Service Representative Customer

Patricia Escobar

********@*****.*** +1-915-***-****

WORK HISTORY

Medical Credentialing Specialist at HCL Technologies May 2024 - Present (1 Year)

Revise medical application for providers, check application to see what specific information is missing such as Medical License, Dea License, Attestations, Mal practice insurance, reach out to Providers, document the call with CAQH IDS

Claims Service Representative at TriWest Healthcare Alliance July 2021 - December 2023 (2.5 Years)

Answer inbound and outbound calls, greet clients with warm greetings, verify veteran, research claim on each case, research correct procedure, access denial or approval decision, notate account, create a case if case needs to be escalated Customer Service Representative at HGS

May 2016 - June 2019 (3.5 Years)

Received incoming calls from nurses and doctors, quoted medical benefits, looked up CPT codes and reviewed claims, assisted customers with a warm and professional attitude, processed customer transactions, kept records of customer complaints, handled emails, inbound calls, and outbound calls, managed customer accounts, reviewed patients Medical insurance including Medicaid Medicare, monitored claims and physician-related services, handled billing issues and order inquiries, explained EOB to the patient EDUCATION

Penn Foster - High School

Graduated 1970-01-01

High School Diploma

Western Technical College - High School

Graduated 2020-01-01

Medical Clinical Assistant Medical administration

SKILLS

Customer service, 30 years

Healthcare, 10 years

LANGUAGES

Spanish, Native/Bilingual

ABOUT ME

I have management experience: 1 years

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