ANALI DIAZ
McAllen,TX
Summary
Dedicated professional with over 15 years of customer service experience, adept at fostering strong relationships through exceptional interpersonal communication skills. Proven ability to thrive in fast-paced environments while effectively managing multiple tasks and meeting deadlines. Committed to leveraging expertise in service delivery to contribute to organizational growth and achieve key goals.
Overview
13
13
years of professional experience
Work History
Bilingual Program Coordinator
Health Care Support Group
Mcallen, Texas
08.2024 - 11.2024
- Cultivated an environment of mutual respect among all participants in the program.
- Conducted daily outreach to health plan members about available free benefits.
- Consistently achieved an average of 60 to 75 outbound calls daily.
- Maintained a detailed daily Excel sheet tracking attempts and member information.
- Exceeded daily target by successfully onboarding 10 new members.
Multi Product Agent
Progressive
McAllen, Texas
02.2024 - 07.2024
- Provided customer service to clients through phone and email communication.
- Developed customer relationships and ensured satisfaction with services.
- Responded promptly to customer inquiries and complaints in a professional manner.
- Assisted customers with placing orders, answering questions about products, pricing, availability, product uses and credit terms.
- Processed payments from customers by cash, check or credit cards accurately according to company guidelines.
Care Review Processor II
Molina Healthcare Inc
09.2016 - 07.2023
- Providing MHT members and providers with day-to-day assistance regarding any requests under Long-term services and support
- Care Review Processor assists with generating authorizations for services such as PAS/home health services, ERS/emergency response system, DAHS/Adult day care, Skilled nursing, ALF/Assisted living facilities, MOW/meals on wheels program, MHM/Minor home modifications and more
- CRP also assist members for needed items such as DME requests and guide them through process, assist in changing PCP, include reaching out to case managers and working hand in hand to better assist and keep our member’s satisfied with our service
Eligibility Support-Mentor
Texas Health and Human Services Commission
01.2012 - 07.2016
- Assisting clients daily with benefits offered through HHSC, offering ways to apply and taking applications, processing timeframes for benefit programs such as SNAP, TANF, CMA, CHIP, PW-MA, MEPD programs/MSP, and others
- Performing reschedules for missed appointments for programs which require interview
- Assist with providing clients with budget reviews and income limits for programs and eligibility requirements
- Work with TIERS system to report changes and update case information, update appointment phone numbers, reschedule interviews
- Overall assist clients with obtaining assistance from HHSC as needed
Education
Medical Billing/ Coding Specialist - Electronic Practice Management System(medisoft),ICD-9-CM Coding,CPT Coding, Office Management Procedure/ Office Management Equipment,PPE procedure, Appointment Scheduling, Third Party Reimbursement, OSHA certified, HIPAA certified, CPR/AED certified
South Texas Vocational Technical Institute
09.2009
High School Diploma/GED -
Mcallen Memorial HS
McAllen, TX06-2004
Skills
- Typing speed: 60 words per minute
- Apple or Macintosh Computers
- Data Entry Terminal (PDT, Mainframe Terminal, etc)
- Email Software (Outlook, Google Workspace, etc)
- Graphics or drawing software (Photoshop, etc)
- Internet Browser (Google Chrome, Firefox, etc)
- Peripheral devices (scanners, printers, etc)
- Personal Computers, laptops
- Presentation software (PowerPoint, Flash, etc)
- Spreadsheet software (Calc, Excel, etc)
- Utility Software (Virus, File Compression, etc)
- Word processing software (Word, WordPerfect, etc)
References
Upon request
Training
South Texas Vocational Technical Institute, Medical Billing/ Coding Specialist, Electronic Practice Management System (medisoft), ICD-9-CM Coding, CPT Coding, Office Management Procedure/ Office Management Equipment, PPE procedure, Appointment Scheduling, Third Party Reimbursement, OSHA certified, HIPAA certified, CPR/AED certified, Completed
Languages
Good (Read, Write, Speak), Excellent (Read, Write, Speak)
Occupationallicensecertification
South Texas Vocational Technical Institute, Medical Billing/ Coding Specialist Certification, 09/19/09
Personal Information
Typing Speed: 60 Words Per Minute
Languages
Spanish
Professional
Timeline
Bilingual Program Coordinator
Health Care Support Group
08.2024 - 11.2024
Multi Product Agent
Progressive
02.2024 - 07.2024
Care Review Processor II
Molina Healthcare Inc
09.2016 - 07.2023
Eligibility Support-Mentor
Texas Health and Human Services Commission
01.2012 - 07.2016
Medical Billing/ Coding Specialist - Electronic Practice Management System(medisoft),ICD-9-CM Coding,CPT Coding, Office Management Procedure/ Office Management Equipment,PPE procedure, Appointment Scheduling, Third Party Reimbursement, OSHA certified, HIPAA certified, CPR/AED certified
South Texas Vocational Technical Institute
High School Diploma/GED -
Mcallen Memorial HS
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