Customer service, Data Entry, Bilingual, Social Services

Eli Vasquez

484-***-**** *********@*******.***

SKILLS & ABILITIES

Bilingual

Organization

Time management

Verbal and Written Communication

Teamwork and collaboration

Technological aptitude

Customer service

Self-motivated

EDUCATION

Associate of Applied Science – Human Services Tidewater Community College, Virginia Beach

PROFESSIONAL EXPERIENCE

I am a highly motivated and personable business professional. My talent lies in mastering processes within a short span of time along with diplomatic and tactful solutions to professionals of all levels. Accustomed to follow up and handling of sensitive material and confidential records. Proficient with Microsoft Office applications, including spreadsheets.

UNC-University North Carolina-Health Revenue Cycle Representative Cash Management- (09/2022- Current)

Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claims edit, and/ or having received claim from related denials. Maintain A/R acceptable aging levels by prompt follow-up unpaid claims and denied claims. Responsible for the accurate and timely submission of claims. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier. Read and interpret EOB’s (Explanation of Benefits).

Anthem- National Medicaid Outreach Specialist /CHW-Community Health Worker (12/2019-09/2022)

•Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies, and procedures.

•Provides timely and accurate resolution of inquiries and issues regarding benefits, services, and policies.

•Supports, represents, and promotes State Sponsored Programs through participation in community events.

•Assist members access to care through home visits, processing of reports, and distribution of collateral materials.

•Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid, Medicare, CHIP and social service programs.

Portfolio Recovery Associates - Bi-Lingual Disputes Representative (02/2016-12/2019)

•Handling complex escalated disputes

•Resolving merchant and customer discrepancies

•Updating information to the three major Credit Bureau’s

•High volume call center environment

•Assisting other departments with collection of payments

•Assist co-workers with bi-lingual calls

•Preform data entry into case management system

•Use probing skills and interview techniques to determine best financial options for clients

Aviation Institute of Maintenance – National Admissions Representative (Recruiter) (5/2015 – 9/2015)

•Use of Company approved recruiting methods to exercise discretion while evaluating potential applicants for additional training

•Call center environment (Inbound/Outbound)

•Interview applications to obtain necessary information to determine eligibility

•Processed incoming applications

•Mentored and monitor new students

•Complied with the Admissions Policy and Procedure and the policies of regulatory bodies

•Familiarity with Campus Vue, bi-linguistic, Power Point, Excel, and Cold-Calling, 75- 100 per day • Appointment Setting

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Chesapeake Department of Health via Caterpillar Staffing- Human Services Bi-Lingual Clerk (09/2013-01/2015)

•STD clinic registrar,

•Preform data entry into case management system

•Answered phones, filing, interprets in Spanish, assist medical staff when needed.

Virginia Premier via Aerotek Staffing – Bi-lingual Health Insurance Rep 02/2013 – 04/2013

•Inbound call center for Medicaid members and providers

•Working incoming calls from members and providers,

•Dispatch of transportation for clients,

•Updated member information, assisted in facilitating changes in health providers upon request, fielding questions pertaining to insurance coverage.

Aviation Institute of Maintenance – (Campus Recruiter) Admissions Representative 11/2010-10/2012

•Use of Company approved recruiting methods to exercise discretion while evaluating potential applicants for additional training

•Call center environment (Inbound/Outbound)

•Interview applications to obtain necessary information to determine eligibility

•Processed incoming applications

•Mentored and monitor new students

•Complied with the Admissions Policy and Procedure and the policies of regulatory bodies

•Familiarity with Campus Vue, bi-linguistic, Power Point, Excel, and Cold-Calling, 75- 100 per day

•Appointment Setting

Berks County Office of Aging, Receptionist/Bi-Lingual Advocate 1/2005 - 7/2008

•Assisted the general while greeting visitors and answering public inquires

•Operated PBX telephone system with 15 incoming lines, took accurate messages and offered general information

•Extended back-up services as an advocate for elderly Hispanics.

•Visited homes to evaluate eligibility of Social Service benefits of our clients, helped them seek financial services, provided meals, and shelter.

Department of Public Welfare Bi-Lingual Intake Clerical Worker 1/2002 - 1/2005

•Successfully assisted intake area for Social Services Department,

•Entered appointments into system for caseworkers,

•Answered a multi-line telephone system.

•Performed various office functions, maintained an accurate file system, created ACCESS cards, and interpreted for caseworkers/clients when necessary in Spanish.

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