Excellent Customer service, strong understanding of insurance

Cassandra Santos

Waunakee, WI, *****, US

PROFESSIONAL SUMMARY:

●Enter inventory data into the system

●Provide information and answer inquiries concerning insurance and billing procedures

●Maintain accurate and up-to-date data, Review documents for accuracy

●Initiate patient claims, patient data, collect carrier liability and extend benefits to patient accounts; obtain and audit medical records to compute and record patient charges

●Candidate is local to the job location and can commute on daily basis/ immediately available.

EDUCATION:

GED in General Studies 2001

College of Lake County

PROFESSIONAL EXPERIENCE:

Package Handler (Night Shift) Jun 2023 - Present

Amazon.com, Inc.

●Correct location according to label, load chart or scanner Identify or separate waste products or materials for recycling or reuse.br

●Unload and load trucks by hand Scan and pack items into boxes Worked at a fast pace

●Enter inventory data into the system.

●Lifting and carrying packages from one end of the line Worked pack line or multis with the purpose of shipping as many boxes

●Weigh 25 - 35 lbs

●Load package off a convert belt and stack on a truck after got with a truck

Production Specialist Feb 2021 - Sep 2022

Abbott Laboratories

●Followed up with troubleshooting and resolution of issues Managed personnel resources to ensure that daily production demands were met

●Operating within effectiveness of quality system and consistent with FDA, (GMP), USDA, OSHA, and Abbott/Ross regulations, policies/procedures and guidelines

●Ensure product quality and the troubleshooting of equipment Adhering to timelines associated with market driven inventory needs

●Upload work data & other information into the systems

●Documenting discrepancies and making certain the errors were remediated by appropriate parties to ensure integrity and adherence to Standard Operating Procedures

Reason of Gap- While working for clients doing in home care 6am-5pm Had catering jobs for Swagat Indian Cuisine that I did different projects like catering events in the evening.

2008 to 2020

Claims Processor Feb 2005 - Dec 2007

Wisconsin Physicians Service Insurance Corporation

●Maintain accurate and up-to-date data, Review documents for accuracy

●Researching coding errors and other possible issues that resulted in claims being denied

●Worked with patients and providers to determine if claims were properly handled

●Communicate privacy and confidentiality procedures and requirements

●Answered calls relative to payments will be received and when explain corrections needed to receive payments

●Work with Medicare and other insurance EOB

●Worked in customer service taking incoming calls from physician's offices

●Calculate payments of benefits Prorates benefits amounts Communicate regularly with managers and co-workers to create a teamwork environment Experience with the following software systems

●Initiate patient claims, patient data, collect carrier liability and extend benefits to patient accounts; obtain and audit medical records to compute and record patient charges

●Claim coding errors, and missing information on submissions and advise on needed corrections

●Utilize various screens to process claim to completion Demonstrate the ability to adapt to a continually changing environment

●Provide information and answer inquiries concerning insurance and billing procedures

●Adjudicate electronic claims, optical character recognition claims and paper claims using PC and a variety of system files Resolve error situations involving validation of eligibility, pricing, provider codes,

●Filing, telephone techniques, basic computer skills, imaging, reading medical claims

●Processed HCFA-1500 and UB-92 claim forms for TRICARE

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