Customer Service El Paso

Joanna Hernandez

***** ********* **., ** ****, **936, TX (US) **************@*****.*** 915-***-****

PROFESSIONAL SUMMARY

Dedicated customer service representative motivated to maintain customer satisfaction and contribute to company success. Has proven ability to establish rapport with clients and exceed quotas and maintain excellent metrics. Is reliable and driven with strong time management skills and prioritization capabilities.

EMPLOYMENT HISTORY

Medical claims specialist, Sagility . El Paso, TX

Nov. 2023 - Present

I process medical claims to review patients' records and information to determine if medical claims are eligible, legitimate, and accurate. For example:

Eligibility: Checking if the patient has medical insurance and is eligible for benefits

Coverage: Reviewing the patient's policy to determine their coverage type and amounts

Procedures: Checking if procedures are covered by the policy and following up to ensure they took place

Payments: Determining if payments are due and remitting payment to the doctor if the claim is covered

Denials: Denying claims and explaining the reasoning

Settlements: Negotiating claim settlements and recommending legal action if settlements are non-negotiable

Customer Service Representative,

Alorica. El Paso, Texas

Sep. 2022 - Nov. 2023

I would be in charge of filing disputes, replace debit cards, send them self Service links, secure there accounts, file complaints, edit profile, help with there online mobile app.

Cashier/Manager, 7-11, Chevron, Western Refinery, Circle K. El Paso, Texas

Mar. 2008 - Sep. 2022

Customer Service, Monetary Transactions, Data Entry, Deposits, Greeting People, Audits,

Check in Merchandise, Maintenance, Money Orders, Answering Phones, Cash Audits, Making Schedules, Inventory, Receiving of Vendors, Stock Merchandise, Interviews, Training New Hires, Cleaning schedules, Recruiting new hires, Duties schedules.

Claims specialist, IGATE. El Paso, Texas

Jul. 2013 - Mar. 2014

I would process 30-40 Insurance forms an Hr. made sure all the data was entered and submitted correctly.

EDUCATION

Burgess High School, El Paso, Texas

High School Diploma, Basics, Jun. 2007

Contact this candidate