Customer Service Representative

Angelina Garza

To be able to obtain a position as a Sr Customer Service Representative; and being able to use my skills and experience to enhance a company and its members

San Antonio Texas 726-***-**** *********.************@*****.*** WORK EXPERIENCE

Fire and Police Retiree Healthcare Fund — Bene ts Specialist Tenderheart Health Outcome/Randstad(contract) — Customer Service Representative Wellmed/ Healthcare Support (contract) — Customer Service QTC/Insight Global(contract) — Medical QA Specialist Caprock Medical aka 90degree Bene ts — Bene t Specialist Aetna — Sr Customer Service Representative/Provider Relations EDUCATION

04/2023 to 04/2024, San Antonio,Texas

Responsible for addressing bene t inquiries on health and prescription coverage. Researched and resolved member bene t issues. Prepared and managed the enrollment process for new retirees/widows. And assisted members on understanding there bene ts.

11/2022 to 04/2023, San Antonio

Contacted providers in regards to medical records that where needed to determine medical necessity for DME products. 08/2021 to 11/2022, San Antonio,Tx

Scheduled members for non emergent transportation;to and from PCP and Treatment center appointments. 05/2021 to 08/2021, San Antonio, Tx

Performed a variety of activities under close supervision; to ensure the accuracy and completeness of medical documentation for Military vets to receive VA compensation. 03/2020 to 01/2021, San Antonio, Tx

Received inbound calls for a Third Party Administrator in regards to claims and bene ts. 01/2014 to 03/2020, San Antonio,Tx

Received 80+inbound calls from providers inquiring claim and bene t information. Researched contracts to make sure claims where processed correctly. Advised and provided appeal status. Received and processed incoming correspondence such as Medical Records, Credentialing information, also authorizations. Everest College — Medical Assistance

Career Point Business School — Medical O ce Management/GED 01/2008 to 09/2009

01/1995 to 04/1996