Medical Customer service
Resume:
Mildred Quiles
Fullerton, CA 92833
Objective
An affiliation with a Medical Group that will offer an opportunity to demonstrate my extensive knowledge and proven successful experience in Health Care.
Highlight of Qualifications
Knowledge of several medical billing software skills and RVS codes
Bilingual in Spanish and English
Member Services
Planning skills
Quality management
Extremely organized and detail oriented
A sharp, team player who can work independently
Capable of handling multiple projects concurrently
Experience
United Agricultural Benefit Trust - Irvine, CA March 2005 – April 2017
Lead Customer Representative
Research, training, and ongoing education of staff regarding medical benefits, claims and Provider Dispute
Entered data/information accurately and in an expedient manner
Followed-up of all pending claims and authorizations
Monitored call volumes, efficiencies and timely response
Handled the resolution of difficult member provider calls with the focus of quality and quantity
Special project assistance to the Supervisor
Contact this candidate