Angel Castillo-Perin
Providence,RI
Summary
Detail-oriented worker whose experiences and skills amount to the preferred qualifications of an Delivery Driver and Appliance Installer. Is driven to make a difference in local communities through dedication while having a customer-centric approach. Has the verbal, written, organizational, and social skills necessary to working in this occupation effectively. Has successfully completed OSHA 10 and is a reliable and safe worker. Is self-motivated to perform the task at hand, and is also a crucial team player. Has built good rapport with customers and professionals, and has had a excellent history in meeting quality metrics. Currently a Psychology major with the intent on learning how to meet the needs of others even more this occupation.
Overview
3
3
years of professional experience
Work History
Claims Adjuster
Neighborhood Health Plan Of RI
09.2023 - 02.2024
- Reviewed internal systems and adjusted claims per applicable guidelines and policies. Communicated with providers regarding outcome of their adjustment requests. Educated internal staff when appropriate. Worked closely with management to determine new processes for adjustments. Achieved claims adjustment quality score of over 99%. Improved claim resolution by managing caseload of 200 claims per month.
Provider Services Representative
Neighborhood Health Plan Of RI
01.2023 - 09.2023
- Reviewed claim status, confirmed billing information, managed payments, submitted tickets for reprocessing requests and system issues. Was responsible for providing resolutions of claims and other inquiries, Communicated with internal departments regarding provider issues and established resolutions. Had an average call quality score of 95%.
Customer Service Representative
Automated Health Systems
08.2021 - 01.2023
- Assisted customers with health insurance applications, answered billing questions, distributed 1095a and 1095b tax forms, complied with HIPAA regulations, conducted appointment scheduling over the phone and using the online chat feature, provided accurate conflict resolution, established positive outcomes in customer billing issues by assessing their bills and making the appropriate changes, or by giving them the most affordable possibilities for health coverage. Enrolled 40-50 members into a health plan per day by assessing their social, economic, and medical needs.
Education
Bachelor of Science - Psychology
Southern New Hampshire University
Hooksett, NHSkills
- Time management
- Sharp attention to detail
- Customer Service
- Analytical skills
- Ability to work in teams
- Problem solving skills
- Proficient In Microsoft Office Suite (Word, Excel, Powerpoint, Outlook)
- Records Confidentiality
- Computer Skills
- HIPAA knowledge
- Protected Health Information
- OSHA 10
Timeline
Claims Adjuster
Neighborhood Health Plan Of RI
09.2023 - 02.2024
Provider Services Representative
Neighborhood Health Plan Of RI
01.2023 - 09.2023
Customer Service Representative
Automated Health Systems
08.2021 - 01.2023
Bachelor of Science - Psychology
Southern New Hampshire University
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