Job Search Status
Open to workDesired start date: Immediately
Open To Work
Catherine Astorga
El Paso,TX
Work Preference
Summary
Committed to serving individuals through exceptional customer service, transitioning into healthcare customer service representative role.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Customer Service Representative (Remote)
Accentra Health
04.2025 - Current
- Federal contractor for US Department of labor workers compensation program, provide claim details, to both providers and third party billing agents. Assist providers and users with enrollment to the Office of Workers Compensation portal
Patient Service Representative
Community Health Systems
10.2024 - 01.2025
- Contractor position. Pre registered patient for upcoming appointments and collecting payments prior to appointments.
Patient Service Representative (Remote)
Fortrea
10.2023 - 03.2024
- Contractor position with Fortrea for Biogen support services, support coordinator for MS patients needs help get their medications. I would run Benefit investigation, provide summary of benefits, switch infusion sites at patient request, provide different options financial assistance.
Case Manager (Remote)
Innova Solutions Inc.
05.2023 - 08.2023
- Contracted position for Case manager for Cardinal Health. Enroll patients into copay assistance or Patient Assistance Program for Trodelvy. Check for eligibility with payers, check accumulators, network status, prior authorization necessity and/or status. Follow up with Provider's offices to advise of eligibility, send faxes out once we complete Benefit investigation, successful copay or PAP.
Medical Claims Specialist - Remote
TriWest Healthcare Alliance
01.2023 - 03.2023
- Contract position, Provided general claims status to providers, office managers, third party billing departments. As per the contract with Triwest as they are contracted by the Department of Veterans Affairs
Benefits Verification Representative Remote
Continuum Global Solutions
11.2021 - 01.2023
- Verify benefits for specialty medications, input insurance information on patient profile, offer copay assistance. Start and/or check statuses for prior authorization needed for loading and maintenance doses.
Benefits Verification Specialist
Capgemini
09.2020 - 10.2021
- Processed prescriptions for CVS specialty pharmacy. Input insurance checked eligibility, provided Copay information and offered Copay assistance if eligible. Made sure that patient profile was completed to allow for prescriptions to be processed completely by assuring that ICD-10 codes were entered correctly. Check status of prior authorization and in need started the prior authorization process for approval.
Customer Service Representative
Datamark, Inc.
03.2020 - 05.2020
- Provide customer service for Federal employees who had questions about their medical coverage for accepted conditions as deemed by United States Department of Labor.
Account Specialist/Customer Service
Continuum Global Solutions
07.2017 - 11.2019
- Explain billing to current and former Cox communication customers. Upsell current package, adjust billing errors, advise of technician ETA
Customer Service Representative
HGS USA
08.2015 - 04.2017
- Provide information on Benefits and Eligibility to providers or facilities that called and requested. Upheld HIPAA guidelines and properly validated calls. Checked CPT and HCPT codes to check for prior authorization. Check claim status on medical claims. Processed initial intake of appeals for providers as well as claim adjustment request.
Education
GED - undefined
Grover Cleveland High School
06.1998
Skills
- Upselling
- Computer skills (4 years)
- Ethernet
- Computer operation
- Microsoft Excel
- Phone answering (5 years)
- Medical Terminology
- Health insurance (3 years)
- CPT Coding
- Inside sales
- Employee orientation
- B2B Sales
- English (10 years)
- Customer Care
- Medical Billing
- ICD coding
- Analysis skills
- Microsoft Word
- Microsoft Powerpoint
- 5G
- Productivity software
- CSR
- Typing
- Purchasing
- Outbound sales
- Customer Service
- Microsoft Office
- Communication skills
- Caregiving
- Outbound calling
- HIPAA
- VPN
- Electronic health records (EHR) management
- Medical collection
- CRM software
- ICD-9
- Telemarketing
- Psychiatry
- Search engines
- Salesforce Cloud
- Time management
- 3G
- Call center
- Call Center
- Insurance Verification
- Microsoft Outlook
- Medical terminology
- Customer service
- Medical Office Experience
- Data Entry
- 4G/LTE
- Zendesk
- ICD-10
- Account management
- Sales
- Windows
- Salesforce
- Phone inquiries (3 years)
- Marketing
- ICD Coding
- Technical support
- Clerical experience
- Telephone (5 years)
- Medical billing
- Customer Support
- Organizational skills (3 years)
- Janitorial experience
Certification
Driver's License
Timeline
Customer Service Representative (Remote)
Accentra Health
04.2025 - Current
Patient Service Representative
Community Health Systems
10.2024 - 01.2025
Patient Service Representative (Remote)
Fortrea
10.2023 - 03.2024
Case Manager (Remote)
Innova Solutions Inc.
05.2023 - 08.2023
Medical Claims Specialist - Remote
TriWest Healthcare Alliance
01.2023 - 03.2023
Benefits Verification Representative Remote
Continuum Global Solutions
11.2021 - 01.2023
Benefits Verification Specialist
Capgemini
09.2020 - 10.2021
Customer Service Representative
Datamark, Inc.
03.2020 - 05.2020
Account Specialist/Customer Service
Continuum Global Solutions
07.2017 - 11.2019
Customer Service Representative
HGS USA
08.2015 - 04.2017
GED - undefined
Grover Cleveland High School
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