Leticia Rios
North Las Vegas
Summary
Responsible [Customer Benefits Representative] provided customer support to clients needing assistance with service plans. Researched inquiries, answered questions and offered solutions to resolve issues. Considered valuable team player with great organizational skills.
Overview
8
8
years of professional experience
Work History
Customers Benefits
Acelis Connected Health/Abbott
03.2020 - 10.2022
- Responded to customer requests for products, services, and company information.
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Documented customer interactions and transactions for accurate, up-to-date records.
- Obtaining customers insurance for eligibility
- Follow all regulatory policies and procedures, privacy and security standard in accordance with government agencies to include HIPAA requirement's.
Patient Account Specialist
Acelis Connected Health/Abbott
05.2018 - 02.2019
- Received incoming patient calls concerning claims and collections in a professional and courteous manner.
- Explain billing statement and methodology.
- Maintain accurate and complete records concerning collection activity on all accounts according to company procedures.
- Process credit card payments.
- Monitor hardship applications.
- Ability to interpret explanations of benefits or Remittance Advise{EOB or RA}.
- Assist in monthly closing by assuring all appropriate information is entered into computer system.
- Process correspondence, as assigned.
- Perform other related duties ass assigned.
- Follow all HIPAA guidelines.
Customer Service Associate
Acelis Connected Health/Abbott
04.2017 - 05.2018
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Receive inbound calls from customers for supply orders or additional questions.
- Inform data changes for supply items as needed.
- Resolve or report any problems that may accrue.
- Understand and adhere to all business processes and procedures.
- Attend daily meetings for daily updates to work loads.
- Maintain a culture of accountability.
- Follow all regulatory policies and procedures, privacy and security standards in accordance with Government agencies to include HIPAA requirements.
Testing Services
Acelis Connected Health/Abbott
03.2015 - 03.2017
- Contact Patients/or Physicians for INR results that fall in and "OUT OF RANGE" or critical values category as directed by THE HCP and as outlined by Acelis Connected Health monitoring policies and procedures.
- Monitor and assist in patient testing compliance using appropriate applications reminders and phone calls: Documenting interactions and results, and producing follow-up letters.
- Maintain and enter new patient into appropriate computer database.
- Utilizes call scripting provided when conducting patient phone calls.
- Processing patients requested orders for testing supplies.
- Transfer patient calls for diagnose and troubleshoot problems with meter or any other concerns.
- Responded to customer inquiries quickly and professionally to increase satisfaction.
Education
Job Readiness
Liberty Adult School
Brentwood, CA05.2013
High School Diploma -
Calexico High School
Calexico, CA06.1978
Skills
- Excellent Oral Communication Skills
- Effective Interpersonal Skills
- Proficiency in PC: Excel, Windows 10, Outlook
- Salesforce Software
- MPS Software
- Medicare CMS website, UHC, Humana, Blue Cross, Humana and all other Insurance websites
Languages
English
Full Professional
Timeline
Customers Benefits
Acelis Connected Health/Abbott
03.2020 - 10.2022
Patient Account Specialist
Acelis Connected Health/Abbott
05.2018 - 02.2019
Customer Service Associate
Acelis Connected Health/Abbott
04.2017 - 05.2018
Testing Services
Acelis Connected Health/Abbott
03.2015 - 03.2017
Job Readiness
Liberty Adult School
High School Diploma -
Calexico High School
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