Ana Berta Vener

**** * ******** ******, *******, TX, 77071 469-***-**** adu71d@r.postjobfree.com

Professional Summary

OBJECTIVE: To be challenged in a capacity where I may utilize all my years of experience servicing English as well as Spanish customers as a patient specialist administrative assistant/coder or customer service representative. My diverse background allows me to adapt and thrive within almost any company. I am highly motivated, and a clear communicator, I have strong analytical skills, and I'm an extremely organized individual.

Skills

Experience with Maestro insurance claim system for the Medicaid and Medicare department regulated state-specific and I covered over 14 states. Liaison between UnitedHealth Care and eviCore healthcare provider portal as well as communicated, and collaborated with the claims department to resolve conflict regarding approvals or denials on behalf of members with much attention to detail. Also handled medical billing for UnitedHealth care insurance along with updating registration records. STARpa, STARpc, IDX, FACS, VPN, NEXTGEN, Microsoft Word, Internet (Explorer and Netscape) Intranet, e-Talk, Qfinity, Aspect application, Professional patient access specialist that smoothly guided patients through complicated referrals and scheduling while adhering to ever changing protocols and systems. Skilled at working with patients and physicians while demonstrating strong familiarity with scheduling systems, medical sub-specialties, and insurance requirements. Microsoft Office Communicator IM, Avaya Systems, Western Union Speed Pay, VSR-virtual security request, Windows Operating System, MS Excel, MS Windows 95, 98, 2000 MS Office.

Work History

United Healthcare Group 11/15/2021 – 01/20/2023

Senior Bilingual Patient Advocate – Remote Houston, Texas

Provide advanced services to patients, providers, and caregivers, communicating in both English and Spanish. Services could include but are not limited to:

• Billing and coding support.

• Claims assistance, tracking, and submission.

• Prior authorization assistance and tracking.

• Coordination of benefits.

• Benefit verification result call.

• Advanced alternate coverage research.

• Appeals/Denials.

• Intakes and reports adverse events as directed.

AmerisourceBergen 09/16/2019 – 11/16/2021

Senior Patient Access Specialist - Fort Mill, South Carolina

Provides advanced services to patients, providers, and caregivers, communicating in both English and Spanish. Services could include but are not limited to:

• Billing and coding support.

• Claims assistance, tracking, and submission.

• Prior authorization assistance and tracking.

• Coordination of benefits.

• Benefit verification result call.

• Welcome calls.

• Advanced alternate coverage research.

• Appeals/Denials.

• Intakes and reports adverse events as directed.

Renevana Leer LLC 07/2014 to Current

English/ Spanish Interpreter, SAT Prep Reading/Writing Tutor – Houston, Texas

I work with students that reside in District 3 of Harris County in a one-on-one setting personally tailored to each student.

CitiFinancial 01/2005 - 01/2008

Bilingual Quality Assurance Specialist III - Fort Mill, South Carolina

Responsible for monitoring and evaluating calls per company compliance policies according to the FDCPA in Ft Mill, Minnesota, Denver, and 2 additional call centers in Texas. I monitored and evaluated English/Spanish transactions between managers/collectors and, customers for quality i.e. Verifying information, updating, documenting the system accurately, and insuring phone payments were processed properly, and in a professional manner all while managing the demands of switching between

English and, Spanish quickly and seamlessly.

Proficient in all company materials in both English and Spanish for accuracy in spelling, grammar, and punctuation, utilized multiple information resources to verify the accuracy of the information,

including matrix and data tables.

Responsible for daily production reports, handled all arbitrations when needed, trained new CQS agents, strong familiarity with Recovery and Dealer receivables, skip tracing, and EIT procedures, Loss Control.

Education

Phoenix University 2013

Bachelor Business Administration

Bronx Community College 1997

Associate Business Administration

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