Summary
Overview
Work History
Education
Skills
Timeline
Generic

Amanda Langley-Mejia

Bakersfield,California

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Ability to work independently, follow schedules, and make deadlines.

Overview

9
9
years of professional experience

Work History

Agent (CSR)

Qualfon/Delta Dental
04.2023 - Current
  • Handled and promptly resolved customer complaints to maintain professional relationships.
  • Followed up on customers' inquiries to assess satisfaction with provided solutions.
  • Resolved caller issues quickly and thoroughly.
  • Informed clients of policies and procedures.
  • Obtained client information by answering telephone calls and HIPPA verifying.
  • De-escalated and resolved customer complaints with punctual, polite, and professional service.
  • Reviewed and executed confidential documents, contracts, and disclosures.
  • De-escalated and resolved customer complaints with punctual, polite, and professional service.
  • Provide information on claims, financials, and benefits to providers and members.
  • Assist providers with the provider portal and medical dental website.
  • De-escalated and resolved customer complaints with punctual, polite, and professional service.
  • Established strong customer relationships, building recommendations and loyalty.

Lead Claims Processor

Aston Carter
07.2021 - 01.2023
  • Trained, oversaw, and mentored new team members to strengthen performance and job expertise.
  • Responded to customer calls and emails to answer questions about products and services.
  • Boosted team spirit and performance by communicating clear service expectations and quality goals to each team member.
  • Engaged clients in person and over the phone to answer questions and address complaints.
  • Trained new personnel regarding company operations, policies, and services.
  • Reviewed associate performance to identify training needs.
  • Cross-trained and provided backup support for organizational leadership.
  • Followed up with customers about resolved issues to maintain high standards of customer service.
  • Met customer call guidelines for service levels, and handled time, and productivity.
  • Utilized specialized software to process incoming claims, enter data, and generate reports.
  • Managed workload and priorities to meet claims processing deadlines.
  • Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
  • Followed up with customers on unresolved issues.
  • Developed and implemented quality assurance processes to check the accuracy of claims processing.

Patient Registration Representative

National Staffing Solutions
02.2021 - 09.2021
  • Secured patient privacy by learning and following HIPAA regulations to keep the organization compliant with relevant laws.
  • Maintained clean and organized workspaces to promote smooth operation and easy access to patient information.
  • Imaged and scanned patient and registration documentation into electronic patient records.
  • Set up patients in the system by documenting key data, confirming eligibility, and verifying insurance benefits.
  • Gathered demographic and insurance information to register patients for medical appointments.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • Assists clinical staff during the COVID-19 vaccination process.
  • Observe individuals post-vaccination for possible adverse reactions.
  • Team trainer for new team members.

Travel Medical Assistant

Ambulnz Health
04.2021 - 06.2021
  • Sanitized, restocked, and organized exam areas and medical equipment.
  • Obtained the client's medical history, medication information, symptoms, and allergies.
  • Performed medical records management, including filing, organizing, and scanning documents.
  • Scheduled appointments, and registered patients for Covid-19 tests and vaccines.
  • Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
  • Maintains confidentiality in accordance with HIPAA.
  • Leader and trainer for new team members.

Personal Shopper

Instacart
09.2019 - 09.2020
  • Maintained high satisfaction ratings by completing orders quickly and making good selections for customers.
  • Reviewed customer orders closely to locate desired items and checked the app regularly to identify changes.
  • Memorized store layouts and planograms to fulfill orders using the shortest, most efficient route.
  • Placed completed orders in labeled, temperature-appropriate storage pending customer pick-up.
  • Consistently met deadlines and quality goals for accuracy and timeliness.
  • Served customers with knowledgeable, friendly support at every stage of shopping and purchasing.
  • Tracked substitutions and informed customers of changes.
  • Worked productively with customers to meet order requirements and service expectations.
  • Loaded and unloaded orders at customer's homes or locations.

OBGYN Medical Assistant

San Dimas Medical Group
02.2017 - 12.2019
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Obtained the client's medical history, medication information, symptoms, and allergies.
  • Performed medical records management, including filing, organizing, and scanning documents.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Assisted physicians with minor surgeries, including preparing operating rooms and sterilizing instruments.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Completed clinical procedures and gathered patient data for interpretation by physicians.
  • Taught patients about medications, procedures, and care plan instructions.
  • Verified patient insurance coverage and collected required co-payments.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Team trainer for new team members.

EMT

Delano Ambulance
09.2016 - 02.2017
  • Maintained levelheadedness and efficiency in high-pressure situations, effectively prioritizing tasks to save lives and provide medical care.
  • Conducted equipment and vehicle checks to maintain continuous and safe operation.
  • Communicated with patients about pain, comfort, and needs during transportation and preliminary medical care.
  • Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care.
  • Evaluated patient vital signs and status to determine care needs using pulse oximeters and electronic vital sign machines.
  • Controlled wounds and injuries en-route to hospitals, prepping patients for advanced treatments or maintaining conditions pre-arrival.
  • Collaborated with medical professionals to communicate patient needs with accuracy and speed using hospital and medical codes.
  • Maintained accurate patient records and documentation of treatments to enable tracking history and safeguard information.
  • Evaluated patient histories to assess and prioritize levels of care.

Department Supervisor

Khols Department Store
07.2014 - 03.2016
  • Oversaw employee performance, corrected problems, and increased efficiency to maintain productivity targets.
  • Trained new employees on overall company and department-specific policies and procedures.
  • Maintained stock of items, cleanliness, and organization and provided excellent customer service.
  • Managed a team of 20 employees, delegated tasks, and held each employee accountable for completing assignments.
  • Trained team members in successful strategies to meet operational and sales targets.
  • Assigned tasks and established work schedules for staff to cover operational needs.
  • Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
  • Coached employees and trained them on methods for handling various aspects of sales, complicated issues, and difficult customers.
  • Mentored team members to enhance professional development and accountability in the workplace.
  • Handled cash register, returns, and refunds.
  • Built and designed large displays weekly to promote specific products.
  • Managed inventory and receiving operations to maintain optimal stock levels and meet expected demands.

Education

High School Diploma -

Century High School
Santa Monica, CA

Medical Assistant

ICDC College - Lawndale
Lawndale, CA

EMT

Bakersfield College
Bakersfield, CA

Skills

  • Customer Service, HIPAA Compliance
  • Critical Thinking, Fast Learner, Production Goal Setting
  • Remote Office Availability
  • Recordkeeping Proficiency, Verifying Insurance
  • Relationship Building, Positive Attitude
  • Information Documentation
  • Problem-Solving Skills, Computer Skills
  • Strong Multitasking and Organization
  • Excellent Spelling, Proofreading, and Editing
  • Multi-Line Phone Systems
  • Supervising, and Training
  • MS Office Applications

Timeline

Agent (CSR)

Qualfon/Delta Dental
04.2023 - Current

Lead Claims Processor

Aston Carter
07.2021 - 01.2023

Travel Medical Assistant

Ambulnz Health
04.2021 - 06.2021

Patient Registration Representative

National Staffing Solutions
02.2021 - 09.2021

Personal Shopper

Instacart
09.2019 - 09.2020

OBGYN Medical Assistant

San Dimas Medical Group
02.2017 - 12.2019

EMT

Delano Ambulance
09.2016 - 02.2017

Department Supervisor

Khols Department Store
07.2014 - 03.2016

High School Diploma -

Century High School

Medical Assistant

ICDC College - Lawndale

EMT

Bakersfield College

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Amanda Langley-Mejia