Summary
Overview
Work History
Education
Skills
Languages
Affiliations
Timeline
Generic

Erik Menchaca

San Antonio,TX

Summary

Highly-motivated employee with desire to take on new challenges and obtain a position where my ability to communicate effectively with clients/volunteers and team members will be an additional asset to your organization. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Considered valuable asset to any team.

Overview

9
9
years of professional experience

Work History

Adopt-a-Senior Transporter

Catholic Charities
San Antonio, TX
08.2023 - Current
  • Transport clients safely and efficiently to their destination in a timely manner
  • Adhered strictly to company guidelines regarding route selection and safe driving practices.
  • Followed applicable safety regulations while driving on public roads.
  • Verified vehicle information and condition prior to loading.
  • Maintained client confidentiality, complying with HIPPA policies and procedures.
  • Provided customer service by responding promptly to inquiries about delivery status or any other related issues.
  • Developed strong and trusting rapport with patients to facilitate smooth, quality care.
  • Conducted daily pre-trip inspections of assigned truck's brakes, lights, tires, fuel levels.
  • Interacted with clients which helped to build positive relationships in order to reduce isolation
  • Delivered [Pantry Groceries] and [Basic essentials] to clients, taking care to meet timely deadlines.
  • Logged key information regarding each trip, including mileage, fuel and hours on road.
  • Communicated regularly with volunteers/clients, assisting with issues and questions.
  • Provided guidance on how to best utilize available resources in order to maximize the impact of volunteer work.
  • Identified volunteer service opportunities and associated requirements.
  • Facilitated communication between staff members and volunteers.
  • Assisted with developing and implementing volunteer recruitment plans.
  • Solicited feedback from staff and volunteers to improve existing programs.
  • Arranged transportation, meals, and other logistics for volunteers and clients attending AAS events.
  • Coordinated and conducted Volunteer outreach with other supervisors and Volunteer recruiters, combining group efforts to achieve goals.
  • Recognized by management for providing exceptional customer service.
  • Exceeded customer satisfaction by finding creative solutions to problems.
  • Answered [over 15-25] calls per shift to assist with AAS questions and concerns.
  • Approached clients and engaged in conversation through use of effective interpersonal and people skills.

Senior Sam Payment Integrity Ops

United Healthcare Group
San Antonio, TX
03.2015 - 08.2023
  • Provided expertise for claims support by reviewing, researching, investigating, negotiating, processing and adjusting medical claims
  • Participated in meetings with senior management personnel to discuss policy changes related to claims adjudication.
  • Investigated discrepancies in medical billing codes, patient information, and other data related to claims processing.
  • Maintained accurate records of all activities related to claim adjustments.
  • Assessed claim denials to determine if appeals are appropriate.
  • Documented all decisions made on claims in accordance with established guidelines.
  • Identified trends in claim rejections or denials and provided feedback to management team.
  • Compiled weekly reports summarizing the status of pending medical claims.
  • Participated in training sessions designed to keep current on industry-specific regulations.
  • Performed quality assurance reviews of submitted insurance claims prior to payment approval.
  • Analyzed medical claims for accuracy, completeness, and compliance with company policies and procedures.
  • Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
  • Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
  • Sent clinical request and missing information letters to obtain incomplete information.
  • Inputted data into the system, maintaining accuracy of provider coding information and reported services.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Reduced loss ratios through fair and prompt processing of claims.

Education

GED -

Huantes Learning And Leadership Development Center
San Antonio, TX
05-2001

Skills

  • Customer Rapport
  • City and Non-City Driving
  • Customer Service (20years)
  • Client Transport
  • Problem Resolution
  • Client Safety
  • Medical Terminology Knowledge
  • Scheduling Coordination
  • Strong Interpersonal Skills
  • Effective Problem Solving
  • Initiative and Self-Motivation
  • Cultural Sensitivity
  • Strong Work Ethic
  • Creativity and Innovation
  • Flyer Distribution
  • Expense Tracking
  • Promotional Planning
  • Developing Targeted Leads
  • Video Editing
  • Audio Editing
  • Professional Networking
  • Developing Concepts
  • Creative Direction
  • Deadline Management
  • Organizational Skills
  • Coaching and Mentoring
  • Adaptability and Flexibility
  • Relationship Building
  • Team Building
  • Reliability
  • Team Leadership
  • Product and Service Sales
  • Adaptability
  • Computer Skills

Languages

Spanish
Limited
English
Professional

Affiliations

  • Ability to design artwork for custom tees
  • Co-Own of T-shirt and Branding company
  • Ability to Edit/produce promotional videos
  • 10 yrs + Business promotion via internet and in person

Timeline

Adopt-a-Senior Transporter

Catholic Charities
08.2023 - Current

Senior Sam Payment Integrity Ops

United Healthcare Group
03.2015 - 08.2023

GED -

Huantes Learning And Leadership Development Center

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Erik Menchaca