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Mail Processing Care Representative

Location:
Arlington, TX
Salary:
45,000
Posted:
February 26, 2023

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Resume:

Maria Martina Sanchez

**** ******* **** *********, ***** 76006 advk3j@r.postjobfree.com 956-***-****

SUMMARY OF QUALIFICATIONS

· 10+ years of experience in office administration

· 30+ years of experience in customer service/sales, 5+ Claims and billing

· Computer literate with experience using Microsoft Windows, QuickBooks, Quicken, Peachtree, Micros, Kronos, MARSHA, BriteWare, Sabre, and several other applications

· Patient Advocate

· Bilingual – English and Spanish

EDUCATION

Texas State Technical College, Harlingen, Texas

General Office Certification, May 1987

Mercedes Independent School District, Mercedes Texas

High School Diploma, May 1983

EXPERIENCE

VDART, Alpharetta, Georgia Jun. 2021 – Mar. 2022

Bilingual Customer Care Representative Agent

· Managed inbound and outbound calls to assist claimants with application and portal maintenance

· Documented client interactions and reviewed data to ensure accuracy, adhering to confidentiality rules

· Handled customer service inquires by telephone, internet or written correspondence through the portal

· Utilized resources to assist customers in understanding components of the program products

United Postal Service, Fort Worth, Texas Oct. 2019 – Dec. 2019

Sorter/Processors and Processing

· Prepared incoming and outgoing mail for distribution, and examined, sorted, and routed mail

· Loaded, operated, and adjusted and repaired mail processing, sorting, and canceling machinery

· Kept records of shipments, pouches, and sacks related to mail handling within the postal service

Humana Pharmacy, Irving, Texas Nov. 2018 – Oct. 2019

Customer Service–Bilingual Concierge Representative

· Managed inbound and outbound calls to help members place and track prescription orders

· Documented and reviewed data related to patient interactions to ensure accuracy of services provided

· Provided targeted services based on a holistic view of the member, benefits, health information

Stericycle, Inc., North Richland Hills, Texas Jul. 2017 – May 2018

Senior Patient Experience Advocate

· Core Advocate, assisting hospitals with scheduling, tours, online services and physician referrals

· Provided to support to members seeking information regarding health insurance benefits and eligibility

· Educated members based upon their unique needs and understanding of the plans, tools and resources

Evolent Health, Bedford, Texas Dec. 2016 – Jul. 2017

Bilingual Customer Service Representative

· Responded to inquiries about health insurance benefits, eligibility and claims by members and others

· Communicated tactfully and empathetically with members, providers and brokers to address their needs

· Engaged, consulted and educated members to help guide the members along a clear path to health care

Aetna Health Insurance, Arlington, Texas Apr. 2014 – May 2016

Health Concierge Representative

· Assisted members of the Teacher Retirement Services with claims inquiries and claims resubmissions

· Explained available options to members, while making referrals to in-network providers and facilities

· Provided personalized services based on a holistic view of the member, benefits, health information

· Utilized resources to assist customers in understanding claims, accumulators, usage and balances

Texas Health Resources Credit Union, Arlington, Texas Nov. 2013 – Mar. 2014

Branch Manager

· Conducted deposits and other monetary transactions, while assisting members with account services

· Recruited new members, as well as maintained responsibility for opening and closing branch location

Tarrant County Bar Referral Service, Fort Worth, Texas May 2011 – Jul. 2012

Legal Referral Services Administrator

· Answered referral service call line then matched callers to available attorneys with the needed expertise

· Assisted with social events and committee meetings in conjunction with the local Bar Association

DFW Marriott North, Irving, Texas Jul. 2008 – Jun. 2012

Front Desk/Concierge Services Representative

· Assisted guests with lodging accommodations, transportation, and concierge room service requests

· Managed assignments and blocked rooms for preferred-guest programs via various virtual applications

Co-Op Financial Services, Fort Worth, Texas Nov. 2010 – Oct. 2011

Outbound Bilingual Agent

· Worked on outbound projects, while assisting Spanish-speaking clients with bilingual customer service

· Contacted clients with new promotions and made payment arrangements when appropriate

Hotels.com, Arlington, Texas Apr. 2006 – Feb. 2008

Bilingual Customer Care Representative/Sales Agent

· Managed the Sabre Support Help Desk, working with AS400 and Peoplesoft systems

· Assisted clients with reservations, accommodations, and exchanges of airline e-tickets and vouchers

REFERENCES AVAILABLE UPON REQUEST



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