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