Customer Service Accounts Payable

Edilia Gonzalez

Bellflower, California 626-***-**** *********@*****.***

• Microsoft Office Suite

• Accounts Payable

• General Ledger

● Administrative Support

● Bank Reconciliation

● Customer Service

EXPERIENCE

COB/MSP Coordinator Imperial Healthplan Pasadena, CA Current Primary Duties:

• Identify and research information from internal and external sources regarding other employee group health insurance coverage to determine primary and secondary responsibility.

• Communicate with other insurance companies to ensure correct coordination of benefits and accurate claims processing.

• Create and send correspondence to members to determine correct coordination of benefits.

• Identifying claims previously paid as primary and secondary as well as those not previously processed.

• Determines liability based on timely filing guidelines and contractual benefits. Manage the enrollment and COB/MSP adjustment while continuously recommending areas of improvement as the case is being analyzed and evaluated.

• Resolve COB/MSP inquiries and complete a full coordination of benefits review. Key Achievement:

• Ensure requirements are followed for Medicare Secondary Payer. Investigate and analyze MSP reports for COB w/Medicare. Maintain Enrollment and OPL file information to ensure correct coordination with Medicare and other commercial insurance carriers. Residency Coordinator Inspire Communities, LLC Remote 2021-2023 Primary Duties:

● Review and analyze applicant’s residency application for over 130 properties.

● Conduct income verification for potential residents.

● Support operations by assisting with trouble shooting errors with application submissions as well as move-in errors.

Key Achievement:

● Create and provide training for community managers to support the company's residency policies and procedures as it conforms to fair housing practices. Edilia Gonzalez

Bellflower, California 626-***-**** *********@*****.*** Accounting Clerk Tower Communities LLC Pasadena CA 2018-2021 Primary Duties:

● Process invoices daily for 25 communities by coding and inputting invoices into payables system.

● Supported operations and vendors with payment inquiries.

● Responsible reconciling vendor statements to clear aging items.

● Prepared bank reconciliations for up to 20 accounts.

● Assist with various administrative tasks as needed. Key Achievement:

● Assisted in providing requested items related to payables records during due diligence of company sale.

Customer Relations Specialist Access Services El Monte CA 2016-2018 Primary Duties:

● Respond to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.

● Analyzes problems and provides information/solutions.

● Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

Key Achievement:

● Maintained a customer satisfaction rate of 95% for the company. Customer Service Representative Access Paratransit Services El Monte, CA 2015 - 2016 Primary Duties:

• Professionally and courteously answer calls from customers

• Responsible for answering a high-volume amount of calls per hour

• Required to maintain positive interactions with co-workers and customers

• Ensure a fast response and call handling time

• Answer calls for the Operations Monitoring Center (OMC) and work with external providers to resolve emergency issues as they arise.

Key Achievement:

● Maintained strong company service knowledge to better assist customers with concerns, questions and general education.

Edilia Gonzalez

Bellflower, California 626-***-**** *********@*****.*** Member Service Representative CareMore/Anthem Cerritos, CA 2013-2015 Primary Duties:

● Answering a high call volume.

● Listening to customer needs and concerns attentively.

● Resolving customer complaints in a professional manner.

● Explaining to members about the products and services.

● Providing information about member fees, benefits, policies, and procedures.

● Documenting the member’s problem for future reference. Key Achievement:

● Maintained strong company service knowledge to better assist customers with concerns, questions and general education.

EDUCATION

Some college in Business Ethics

UEI College - West Covina, CA

February 2018 to October 2018

SKILLS AND QUALIFICATIONS

● Proven experience in managing an office environment

● Knowledgeable of general accounting principles

● Proficient in Microsoft Office programs

● Proficient in ManageAmerica

● Proficient in AVID

● Proficient in SAGE

● Data analysis and report generation

● Able to work independently and as part of a team

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