TriWest Classification: Proprietary and Confidential

MELISSA ARMENDARIZ

PHONE 915-***-****

adrhcj@r.postjobfree.com

OBJECTIVE

I WOULD LIKE TO OBTAIN TO OBTAIN A POSITION THAT WILL ALLOW UTILIZATION OF THE KNOWLEDGE AND SKILLS THAT I HAVE ACQUIRED

SKILLS

EXCELLENT COMMUNICATION SKILLS

ABLE TO WORK INDEPENTLY AND AS A TEAM PLAYER

USE OF MULTIPLE PHONE LINES

EXCELLENT CUSTOMER/CLIENT SERVICES

KNOWLEDGE OF MEDICAL TERMINOLOGY

EFFICIENT WITH HEALTHCARE CLAIMS, BILLING, OR RELATED CLAIMS AREA PROFICCIENT WITH PATIENT INTAKE /REFERRALS/PATIENT ELIGIBILITY PROFICCIENT WITH OUTLOOK, MICROSOFT EXCEL AND INTERNET ON-LINE SYSTEM EXPERIENCE

TRIWEST HEALTHCARE ALLIANCE

AUG.2018-PRESENT

CLAIMS REPRESENTATIVE

PROVIDE SUPERIOR CUSTOMER SERVICE AND EFFECTIVE COMMUNICATION SKILLS REVIEW VETERAN CLAIMS AND PROCESS BASED ON ELIGIBILTY ASSISTED PROVIDERS ON HOW TO SUBMIT CLEAN CLAIMS FOR REIMBURSEMENT PROCESSED AND REVIEWED APPEALS STATUS ON DENIED CLAIMS REVIEWED CLAIMS AND SENT THEM FOR REPROCESSING FOR PROPER REIMBURSEMENT CUSTOMER SERVICE REP

AUG 2018- PRESENT

PROVIDED ELIGIBILITY FOR BOTH VETERAN/PROVIDER/CLIENT SUBMITTED NOTES TO VA FOR FURTHER AUTHORIZATION OR EXTENSION APPROVAL PERFORMED VETERAN QUESTIONNAIRE FOR SCHEDULED DIAGNOSTIC IMAGING CREATED VETERAN AUTHORIZATIONS FOR CHIROPRACTIC, GYNOCOLOGY, PODIATRY AN ACUPUNCTURE CARE HOLISTIC HOME HEALTH

OCT 2017-2018

HOME HEALTH PROVIDER SUPERVISOR

PROVIDED SUPERVISOR CLIENT RELATION ASSITANCE FOR HOME CARE NECESSITIES ASSISTED WITH DATA ENTRY FOR TIME RECORDING PURPOSES CREATED EXCEL SPREADSHEETS AND FILES FOR CLIENT/PATIENT FOLLOW-UP UTILIZED OUTLOOK FOR PROMPT RESPONSE AS NEEDED FROM CLIENT/SUPERVISOR GC SERVICES

OCT 2006-2013

CALL CENTER

TRAINER

ESTABLISHED POSITIVE, ONGOING PROFESSIONAL RELATIONSHIPS WITH CUSTOMERS AND CO WORKERS. SUPERVISED AND COORDINATED 20-40 EMPLOYEES

EVALUATE EMPLOYEE PERFORMANCE TO GAUGE WHERE SKILLS ARE LACKING QUALITY ASSURANCE

PROCESS DOCUMENTATON AND PROJECT AUDITS

DELIVER CALL MONITORING AND AUDITS

TriWest Classification: Proprietary and Confidential EDUCATON

HIGH SCHOOL DIPLOMA

TEXAS TECH

COMPLETION OF CERTIFIED/PROFESSIONAL MEDICAL ASSISTANT REFERENCES AVAILABLE UPON REQUEST

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