Services Representative Patient Access
Resume:
VERONICA
ARANGO
Monterey Park, California *****
*********@*****.***
Customer Care
Productivity Standards
Benefits Verifications
Client Relationships
Microsoft Office
CRM experience
Provider Services Representative
Gainwell Technologies, 5616 High Point
Dr., Irving, TX 75038
February 2024 - Current
Provider Services Representative
Apex Systems, Falls Church, VA August 2022 - January 2024 Patient Access Liaison II
Apidel Technologies LLC, Alhambra, CA March 2022 - May 2022 Correspondence Phone Support
Blue Shield of California, Monterey
Park, CA
March 2021 - February 2022
Sales Agent
Auto Insurance Specialists, Cerritos, CA October 2001 - October 2013 Work History
Answering provider inquiries related to claims and appeals. Assist with billing inquiries.
Assisting providers navigate through the provider portal. Guide callers with other portal functions.
Investigated and resolved customer inquiries and complaints quickly. Assisting providers verifying claim status, treatment authorizations and reviewing procedure codes
Assisted providers with setting up provider portal and navigating online portals for self-service options
Answered, screens and directs incoming and outgoing calls, and electronic messages communications using CMS
Provided patient access services, including pre-registration, registration, financial counseling and insurance verifications
Resolving incoming calls concerning member eligibility, benefits, and provider information
Coordinated membership changes to member's primary physician Engaged members with their wellness plan options
Resolved customer complaints promptly and professionally Responsible for processing policy endorsements, updating policy information, meeting weekly call volume/sales quota Identified opportunities for cross-selling additional products and services Developed strong communication skills for successful customer service Pasadena City College at Pasadena, CA
Office Management May 1995
Education
Skills
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