M. Carmen Arreguin

**** *. **** ****, ****, AZ **364

Home: 928-***-**** * adynvf@r.postjobfree.com

Professional Summary

Customer Service Representative Specialists with more than 30 years’ experience in all aspects of administrative skills. Worked closely with multi-disciplinary teams and successfully lead staff in project development and common goals. Focus on task details with Customer Orders, Research, Analysis, Financial Reports, Budgeting, Sales and Collection data. Highly motivated project leader responsible for managing and performing training and presentations for staff and leadership. Exceptional skills in sales, marketing, advertising, finance, leadership and team building. Work well under pressure, Fast paced atmosphere, multi-tasking and changing environment. Technical skills include Word, Excel, and ICOMS. Kept abreast and maintained compliance with rules and regulations.

Skills

Budgeting and Finance

Project Management

Data Management

EPIC HER records similar EHRs

Client Assessment and Analysis

Risk Management and Analysis

Customer Service Representative

Conflict Resolution

Powerful Negotiator

Extremely Organized

Team Leadership

Staff Development

Collections

Call Center Specialist

Team Liaison Referrals Authorization

Self-Motivated Schedule Surgery

Strong Verbal Communication Insurance Verification /Surgery & Proc

Work Experience

11/2019 – 03/23 YUMA REGIONAL MEDICAL CENTER- PATIENT FINANCIAL SERVICE REP

With Continual and direct patient contact, performs diversified task and duties associated with patient registration, admissions, cashiering and communication with patients, pre-registering and registering individuals for outpatient services, by obtaining demographic and payer information and necessary authorizations. Explanation of the hospital’s payment policy and discusses financial responsibility with patients, maintaining accurate patient account information, verify insurance, and act in patient behalf. Responds to inquiries in a professional manner within the guidelines of hospital policy and procedure. Communicate using active listening, thinking/analysis, and appropriate professional response to patients. Check Emails though out the day, check voicemails daily, answer calls and transfer patient to proper, Check Email throughout the day, Check voicemails daily, Answer calls and transfer patient to proper department or extension, Demographic and guarantor verification, HARs dropped for each encounter and MSPQ, Verify if photo ID and insurance card have been obtained for current year, Insurance verification/document if needed on HAR note, Work on WQ’s #10379, #10380, #508, 10530, 10415,10414, 9381. Check In-basket messages, Assist patient with “Mycare”, Schedule or reschedule appointments by telephone/or Solutions Reach program. Referral Authorization also schedules Patients Appointment, Surgical Estimates also verify Benefits for Office Procedures, Ultrasounds. Schedule Surgeries and Procedures in Surgical Department, call and verify for Surgical Authorization and submit proper clinical to Insurances. Working with patients and their families regarding financial matters, handle hospital accounts receivables involving initial billing and follow-up on third party claims, handling of self-pay accounts, and posting and preparing daily funds received. Handle customer services inquires, direct-post payments in the computer system. Work with financial assistance as well as collection agency assignment.

06/2019 – 11/2019 CONVEY HEALTH SOLUTIONS- CUSTOMER SERVICE REPRESENTATIVE

Healthcare and pharmacy industry experience in customer service, the ability to multitask Update account information such as billing options and changes of address or phone numbers, Answer questions pertaining to mailings sent out by the company periodically, Make concise and detailed notations as it pertains to member records, Submit mail requests for beneficiaries such as ID cards and formularies, Educate beneficiaries on how the plan works, including benefits, cost sharing, and levels of coverage, Research premium billing discrepancies and prescription claims processed. Receipting, posting and preparing daily funds received, to include direct posting to computer system.

01/2018- 07/2018 FINANCE CLERK- COCOPAH INDIAN TRIBE

Verify daily sales sheet for the various Enterprises, Assist in preparing and entering daily sales data in MIP-Accounting System, Assist in preparing monthly Enterprises inventory report, Maintain Enterprises Daily Sales file up to Data, Assist Revenue Clerk in answering the phone and assisting customers, Assisting in other general filing duties for Finance Department as needed. Knowledge of typing and computer skills such as Excel, Word. Keep good communication and customer skills, Ability to maintain professional and effective working relations with and among employees, Tribal Members and the customers. Present monthly and year end inventory, help answer any questions for auditors, maintain files up to date. Also assist with any A/R billing when needed. Accounting updates and recording as needed.

02/2012 -03/2017 SALES SUPPORT SPECIALIST – TIME WARNER

Responsible for preparing department contracts, organized and coded documents related to orders, prepared and presented reports on sales activity. Compiled and analyzed statistical data, presented findings to staff and leadership. Gathered, researched and coordinated data on customer activities for management reporting, as requested. Daily activities performed utilizing tools like Excel, Word, ICOMS, Billing Software and Customer Information Systems. Collected and tracked monthly business expenses. Handled customer service account inquiries and concerns.

01/2009 – 01/2012 COLLECTION SPECIALIST – TIME WARNER

Assisted El Centro and Yuma location offices in several projects, including following up due accounts, money collection, and equipment maintenance. Met and superseded business call quotas (60-100 daily). Tracked, monitored and documented accounts for EFT Payments. Communicated and followed up on issues and concerns. Handling of self-pay accounts, to include financial assistance and collection agency assignment, preparing daily funds received, to include direct posting to computer system on customer accounts.

02/1999 – 02/2009 CUSTOMER SERVICE AND SALES REPRESENTATIVE – TIME WARNER

Designed and implemented a comprehensive and efficient filing system, responsible for retrieving confidential files, assisted on cash totals, prepared money for bank deposits. Customer service professional and product sales specialist, payment collector, equipment controller, mail distributor, and solution troubleshooter. Worked with customers to reduce complains improve processes. Experience interpreter, constructed training manual and provided training to staff and leadership.

08/1996 - 10/1998 PAYROLL CLERK - DENNY’S CORPORATION

Maintain employee payroll files and payroll records, Process payroll time and changes by entering data into the payroll system, child support and garnishments and other employee deductions, Assist by answering questions concerning employees private information salary or deductions, insurance benefits and prepare the monthly payroll accrual as needed. efficient filing system, retrieve confidential files.

01/2018-08/2018 Arizona western college General Studies

1992 - 1994 Arizona Western College

1990 Yuma High School High School Diploma

Contact this candidate