Customer Service Representative
Resume:
Sanjuana Rios
Spanaway, WA *8387
**************@*****.*** -
PH: 206-***-****
Authorized to work in the US for any employer.
I've been retired for a while. I have decided to return to the workforce.
WORK EXPERIENCE
Clinic Biller
Community Healthcare Clinics - Clinic Biller, Navigator - Tacoma, WA - 2011-October - 2014-August
Posted co-pays, daily visits, set up payment plans as needed for different procedures, verified insurance eligibility prior to visit as well as same day appointments - requested referrals for specialty care when needed, sent all requests for information from insurance, doctor or attorney offices as needed for continuity of care. Prequalified patients for charity applications if offered by a different specialist. Assisted with Spanish speaking clients as needed.
In the Navigator position assisted clients with the Health Care Authority website, set up auto pay for clients as needed for the insurance they qualified for. Providing application for the Washington Apple insurance as needed
throughout the year.
Customer Service Representative
Tri-West Health Care Alliance - Tacoma, WA -
May - 2011-September
Verified benefits for sponsors and providers and updated demographics, updated authorizations as needed, changing providers and updating first appointments as needed, provide courtesy appointment phone numbers for MTF's (military treatment facility) Using CPT matrix and Bing maps updated enrolment of new PCM (primary care manager) provide benefits and eligibility for providers.
Customer Service Representative
DaVita - Tacoma, WA - 2006-May - 2008-January
Verify insurance information for new patients, assist visitors and transfers to different facilities, send approvals and or denials Provide customer service to facilities and teammates as needed in regards to patient insurance information. Load patient insurance information to billing software and maintain original patient admissions packet for current month until after month end close is completed. Assisted with secondary billing as needed providing progress notes, EOB's or test results as needed.
- 2 -
Customer care Assistant/ Insurance follow
ACS, formerly PACS - Kent, WA - 2002-May - 2006-May
Updated insurance information as needed for correct billing, verified correct adjustment and patient responsibilities before billing patients. Document incoming calls verify billing payment from insurance companies, set up payment plans as needed, take credit card payments and check by phone. Wrote off small balances when applicable for end of month closing.
EDUCATION
Medical
Clover park Technical College - Tacoma, WA 2008-March - 2010-September
Business and Office Machines
South Seattle Community College Seattle - Seattle, WA 1983-March - 1999-September
References: Rollie Solis
Richard Jameson
Dalia Nicholson
Contact this candidate