS.gov.

Elections Clerk

A1 PERSONNEL, INC.

August 2021 to June 2022

Processed, labeled, and scanned images of ballot applications. Stuffed Envelopes, Copied, Faxed, Operated Machinery, held privacy regulations.

Customer Service Representative (CSR)

KEYSTAFF STAFFING - Austin, TX

October 2019 to March 2021

Processing Pandemic Unemployment Assistance applications for potential claimants that are self employed, sole proprietors, independent contractors, and business owners, officers in management. Resolve inquiries and download processes with claimants.// Worked under NYC Vaccine Scheduling Center. Scheduled appointment, researched dosage locations and performed data entry of personal information according to HIPAA Guidelines.

Customer Service Representative

IQOR/Verizon - Houston, TX

August 2016 to February 2020

Fast paced incoming calls environment, payment handling, go through necessary steps to complete claims. High quality phone etiquette, excellent quality customer service. Cashier/Customer Service

Walmart - Houston, TX

October 2017 to July 2018

Large cash handling, credit/debit purchases, returns, refunds, exchanges, money gram, bill payments, Mindy orders, and excellent quality customer service Supervior of Housekeeping

Aramark - Houston, TX

September 2013 to July 2016

Used supervisory skills to handle a crew of 30 individuals minimum, 75 maximum. Maintained cleanliness of University of

Houston and George R. Brown Convention Center's facilities, rooms, cafe areas, performance and show areas, window cleaning, cleanliness of elevators, escalators, and stairway areas. Education

Associate in Medical Practice Management

Texas School of Business - Houston, TX

October 2010 to May 2012

Diploma in Business

Bushwick High School - Brooklyn, NY

July 1990 to June 1994

Skills

• Typing (10+ years)

• Cash Handling (10+ years)

• Quality Assurance (10+ years)

• Microsoft Office (10+ years)

• Filing (10+ years)

• Fax (10+ years)

• Microsoft Outlook (5 years)

• Microsoft Word (10+ years)

• Customer Service (10+ years)

• Computers (10+ years)

• Receptionist (10+ years)

• Bilingual English and Spanish (10+ years)

• Data Entry (10+ years)

• Call Center

• CSR

• Bilingual

• Customer Care

• Customer Support

• Medical Billing

• Medical Coding

• ICD-10

• CPT Coding

• Medical Office Experience

• Office Administration

• EMR Systems

• Insurance Verification

• HIPAA

• Medical Terminology

• Personal Assistant Experience

• Financial Management

• Medical Records

• Infection Control Training

• Medical Scheduling

• Vital Signs

• ICD Coding

• Patient Care

• Cash handling

• Customer service

• Typing

• Front desk

• Image processing

• ICD coding (5 years)

Certifications and Licenses

Driver's License CPR Certification First Aid Certification

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