Catherine Astorga

El Paso, TX *****

ad4nyk@r.postjobfree.com

+1-915-***-****

Authorized to work in the US for any employer

Authorized to work in the US for any employer

Work Experience

Patient Service Representative

Fortrea - El Paso, TX

October 2023 to Present

Contractor position with Fortrea for Biogen support services, support coordinator for MS patients needs help get their medications. I would run Benefit Investigation, provide summary of benefits, switch infusion sites at patient request, provide different options financial assistance. Case Manager

Innova Solutions Inc. - El Paso, TX

May 2023 to August 2023

Contracted position for Case manager for Cardinal Health. Enroll patients into copay assistance or Patient Assistance Program for Trodelvy. Check for eligibility with payers, check accumulators, network status, prior authorization necessity and/or status. Follow up with Provider's offices to advise of eligibility, send faxes out once we complete Benefit investigation, successful copay or PAP. Medical Claims Specialist

TriWest Healthcare Alliance - El Paso, TX

January 2023 to March 2023

Provided general claims status to providers, office managers, third party billing departments. As per the contract with Triwest as they are contracted by the Department of Veterans Affairs Benefits Verification Representative

Continuum Global Solutions - El Paso, TX

November 2021 to January 2023

Verify benefits for specialty medications, input insurance information on patient profile, offer copay assistance. Start and or check statuses for prior authorization needed for loading and maintenance doses. Benefits Verification Specialist

Capgemini - El Paso, TX

September 2020 to October 2021

Processed prescriptions for CVS specialty pharmacy. Input insurance checked eligibility, provided Copay information and offered Copay assistance if eligible. Made sure that patient profile was completed to allow for prescriptions to be be processed completely by assuring that ICD-10 codes were entered correctly. Check status of prior authorization and in need started the prior authorization process for approval. Customer Service Representative

Datamark, Inc - El Paso, TX

March 2020 to May 2020

Provide customer service for Federal employees who had questions about their medical coverage for accepted conditions as deemed by United States Department of Labor. Account Specialist/Customer Service

Continuum Global Solutions - El Paso, TX

July 2017 to November 2019

Explain billing to current and former Cox communication customers. Upsell current package, adjust billing errors, advise of technician ETA

Customer Service Representative

HGS USA - El Paso, TX

August 2015 to April 2017

Provide information on Benefits and Eligibility to providers or facilities that called and requested. Upheld HIPAA guidelines and properly validated calls. Checked CPT and HCPT codes to check for prior authorization. Check claim status on medical claims. Processed initial intake of appeals for providers as well as claim adjustment request.

Education

GED

Grover Cleveland High School

September 1994 to June 1998

Skills

• Telephone (5 years)

• CSR

• Customer Care

• Customer Support

• Customer Service

• Call Center

• B2B Sales

• ICD-10

• Telemarketing

• CPT Coding

• HIPAA

• ICD-9

• Medical Billing

• Upselling

• Insurance Verification

• Medical Terminology

• Medical Office Experience

• Data Entry

• ICD Coding

• Customer service

• Sales

• Upselling

• Windows

• Medical terminology

• HIPAA

• ICD-10

• Salesforce

• Organizational skills

Certifications and Licenses

Driver's License

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