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Customer Care Medical Billing

Location:
Miami, FL
Posted:
September 30, 2020

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Resume:

Diana Arrango 305-***-**** adgjb1@r.postjobfree.com Miami, Florida 33193

Summary of Qualifications

Resourceful and committed Customer Care Specialist with more than 10 years of progressive experience in medical industry.

Dedicated leader who identifies opportunities to improve processes, increase staff knowledge, and ensure compliance with all regulations.

MS Office, Word, Excel, Outlook, CPT, and ICD-9 coding, CMS 1500 forms.

Fluent in English and Spanish

Professional Experience

LA Fitness Center, Miami, Florida 2018 to 2020

Activities Director (Position was eliminated due Covin-19)

Guided the customer and instructors in the fitness programs managed eight locations with over 200 instructors.

Supervised and managed eight fitness centers in various locations in Miami.

Maintained high quality standards for supervising all fitness instructors and classes by ensuring all programs and classes have coverage.

Prepare classes and instructor training and employee schedules ensure all instructors have open communication and support as needed via location.

Provided mentoring and coaching to instructors.

Responsible for all instructors’ payroll approval and vacation time requests.

Presented workshops for all instructors and mentoring support for staff.

Held fundraiser events to support the community.

Molina Healthcare, Miami, Florida 2017-2018

Customer Care Support Specialist

Responsible for filing all patient charts and update patient accounts.

Enter all insurance data and payments into system.

Handle all pre-approvals for doctor’s office referrals for patients.

Submit all claim authorizations for insurance processing

Humana Inc. Miami, Florida 2013-2016

Customer Care Processor

Responsible for contacting all patient members to ensure all medical data was update to date and current.

Process all applications for Care Plus and Humana via approval process

Update all pending applications and files into daily spreadsheet.

Scan all incoming documents and update all pending applications and files.

AMS, Miami, Florida 2008-2011

Charge Poster

Handle all insurance and patient payment postings.

Process of all claims and adjustments via tracking and updating system.

Tender Care Pediatrics, Miami, Florida 2006-2008

Front Desk/Medical Biller

Process all medical billing for multiple providers.

Handle all data entry of electronic medical records.

Handle all insurance verification for various insurance groups.

Posting all insurance payments.

Responsible for all incoming calls and providing administrative support as needed.

Education

National School of Technology, Miami, Florida

Billing and Coding Certification, 2005

South West Miami Senior High Miami, Florida 1995



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