LISA

RAYGOSA Whittier, CA adz1tb@r.postjobfree.com

310-***-**** adz1tb@r.postjobfree.com

An experienced, and accomplished Healthcare Professional with a wealth of experience while working for leading healthcare organization.

EXPERIENCE

BENEFITS SPECIALIST, OPTUM HEALTH PLAN OF CALIFORNIA Remote Position

2023-PRESENT

Resolving questions or issues regarding the employee benefits. Verifying eligibility with all clinics and hospitals. Resolving administrative issues between members and billing. Monitoring and auditing benefit enrollment data, directly responsible for loading new employee demographics to different depts. CONTRACT OPERATIONS COORDINATOR,

OPTUM HEALTH PLAN OF CALIFORNIA

Remote position

2017-2023

Processes all requests for providers terming, changing, and onboarding. Manual data entry, submit adds, changes and terminations to health plans. Strategic planning.

ADMINISTRATIVE ASSISTANT

Administrative Assistant

2016-2017

Patients check in/out. Insurance verification, collection of copays and outstanding balances. Appointment scheduling in call center. Manual data entry.

EDUCATION

DIPLOMA MEDICAL OFFICE MANAGEMENT

Bryman college

September 1997

• Studied all processes in regard to managing a facility in the healthcare industry

• Relevant coursework- HIPPA, ICD-9 and Medical Terminology

• GPA 3.8

SKILLS

• Insurance Verification

• Cashflow planning and management

• Service Now

• GE IDX software

• Exceptional communication

• Call Center experience