Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Guadalupe Leanos

Oxnard,CA

Summary

Dedicated and reliable professional with extensive experience in customer service, data entry, and administrative support. Known for exceptional attention to detail and strong organizational skills, complemented by effective interpersonal and communication abilities. Demonstrated capacity to thrive in high-pressure environments while swiftly adapting to changing demands. Committed to delivering outstanding results and enhancing team performance through collaboration and problem-solving.

Overview

21
21
years of professional experience

Work History

Utilization Management

Elevance Health
03.2010 - Current
  • Complete data entry tasks with strong focus on accuracy of the member’s information.
  • Verify accuracy of all paperwork prior to submitting it for processing.
  • Review files and records to obtain proper information in order to respond to requests.
  • Monitor incoming emails and instant messages and responding to urgent inquiries.
  • Protect confidentiality of sensitive information to comply with HIPAA guidelines.
  • Researching and resolving partially received faxes.
  • Volunteering to learn new skills/ testing volunteer when management reaches out.
  • Train new staff on Rapid Capture Program and how to research partial faxes.
  • Sorted and distributed incoming mail and packages.
  • Uploaded photos received to member accounts.
  • Creating new cases in ACMP.
  • Validating portals.
  • Attaching clinicals to already created cases.
  • Faxing providers back regarding case status.
  • Transferring faxes to their respective workbaskets.
  • Working leads shared mailbox and researching possible errors.

Accounts Receivable Representative

Apria Healthcare
08.2005 - 09.2009
  • Answered phone calls from customers regarding their billing statement and helping them understand it.
  • Contacted and worked with customers to resolve insurance related billing issues.
  • Called insurance companies to inquire on claim status
  • Prepared itemized statements and mailed out to customers.
  • Posted payments to customers’ accounts when we received their payments.
  • Verified accuracy of patient information including demographic data and insurance coverage.
  • Reviewed and evaluated unpaid claims to determine the cause for the delay or denial and took appropriate action as needed to resolve the manner.
  • Processed medical bills and insurance claims accurately in accordance to HIPAA regulations.
  • Loaded machines with statement paper and envelopes to prepare bills for customers.
  • Provided great customer service while being empathetic to each customer’s situations.
  • Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers.

Retail Sales Associate

Nextel Communications
03.2005 - 09.2005
  • Greeted customers as they entered the store
  • Engaged in conversation with customers to assess their needs
  • Explained products and service plans to help customers make the best purchase to fit their individual needs
  • Sold merchandise and prepared sales contracts
  • Fostered relationships with customers by providing exceptional customer service and follow-up calls after purchases were made
  • Received and processed online orders for shipment or in-store pickup
  • Maintained a clean and well-organized store that met all safety standards

Education

Associate of Arts And Sciences - General Liberal Studies

Oxnard College
Oxnard, CA

Skills

  • Customer Service - 10 years
  • Medical Biller - 4 years
  • Call Center - 4 years
  • Utilization management
  • Sales

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Utilization Management

Elevance Health
03.2010 - Current

Accounts Receivable Representative

Apria Healthcare
08.2005 - 09.2009

Retail Sales Associate

Nextel Communications
03.2005 - 09.2005

Associate of Arts And Sciences - General Liberal Studies

Oxnard College

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