Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Maria Anita Munoz

Lubbock,TX

Summary

Bilingual customer service professional with 20+ years of experience. Productive and able to accomplish company tasks with little or no supervision. Willing to learn new things to advance my career, personal growth and meet company goals.

Overview

22
22
years of professional experience

Work History

Enrollment Specialist

UMC Physicians
09.2024 - Current
  • Enrolled Medical Providers with Medicaid Products
  • Updated Provider License updates before expiration date
  • CAQH attestations on providers charts for medical insurance purposes
  • Created recredentialing workflows in Credential Stream for providers before recredential dates
  • Kept track of 8 - hour DEA training hours for to keep providers updated with their training
  • Emailed providers weekly to make them aware of any upcoming license renewals

Eligibility Specialist

UMC Physicians
09.2023 - 09.2024
  • Verified medical insurance to insure patients had eligible medical coverage.
  • Noted patient charts of medical coverage eligibility for customer service representatives in medical clinics to bill and collect from patients
  • Websites used Availity, One Source, CPM and Medicaid and Medicare Websites.

Customer Access Representative

Presbyterian Medical Services
01.2016 - 09.2023
  • Greeted patient
  • Registered new patient information into NexGen medical charts
  • Scheduled dental, medical and behavioral health appointments
  • Verified insurances, checked eligibility Medicaid and Medicare for Medical and Dental
  • Verified patient income to determine if they qualified for discount on procedures
  • Sent predeterminations to insurance companies for Dental procedure approvals
  • Discussed dental treatment plans with patients
  • Electronically sent dental x-rays and referrals to dental clinics following HIPPA protocol
  • Collected patient insurance co-pays and payments
  • Posted payments to patient accounts and balanced daily cash drawer for bank deposit
  • Filed and scanned patient records to their charts
  • Answered phones, used fax machine and copier. Programs used include NexGen, EHR, EDR, HealthNet and NM Medicaid Portal

Cashier

ITSQuest/City of Artesia
09.2015 - 11.2015
  • Greeted customers
  • Set up new customer water accounts
  • Answered billing questions
  • Collected customer water payments and new account deposits
  • Copied customer ID and Social Security cards and scanned to customer accounts
  • Issued garage sale permits
  • Balanced daily cash drawer for bank deposits
  • Machines used- computer, copier, fax machines and calculator Admissions and Charges

Registrar

Artesia General Hospital
02.2015 - 05.2015
  • Patient registration
  • Lab patient registration maintenance
  • Insurance, Medicare, Medicaid verification through health insurance websites
  • Entry charges for billing and auditing of O.R., E.R., Radiology and Lab services
  • Alphabetizing and filing patient registrations for medical records
  • Answering phone switchboard and transferring calls to proper departments
  • Programs used Excel, Windows 8, Microsoft Word, Microsoft Outlook, Empower, Lab DAQ and HMS
  • Office equipment used included Xerox copiers, scanners, faxes and hospital phone switchboard

Technical Service Provisioner

Penasco Valley Telecommunications
02.2007 - 12.2014
  • Provisioned and enabled cable, telephone, internet and alarm system services
  • Troubleshooting and upgrading and downgrading of telecommunication services
  • Ran and audited monthly reports on customer services and packages
  • Provisioned equipment for technicians to install at customer homes for service
  • Programs used-iVUE, Excel, Windows 7, Microsoft Word, Microsoft Outlook, Calix, Metaswitch and Internet servers
  • Machines used- computers, calculators, scanners, faxes, Xerox machines, laminating machine and phones

Customer Service and Cashier

Penasco Valley Telecommunications
10.2003 - 02.2007
  • Provided customer service and set up customer accounts with cable and internet service
  • Answered business phones for customer inquiries and complaints
  • Ran monthly billing and delinquent reports
  • Received and posted customer payments
  • Daily cash drawer balancing and bank deposits
  • Programs used-iVUE, Excel, Windows 7, Microsoft Word and Microsoft Outlook

Education

High School Diploma -

Lake Arthur High School
Lake Arthur, NM

Skills

  • Effective written communication
  • Record-keeping proficiency
  • Customer service proficiency

Languages

English
Professional Working
Spanish
Professional Working

Timeline

Enrollment Specialist

UMC Physicians
09.2024 - Current

Eligibility Specialist

UMC Physicians
09.2023 - 09.2024

Customer Access Representative

Presbyterian Medical Services
01.2016 - 09.2023

Cashier

ITSQuest/City of Artesia
09.2015 - 11.2015

Registrar

Artesia General Hospital
02.2015 - 05.2015

Technical Service Provisioner

Penasco Valley Telecommunications
02.2007 - 12.2014

Customer Service and Cashier

Penasco Valley Telecommunications
10.2003 - 02.2007

High School Diploma -

Lake Arthur High School
Maria Anita Munoz