SKILLS

PROFESSIONAL SUMMARY

WORK HISTORY

PATRICIA CASARES

361-***-**** • adn2t5@r.postjobfree.com • 4918 Easter Dr., Corpus Christi, Texas 78415 Eager & Determined with nearly 20 years of value experience in Medical insurance occupation. Comprehension of Medicare, Medicaid, HMO and PPO health plans has helped define skills and proficiency to get task complete with in a timely fashion. Personally, I feel I am a strong candidate to fulfill the open position in your collections department. I appreciate the opportunity to speak with you for this position or any other position in you organization. Data entry

Strong verbal communication

Extremely organized

Aug 2017 - Current

Corpus Christi, Texas

Case Manager Assistant / Driscoll Health Plan

The Case Manager Assistant Coordinator provides support and guidance to Case Manager Assistants in the Health Services Department. Case Manager Assistants provide clerical support to the Utilization Management and Case and Disease Management Departments to ensure all referrals/authorizations, phones calls, data entry and reports are addressed and completed in a timely manner. Oct 2014 - Mar 2015

Corpus Christi, Texas

Customer Service Representative / Valence Health Inc. Processed 100% of inbound calls inside 8 hour work days Met daily metrics of call pick up within 10 seconds of wrapping up previous call. Logged into Aldera providing member and provider support. Verified member benefit policies and out of pocket expenses. Verified providers of member benefits, coverage ratios and limitation, as well as claim status. Serviced the greater Chicago, Ill. area.

Oct 2007 - May 2013

Corpus Christi, Texas

Insurance Clerk / Orthopedic Associates Of Corpus Christi Processed and recorded new and established patient encounters. Submitted clean claim vie EDI and paper. Calculated adjustments, premiums, and refunds for payment posting and review of over-payments. Reviewed and verified data, including addresses, phone numbers, names, ages, and insurance ID for verification of member benefits. Collaborated on all stages of the systems development during conversion to new program system for smooth transition of patient data and provider information. Assisted all insurance clerks with AR reports and follow claim status.

Jan 2000 - May 2012 Account Manager / Page Management Associates, Inc. EDUCATION

CERTIFICATIONS

Corpus Christi, Texas Analyzed monthly balance sheet accounts for AR . Team lead position responsible for training a total of 5 new employees on accounting principles and company procedures. Generated reports detailing various metrics and account information. Analyzed month end balance sheet accounts for provider reporting after daily payment posting of insurance EOB. Responsible for daily bank deposits of cash, check and credit card payments, maintain integrity of general ledger including bank logging chart of accounts. Generated and submitted secondary/tertiary claims with primary/secondary EOB attached. Generate patient invoice for balance billing.

Corpus Christi, TX Del Mar College

Nursing Program 2016-2017

DSHS Certified Community Health Worker by the State of Texas