Customer Service Front Desk
Resume:
Rose M. Villalobos
El Paso, TX 79903
*******@*****.***
WORK EXPERIENCE
RobertHalf
Medicaid/Benefits -El Paso, Texas-January 2021 to March 4, 2022
Benefits for Ambetter from Superior Health Plan, HIPAA verify, document claims for medicaid, Superior Health Plan, enrollments, cpt codes, denied claims, appeals, resubmit claims, refer to OIG, check#, check amount, reissue checks, in par or non par clients, payments, inbound calls & transfer calls.
Capgemini-CVS
Benefits Verification- El Paso, TX-July 2020 to December 2021
Prescription Prior authorization, refill too soon, limitations exceeded, ECS rejections, secondary rejections, triage prescriptions, call to MDO. call to patients, update insurance information, update patient address and phone number.
Conduent
IT- El Paso, TX- August 2019 to April 2020
Internet explorer, google chrome, excel, Microsoft office 365 adjustments, billing. Internet signaling, telephone and cable, fixed services. Sales of services of 6 or more a day. Bilingual in English and Spanish customer service.
HGS
El Paso, TX- January 2018 to July 2019
Benefits, pharmacy, medicare, medicaid, billing, open enrollment, alternative medication, deductible, and inform members of benefits. Updated addresses, corrected PCP, payments premium, send coupon book, correct payment methods, and correct recurrent payment. Prescription adjustments, appeals, documentation, and doctor directory list. Verified insurance is current on system. Excel, word 2016, internet explorer, google chrome, and Microsoft office 365.
Corporate Associate Benefits Specialist
Employbridge - El Paso, TX - November 2014 to April 2017
Assisted associate with open enrollment for over 2,000 employees medical insurance a month, cancellation benefits, dental, vision, life insurance, short-term disability, long-term disability. Child support and payroll. Payroll deductions for medical insurance, dental, vision, life insurance and short-term disability, assisted employees with wellness program, Excel, Spread Sheets, Outlook, Office 365, Power Point, and medical cards were sent to employees, IRS forms 1095 B, 1095 C, and 1099. Child support benefits and reimbursements. Court orders for employee with benefits. Corrections on benefits for employees and sent to IT. Some unemployment claims experience with benefits. Email information to employees. Document employees benefits. Address and updated profiles. Transfer 200 calls a day. Bilingual customer service.
Front Desk Clerk
Y. W. C. A - El Paso, TX - May 2005 to January 2007
Bilingual customer service, faxing, copy, spread sheets, power point, payments of memberships on computer and schedule classes on computer.
EDUCATION
High School diploma
Riverside High School June 1993
Bachelor Science Human Services
University of Phoenix November 2014
SKILLS
Microsoft Office, Word, Excel, Power
Point, and Office 365.
AWARDS
Dean’s List
January 1994 Top 5%
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