Amy Waldron
Riverside,CA
Summary
Hardworking, dedicated and detail-oriented with strong organizational skills eager to secure a Customer Service Representative position. Seeking a full-time position that offers professional challenges utilizing interpersonal skills with room to improve where necessary. Dependable candidate successful at managing multiple priorities with a positive attitude. Always enjoy taking on added responsibilities to meet team goals.
Overview
21
21
years of professional experience
Work History
CalFresh & Medi-Cal Eligibility Technician
Riverside County DPSS
01.2024 - Current
- Enhanced customer satisfaction with timely and accurate eligibility assessments, providing clear communication of requirements and expectations.
- Conducted regular daily, weekly and monthly audits of case files to ensure compliance with program requirements and verify accuracy of benefit calculations.
- Reduced errors in benefit calculations by conducting thorough reviews of applicant financial information, ensuring consistency with program guidelines.
- Developed comprehensive case files for each client, documenting all relevant information needed for eligibility determinations and audits.
- Maintained high levels of confidentiality while handling sensitive personal information, following strict protocols for data security and privacy.
- Adhered to all established timelines for case processing, consistently meeting or exceeding performance targets set by management.
- Assisted applicants with navigating the online application process, offering guidance on required documentation and submission procedures.
- Improved eligibility determination accuracy by implementing efficient data verification processes.
- Provided ongoing support to clients throughout the eligibility review process, maintaining open lines of communication for updates and inquiries.
Medical Biller
Raedar Medical Billing
10.2022 - 01.2024
- Communicated with insurance providers to resolve denied claims.
- Verified insurance of patients to determine eligibility.
- Collected payments and apply to patient accounts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Processed payment via telephone and in person.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaison between patients, insurance companies, and billing office.
Client Service Coordinator
The Estate Planning Law Group
01.2004 - 03.2019
- Enhanced client satisfaction by promptly addressing inquiries and resolving issues efficiently.Reviewed and executed confidential documents, contracts and disclosures.
- Acted as an advocate for both the company's interests as well as those of clients, ensuring that all parties needs were met in a mutually beneficial manner.
- Maintained accurate record-keeping with proactive attention to client information updates.
- Established positive flow of communication with agents, clients, attorneys and personnel involved in closing transactions.
- Utilized active listening skills to identify client needs and provide appropriate solutions.
- Communicated with clients regarding account services, statements, and balances.
- Offered personalized solutions to meet clients specific needs.
- Developed detailed plans based on broad guidance and direction.
Education
Medical Billing And Coding Certificate - Medical Billing & Coding
American College of Healthcare
Riverside, CA12.2022
Skills
- Critical Thinking
- Effective Communication Skills
- Application Reviews
- Document Verification
- Timely Processing
- Large Caseload Managment
- Information Assistance
- Client Interviews
Timeline
CalFresh & Medi-Cal Eligibility Technician
Riverside County DPSS
01.2024 - Current
Medical Biller
Raedar Medical Billing
10.2022 - 01.2024
Client Service Coordinator
The Estate Planning Law Group
01.2004 - 03.2019
Medical Billing And Coding Certificate - Medical Billing & Coding
American College of Healthcare
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