Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Karen Mireles

Orange,TX

Summary

Customer Service Representative with extensive experience in managing patient interactions and processing medical claims. Demonstrated ability to update patient files accurately and ensure compliance with company policies while effectively handling incoming calls to provide information and schedule services. Collaborated with various departments to enhance customer experience, addressing inquiries and resolving complaints efficiently. Proven skills in payment collection, data entry accuracy, and maintaining detailed documentation contribute to a streamlined service delivery.

Overview

2
2
years of professional experience

Work History

Customer Service Representative

Teleperformance USA
McAllen, Texas
01.2023 - 09.2024
  • Updated patient files in accordance with company policy and procedure guidelines.
  • Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
  • Ensured that proper follow up was completed after each interaction with a customer.
  • Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
  • Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.

Customer Service Representative

Senture
McAllen, TX
04.2022 - 12.2022
  • Worked collaboratively with other departments such as billing, coding, clinical documentation improvement specialists when necessary.
  • Developed strategies for improving customer experience while maintaining compliance standards.
  • Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
  • Collected payments from patients and entered them into the billing system accurately.
  • Assisted in checking patient's insurance eligibility prior to their appointment.
  • Managed incoming calls from patients and other healthcare facilities to provide information or schedule services.
  • Provided customer service by answering inquiries, resolving complaints, and providing general information to clients regarding healthcare services.

Education

High School Diploma -

Donna North High School
Donna, TX
06-2020

Some College (No Degree) - Psychology

South Texas College
McAllen, TX

Skills

  • Medical claims processing
  • Customer service
  • Payment collection
  • Data entry accuracy
  • Effective communication
  • Time management
  • Conflict resolution
  • Attention to detail
  • Record preparation
  • Positive and professional
  • Team collaboration
  • Verbal and written communication
  • Documentation
  • Microsoft PowerPoint
  • Multitasking and organization
  • Adaptability and flexibility

Languages

English
Professional
Spanish
Native/ Bilingual

Timeline

Customer Service Representative

Teleperformance USA
01.2023 - 09.2024

Customer Service Representative

Senture
04.2022 - 12.2022

High School Diploma -

Donna North High School

Some College (No Degree) - Psychology

South Texas College
Karen Mireles