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Customer Service Representative

Location:
El Paso, TX
Posted:
September 05, 2023

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Resume:

Rebecca Garcia

*** ********* * *** *** Kyle, TX *8640 737-***-**** adzher@r.postjobfree.com

Professional Profile

Motivated and resourceful professional with a reputation for quality, proficiency, and reliability seeking to transition medical education to the healthcare industry.

Proficiencies: MS Excel; MS Word; MS PowerPoint

Skills: Written and verbal communication (letters, emails, presentations, face-to-face communications); Attention to detail; Adapting to a new environment; Flexible; Organized

Key Qualifications

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO PPO and POS) Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-9-CM ICD-10-CM HCPCS CPT)

Education

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2022

Fully accredited, accelerated program providing instruction in medical billing and ICD-10, CPT and HCPCS coding for diseases, surgeries and medical procedures. Program content includes electronic health record (EHR) systems, accounting methods, and processes for preparing and submitting healthcare claims. Research, professional writing, critical thinking and communications skills are emphasized throughout the program.

Southwest School of Electronics Associates Degree in Electronics, 1987

Experience

Sitel– Work form Home

7/2022-Present

Customer Service Representative

Provide members with benefit and coverage information

Claim decisions and details

Prescription drug coverage

Appeals submissions

Grievance resolutions

Ensure HIPAA compliances are met

Provide confidential information to members only

Provide members with empathy, compassion, and ensure confidentiality.

LaQuinta– Kyle, TX

11/2021-Present

Customer Service Representative

Check to ensure that appropriate changes are made to resolve customers' problems

Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints

Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments

Determine charges for services requested, collect deposits or payments, or arrange for billing

Refer unresolved customer grievances to designated departments for further investigation

Infineon– Austin, TX

10/2006-07/2021

Assembly Worker/Machine Operator

Accurately recorded information regarding product testing or production

Adhered to safety standards MSDS material data sheets; read and comply

Demonstrated great teamwork by assisting others as needed

Ensured and maintained the flow of production at all times

Identified operation malfunctions and notified supervisor when necessary

Lifted raw materials, finished products, and packed items, manually or using hoists

Loaded and unloaded items from machines and conveyors

Maintained communication with technicians, supervisors, and operators to ensure product quality and to rectify problems

Operated machinery in a safe and efficient manner while remaining compliant with company procedures

Austin Management Group– Austin, TX

08/2003-02/2005

Manager

Implemented corporate or departmental policies, procedures, and service standards in conjunction with management

Resolved customer complaints or answered customers' questions regarding policies and procedures

Reviewed records or reports pertaining to activities such as production, payroll, or shipping to verify details, monitor work activities, or evaluate performance

Supervised the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems

Samsung Austin Semiconductor– Austin, TX

02/1997-06/1999

Assembly Worker/Machine Operator

Accurately recorded information regarding product testing or production

Adhered to safety standards MSDS material data sheets; read and comply

Continually examined product quality to ensure adherence to quality standards

Demonstrated great teamwork by assisting others as needed

Ensured and maintained the flow of production at all times

Identified operation malfunctions and notified supervisor when necessary

Inventoried and documented finished products to determine if product orders were complete

Lifted raw materials, finished products, and packed items, manually or using hoists

Maintained communication with technicians, supervisors, and operators to ensure product quality and to rectify problems

Marked or tagged identification on parts

Advanced Micro Devices– Austin, TX

04/1988-10/1997

Assembly Worker/Machine Operator

Accurately recorded information regarding product testing or production

Adhered to safety standards MSDS material data sheets; read and comply

Continually examined product quality to ensure adherence to quality standards

Demonstrated great teamwork by assisting others as needed

Ensured and maintained the flow of production at all times

Lifted raw materials, finished products, and packed items, manually or using hoists

Loaded and unloaded items from machines and conveyors

Maintained communication with technicians, supervisors, and operators to ensure product quality and to rectify problems

Operated machinery in a safe and efficient manner while remaining compliant with company procedures

Volunteer Experience



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