Customer Service Representative
Resume:
Elisa M.Jimenez
San Antonio, TX 78242
**************@*****.***
Professional Summary
With over 20 years of experience with strong environmental awareness, excellent writing skills, and the ability to find innovative solutions. I have wonderful experience in navigating teams through changing business environments. Bilingual professional with strong record of academic and hand on work performance. I have great customer service skills I have used in all of my years working. I work very well under stress with deadlines and other things that may be going on in the work place. Over-all a hard-working person who is always looking for more knowledge to use in a work and life environment.
Work History:
Getixhealth: Customer Service Specialist
Billing for the hospital in Illinois named Northwestern Medicine Hospital. Receiving inbound calls and making outbound calls. Taking payments for the patients balance or setting a payment arrangement. Outbound calls are to try and collect payment on the balance the patient has on the account. Go over EOB’s with patients about their copays and deductibles. Send accounts up for coding review and insurance follow up if patient feels like there was a error with the codes or the reason for the visit. Take insurance information for the patient to bill correctly and to make sure COB have been set. Bill for Workforce claims and speak with adjusters and them provide there information also. Speak to insurance companies about the patient’s concerns with the statement we sent out according to what we received from insurance.
I2C: Customer Service Representative
This company-maintained accounts for customers that were receiving SSI checks. It was a inbound calls only and customers would call to ask about their balances, transactions, and deposit history. I updated the customers information if needed. When the customers funds were not available, I would refer them back to Social Security to ask about their monthly payment.
Maximus: Customer Service Representative
Take inbound calls from clients that receive Medicaid and Food Stamps from the government. Advice clients of paperwork that would be missing and provide what information is being requested from client in order to keep receiving benefits. Update the personal information for the client and also add a dependents that needed to be added due to birth. Send out letters stating the information Medicaid was requesting. Provide case information on the food stamp accounts and if they were eligible for Medicaid.
Consumer Directed Services (CDS): Intake Coordinator
Input new authorization sent to us by Medicaid for client needing home health services. Verify Medicaid eligibility. Input clients diagnosis code and personal information into our system. Make calls out to clients to begin the intake process for the patient and there attendant . Make budget for the client's attendant based off authorization codes listed. Place calls to the insurance if there was a error with the authorization code or not matching up with what we see on our end. Request new authorizations if needed. Answer incoming calls and transfer calls. Use of excel and Microsoft formulas.
United Health Group: Associate Pharmacy Coordinator
Make outbound calls to members about there medication and taking inbound calls from members about there medication. Calling pharmacy to get the doctors office to confirm medication updates. If patient had not yet called for refills, I would assist patient in doing so with the pharmacy. Report to the patients doctor that patient was not taking the medication that had been prescribed.
Servpro: Lead
I was in charge of a crew that worked on homes that had been in a fire or water damage. The crew and I would box up all items that could be saved and take them back to the warehouse to clean with very heavy chemicals. Once the fire department was done the crew and I would clean all the soot that was left from the fire. Order supplies and send a daily report on what we did that day. Worked on call for 7 days 3 weeks. Demo homes after fire was cleared. Worked with heavy equipment. Worked with the insurance company and the fire that had been started and reason for it. I would have drawl out sketch on a iPad of the home that was damaged from either a fire or water leak. Did have to travel at times.
Wells Fargo Financial: Bilingual Collector 2
Take inbound calls and make calls to collect on credit card accounts, use of multiple softwares, attend weekly meetings with team. Take payments and set payments arrangements on accounts. Make spreadsheet on the campaign that the team’s numbers were low and see what can do to help each other out.
Southwest General Hospital: Unit Clerk
In charge of making sure the units had supplies for patients and nurses. Input doctors orders and send script orders to pharmacy after doctor would see the patient. Make charts for patients when admitted to our unit and report to the police department of patients that were brought in by police per judge’s orders. Attend a meeting every Monday with the director.
Southwest General Hospital: Dietary Aid
Take food orders from patients that are admitted to the hospital. Check every patients diet that the doctor may have put them on. Put in new patients and take out discharge patients from hospital system. Call the floors I was assigned to and take patients daily order for breakfast, lunch and dinner.
Flexi Compras: Collection Manager
In charge of 6 representatives and oversee their accounts. Attend meetings report to general manager, go over reports of the sales that were made from the day before. Have weekly meetings with staff on the accounts and what needed to be done and always encourage my team . Find ways to help some representatives that were struggling on there sales.
Education
High School Diploma
Associate Degree- Legal Secretary
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