ADRIANA MERCADO

Fullerton, CA *****

ad2ugn@r.postjobfree.com

+1-657-***-****

Certified medical biller and coder with 16+ years of professional experience in customer service call center, accounts receivable and driving. Bilingual, adaptive and collaborative professional seeking to grow within a company’s culture. As a detail-oriented and personable individual, able to connect with and serve people while also accomplishing tasks with accuracy. A rapid workplace adaptor, looking forward to joining and adapting to a fantastic new team. Authorized to work in the US for any employer

Work Experience

Customer Service Representative

Cal-Optima

February 2023 to August 2023

● Functions efficiently and productively in a high-volume call center.

● Maintains departmental productivity and quality standards.

● Routes escalated calls to the appropriate Member Liaison Specialist, Supervisor or Call Center Manager.

● Adheres to departmental policies and procedures.

● Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care.

● Verifies member eligibility, claim and authorization status for providers.

● Responsible for accurate, complete, and correct documentation into Facets regarding all issues, inquires, complaints and grievances.

Driver/ Medical Billing

Life Fleet Non-Emergency Medical Transportation - Anaheim, CA May 2019 to September 2022

● Provide wheelchair and gurney services through and Bernardino County and Orange County for patients from hospital discharges, long distance medical appointments, and dialysis appointments

● Perform daily vehicle checks with company vehicle and able to lift 50 pounds

● Safely operate a wheelchair and gurney van with a ramp and assist patients to get in and out

● Utilized and worked with company iPhone dispatch bot and vector applications

● Interact with customers in a kind, helpful and compassionate way

● HCPC Billing and EOB posting on accounts submitted paper CMS1500 form Call Center Representative

1-800 -4-My Taxi - Santa Ana, CA

October 2013 to May 2017

● Received 100+ calls per day, ensuring all service calls were answered and entered in timely manner

● Entered customer information for taxi service requests to dispatch system from phone, email, voicemail and fax

● Asked questions and determined customer requirements to correctly provide route requests

● Accuracy in obtaining customer information to limit complaints and errors

● Problem solved with customers when issues arose, and worked closer with supervision

● Delivered excellent customer service to ensure business maintained great reputation Billing Supervisor/Accounts Receivable

Caravan Canopy - La Mirada, CA

March 2012 to May 2013

● Handled billing and data entry for company with acute attention to detail

● Provided administrative support as needed (i.e. phones, computer, printing, copying)

● Received bank deposits and collections on past due next term customers

● Communicated with vendors and customers with professionalism and assertiveness, trouble shooting, identifying payment deductions and submitting disputes

● Resolved vendor violations chargebacks within the company

● Operated in fast-paced environment, multitasking and prioritizing workload with many different projects

Accounts Receivable/Collections

William D Goodrich Costa - Mesa, CA

May 2011 to March 2012

● Conferred with clients by telephone or in person regarding past due payments and non-sufficient fund payments

● Managed payroll function for employees, and monitored and recorded company expenses

● Managed accounts payable and receivable and prepared daily company accounts and reports

● Administered online banking function and prepared weekly sales reports for management

● Performed general office duties and administrative tasks, including managing the internal and external mail

● Maintained up to date confidential client files

Education

Medical Billing and Insurance Coding

UEI College - Anaheim, CA

June 2020

High School Diploma

Rancho Santiago High School - Santa Ana, CA

Skills

• Multi-line phone system

• Certified Medical Billing & Coding

• Accounts payable & receivable

• Excellent Customer Service Experience

• Written & Verbal Communication Skills

• HIPAA & CPR Certified

• 10 key by touch

• Computer skills (Microsoft Office)

• Oracle

• Avaya

• ICD-10

• EMR Systems

• CPT Coding

• Medical Billing

• ICD-9

• QuickBooks

• ICD Coding

• Insurance Verification

• HIPAA

• Data Entry

• Medical Records

Certifications and Licenses

Medical Billing Certification

Medical Coding Certification

CPR Certification

Driver's License

Contact this candidate