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Service Representative Medical

Location:
Mc Allen, TX
Salary:
13
Posted:
April 20, 2021

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Resume:

JORGE VALENCIA

**** ********* ***, *******, ** **504 956-***-**** adlue7@r.postjobfree.com

SUMMARY

Over seven years’ experience as a Bilingual Customer Service Representative and Registration Representative, proven ability to handle multiple projects while meeting challenging deadlines. Excellent Communication, multitasking, Prioritizing, and Organization skills, Initiative and problem solving abilities. Over five years’ experience answering phones, using multiline telephone systems, answering incoming calls, taking messages, transferring calls to proper departments and scheduling appointments. Also, over six years’ experience verifying medical insurance for medical benefits, obtaining pre-certification and pre authorizations for medical procedures, labs and surgeries, as well as collection of payments and copays.

COMPUTER SKILLS

Software· Work extensively with MS Word, Excel, Outlook and PowerPoint to prepare correspondence, maintain database and compile reports- · Performed routine administrative functions such as faxing, mailings, answering Incoming calls, and maintaining and updating client’s personal records in database. · Can type 45 to 50 wpm accurately. Hospital programs like Serner, Meditech and other programs used in the medical field to name a few.

EXPERIENCE

Current Job

Rio Grande Regional Hospital Patient Care Attendant

Monitor 1 to 1 patients to make sure they do not hurt themselves during the hospital stay.

Assist Patients with personal care and with anything else they need.

Monitor multiple patients at the same time, using video cameras with audio to redirect patients when needed to make sure patients are safe at all times

08/2020 to 03/2021

Hidalgo County Adult Probation Alcohol Monitor Clerk

Create new accounts in the system, when new interlock orders are received from the Courts. Contact Defendants to ensure that the Defendant’s comply with the installation of the Interlocks or activation of the Breathalyzer Portable Devices.

Monitor Defendant’s Ignition Interlock devices and Sober link breathalyzer devices order by the Municipal Court or the Hidalgo County Courts.

Contact Defendant’s by phone when violation reports are received for testing positive for alcohol, late test or skipped tests to find out reasons why those violations were sent to us.

Constant Communication with the Courts and District attorney’s office to report any new Defendant’s violations to the Court Orders.

12/2019 to 03/2020

The Geo Group MidValley Federal Halfway House Residential Monitor

Performed Pat downs on residents coming back from the outside, and screen residents using portable metal detectors and breathalyzer machines to check for alcohol.

Performed intake, search property for contraband, issue mattress, pillow, bedding and lockers and assigned dorm and bunks. Issue Intake questionnaire to new residents regarding their personal information and enter all information into the system and issue new picture ID of the facility.

Hourly dorm checks on all dorms and perimeter checks to make sure everything is locked and clear.

Performed weekly and random U/A’s on all residents inside the facility, and monthly vehicle inspections on all residents cars inside the facility,

Also, worked in Monitor station checking in and out residents throughout the day for work, school, or job search. Also, assigned extra duties on residents that violated the rules and got extra duty time as a punishment and provided transportation. Pass out Medications to residents and Perimeter checks.

06/2019 to 12/2019

Tropical Texas Behavioral Health Medication Clinic Clerk

Register patients to US Scripts for government assistance programs to obtain free medication for low income patients.

Process prescription medications that require Prior Authorization for a specific medication requested by the psychiatrist. Perform Insurance Verification regarding prescription benefits.

Receive and log in medication into data base, label medications sent for specific patient, place medications inside medication storage room. Issue out medication samples to patients that do not qualify for Medicaid, Medicare or for a private insurance.

Answer telephone calls and answer questions regarding patient’s prescriptions or medications from insurance companies or any pharmacy related questions.

03/2019 to 06/2019

South Texas Behavioral Health Center Behavioral Health Technician

Monitor psychiatric patients at all times, performed 15 minute visual checks, and worked with 1 to 1 patients. Experience working with adolescents, adults, and geriatric patients.

help admit and discharge patients, and maintain close contact with patients · Displayed strong clinical skills in assessing vital signs, performing lab draws, EKG’s and glucose checks, and providing pre- and post-operative care.

Ensured the accurate, timely flow of information by maintaining thorough patient records and updating healthcare team on patients’ status. Reported critical values to charge nurse for immediate intervention.

01/2018 to 02/2019

Charter Communications (Spectrum) Bilingual Customer Service Representative Billing

Assisted members with billing questions regarding their bill, and issue payment extensions when needed.

Took payments to avoid disconnections, trouble shoot equipment or answer technical questions regarding equipment boxes, controls, internet or phone.

Offer different package options for new members, explained current promotion, and added services, and reinstate services when disconnected.

Took payment over the phone to avoid future disconnections, process complaints and issue credits for service interruptions.

10/2017 to 12/2017

Tele performance (United Health Care) Member Services Representative

Assisted members with their medical benefits like copays, pre-authorizations, pre-certifications.

Assisted members find specialty doctors, hospitals, urgent centers, and primary doctors that were within the network.

Made appointments, for wellness exams, mammograms, and other yearly checkups.

Answer all questions regarding all their medical benefits, coverage questions, policies and procedures.

03/2017 to 09/2017

Black Turtle Services Customer Service Representative

Provided customer service assistance to USCIS clients · Provide nationwide assistance by telephone to customers calling from within the United States About immigration services and benefits.

As a NCSC representative gave customers throughout the country another way to get consistent, accurate information and assistance on immigration services and benefits.

Provided General information regarding client’s case status

Provided information about the application process for different types of immigration applications.

Submitted service request for cases out of processing time to different USCIS Service centers or USCIS local offices for further review.

09/2016 to 03/2017

South Texas Behavioral Health Center Mental Health Tech

Monitor psychiatric patients at all times, performed 15 minute visual checks, and worked with 1 to 1 patients. Experience working with adolescents, adults, and geriatric patients.

help admit and discharge patients, and maintain close contact with patients · Displayed strong clinical skills in assessing vital signs, performing lab draws, EKG’s and glucose checks, and providing pre- and post-operative care.

Ensured the accurate, timely flow of information by maintaining thorough patient records and updating healthcare team on patients’ status. Reported critical values to charge nurse for immediate intervention. Assisted patients with activities of daily living including helping with meals, transferring using assistive devices, bathing, dressing and grooming

06/2014 to 05/2016

Hidalgo County Community Supervision and Corrections Department Residential Monitor 1

Supervise resident admission/release operations, drug and alcohol testing, Visitation, recreation, laundry procedures, transportations services, and other related duties as required.

Responsible for the security; employee, resident and visitor safety of the entire facility.

Conduct pat-downs, area and individual searches and constant Head Counts to keep track of residents count.

02/2013 – 06/2014

Maximus Customer Care Representative

Processed applications for Government programs like Medicaid, SNAP, CHIP, MEPD and TANF programs Responded to customer inquiries received by telephone, Interactive Voice Response (IVR), or web based portal regarding information on programs and services

Record customer interactions and transactions, by documenting details of inquiries, complaints, comments, and actions taken

Address customer’s inquiries and resolve problems to ensure that appropriate changes are made

Refer unresolved customer grievances to designated departments for further investigation.

EDUCATION

05/1994 High School Diploma, McAllen Memorial High School McAllen, Texas

03/1995 Medical Assistant, Southern Careers Institute McAllen, Texas

02/2006 EMT Basic, Med care EMS McAllen, Texas

05/2012 Social work, 70 college hours, South Texas College McAllen, Texas

08/2016 Phlebotomy Course, South Texas College Continue Education McAllen, Texas

12/2021 BLS, CPR, First Aid and AED Certified

07/2020 Certified Nurse Assistant, New Start School, McAllen, Texas

REFERENCES

Gloria Trevino 956-***-**** Driscoll Children’s Hospital

Enrique Cano 956-***-**** Maximus

Armando Madrigal 956-***-**** Lamar Academy



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