Angel Gonzalez
***** * **** *****, ********, AZ, 85304 602-***-**** ad31s9@r.postjobfree.com
Education
High School Diploma Brackenridge High School 400 Eagle land Drive, San Antonio, TX 78210
Experience
CUSTOMER ADVOCATE MEDRISK 05/2019 – CURRENT
Process continue with request for faculty’s for workers compensation
Review documents for signed prescriptions from referring physicians
Update patient treatment calendar for updated dates of service
Process request for treatment facilities for request for additional treatment
Follow up with facility on Discharge information
Process approvals and denials from Adjusters, Nurse case managers and insurance companies
Review case status and detained what additional information is needed for case updates
PERSONAL LINES FARMERS INSURNACE 07/2017- 04/2018
Review coverage information with the agent for new business and existing
business
Process billing payments when needed and also assist with the billing breakdown over policy increases with the exception of also reviewing rate caps and state increase
Process MVR reports using internal resources
Review and analyze Mvr reports to determine eligibility of reinstatement of policies
Review request to determine request for retroactive changes to policies
Review coverage options and process payments
Review guidelines with agents to determine next steps in policy changes
Submit appeals to our underwriting department for agent’s request
Review accident disputes and review documents to make judgment calls
Process and review insurance policies, endorsements, and cancellations
PROGRAM SCHEDULER VITAS HEALTHCARE 02/2016 -02/2017
Process new referrals that arrive directly to the program in the manor best fitting the needs of the referral source.
Request Medical Records from case management of DOM from hospital, nursing home, & doctor offices.
Helps our liaison and admission nurses via email and phone if necessary
Handel's daily schedule for admission staff and make changes throughout daily for daily task to accommodate emergency
Created welcome packets with include DNR and order supplies
Handel's office duties and crossed trained in EMR for internal assistance
Participates in morning check in meeting with designated Admissions Coordinator to review staffing/scheduling needs for the day.
Conference call are completed prior to 9am local time.
Participates in morning check-in meeting with Admissions Manager to review staffing/scheduling needs for the day.
Provides a concierge level of customer service to every caller by implementing the VITAS Call Center Quality Management standards of call scripting
Supports Admissions team to exceed program goals.
Establishes a rapport and maintains an effective relationship with all internal and external customers.
Enter all accurate information to support data integrity in VITAS computer applications.
Responds accurately to all questions received regarding services provided by Vitas.
Offers and/or confirms a same day appointment and/or the appointment time that is as close as possible based on the request of the patient and/or referral source to ensure a timely admission.
Escalates matters to Admissions Manager when assistance or clarification is needed.
Follows the VITAS Admissions Standard for contingency staffing
Focused in ongoing training and development based on the changing healthcare environment.
Notifies Admissions Staff of all scheduled appointments within their working hours
Notifies VITAS Marketing Representatives of all new referrals within their working hours
Utilizes Appointments Everywhere to effectively facilitate the scheduling/updating of appointments.
STUDENT INTERN GARY JOB CORPS 07/213 – 04/2014
Training in creating and updating patients' electronic health records
Training in all insurance types for HMO, PPO, Medicare, Medicaid, Tricare
Scheduling and coordinating appointments
Training in Verifying patient insurance
Completing and submitting insurance claims
Training in preparing correspondence between medical providers and their patients
Providing quality customer service to patients
Knowledge of Medical Terminology, ICD-9 and CPT
Became Certified CPR/First Aid/ AED•