Wanda Panton

323-***-****

Los Angeles, CA *****

ad4s6h@r.postjobfree.com

OBJECTIVE:

Seeking a position in the Customer Service field, dedicated to quality of service. Where I can utilize my skills and experience to benefit the company.

SKILLS:

Knowledge of Medical insurance contracts Claims Examining

Medical and Dental Terminology COB and HIPPA Guidelines

Insurance Verification Collections Customer Service

ADA, ICD-10, CPT and HCPCS Coding CMS- 1500 and UB Forms

Medicare Guidelines Elite Telephone Ethics

SKILLS: COMPUTER/SOFTWARE

10 keys by touch Typing 60 wpm

Medisoft Microsoft Office

Windows

Excellent interpersonal, oral and written communication skills

Computer literacy

Well organized

Detail-oriented

WORK EXPERIENCE:

2020 - 2021 EDD (Remote) Customer Service Rep Los Angeles. Ca

Responsible for answering questions about unemployment claims status, was able

to help claimant certify their benefits, in order to get payments. Answer any

question needing to know where a claimant can find information on filing a

claim.

2013 - 2019 Daycare Child care provider Los Angeles, Ca

Responsible for preparing meals and snacks for nutritional needs. Took care of

newborns, toddlers and preschoolers. Supervised their safety, dealing with

indoor and outdoor activities. Help them with their daily routines, such as

dressing, toilet training, eating and sleeping.

2010 - 2013 Plum Tree Club Office Manager Los Angeles, Ca

Responsible for pay roll, light accounting, inventory, scheduling employees work

hours, the performers and exclusive events.

2010 - 2010 Molina Healthcare Claims Customer Serv. Long Beach, Ca

Responsible for assisting providers with claims inquiries on Medicare and Medical

billings. Explain how the claim was process and paid, also reading/reviewing the

contracts and appeals.

2009 - 2009 Apollo Health Street Billing/Elig./Data Entry Los Angeles, Ca

2007 - 2009 Telezone Customer Service/Sales rep Marina Del Rey, Ca

Responsible for handling, heavy call volumes, creating inbound sales, processed

orders, answered questions and responded to concerns. Handle customers with

escalated issues and resolved situations with utmost care. cross sell company

products.

2004 - 2007 Nissan North America Customer Service Rep Gardena, Ca

Answering questions and resolves issue based on phone calls from customers and

dealerships. Maintain individual productivity, quality standards and enhance

customer satisfaction. Also dealt with escalated calls.

1997- 2003 Aetna Healthcare Cust Serv Rep Los Angeles, Ca

Answering questions and resolving issues based on phone calls from members/providers.

Educate members on how their medical plan works for them (COB, HMO, POS and PPO).

Assist providers/members with claims inquiries. Enhance customer satisfaction and

retention while balancing interest of plan. Assist on the pharmacy line, helping

pharmacist with overrides on prescriptions and members getting their prescription

fill. Assist with scanning the claims into the system and document preparation.

EDUCATION:

LACC Los Angeles, ca

Major: Medical Terminology, Claims Examining, Coding and Billing

American Career College Los Angeles, ca

Major: Health/Dental Claims Examining, Coding and Billing

LA Southwest College Los Angeles, ca

Major: Computer Science

Washington Prep High School Los Angeles, ca

Major: Clerical Program

AWARDS:

Aetna Healthcare: Quality incentive for 100% financial and 100% statistical. Perfect

attendance incentives and high-performance achievements awards.

American Career College: Valedictorian, Honor Roll, Perfect attendance and GPA 4.0.

LA City College: Medical Terminology, Coding and Billing.

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