Maria Mercado
Molina Healthcare
Long Beach,CA
2
Languages
25
years of professional experience
Dynamic Provider Services Representative with a proven track record at Molina Healthcare, enhancing provider satisfaction through effective issue resolution and operational efficiency. Skilled in HIPAA compliance and claims processing, I leverage a goal-oriented mindset to streamline processes and improve service delivery in the healthcare industry.
Work History
Provider Services Representative
8 Years 10 Months- Supported resolution of provider inquiries, enhancing satisfaction and operational efficiency.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Improved provider satisfaction by promptly addressing and resolving service issues.
Dispatcher/Receptionist
2 Years 2 Months- Coordinated service calls and schedules for technicians to optimize daily routes.
- Monitored real-time dispatch operations using proprietary software to enhance efficiency.
- Communicated effectively with clients to address service inquiries and resolve issues promptly.
Receptionist
1 Year 7 Months- Answered multi-line phone system, directing calls to appropriate departments and personnel.
- Greeted visitors and residents, ensuring a welcoming environment and adherence to safety protocols.
- Maintained accurate resident records, ensuring compliance with privacy regulations and organizational standards.
- Handled incoming mail and packages, distributing promptly to maintain operational flow within the facility.
Receptionist
4 Months- Answered multi-line phone system, directing calls to appropriate departments and personnel.
- Greeted visitors and residents, ensuring a welcoming environment and adherence to safety protocols.
- Managed appointment schedules for medical staff, optimizing time management and efficiency.
- Handled incoming mail and packages, distributing promptly to maintain operational flow within the facility.
Receptionist
1 Year 6 Months- Answered multi-line phone system, directing calls to appropriate departments and personnel.
- Handled incoming mail and packages, distributing promptly to maintain operational flow within the facility.
- Confirmed appointments, communicated with clients, and updated client records.
Education
Business Degree - Business Computer
Skills
HIPAA compliance
Claims processing
Goal-oriented mindset
Call center experience
Insurance verification
Data entry proficiency
Healthcare industry
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Provider Services Representative
Molina Healthcare
12.2017 - CurrentRead More
Dispatcher/Receptionist
Hydrex Pest Control Services
06.2009 - 08.2011Read More
Receptionist
Edgewater Skilled Nursing Center
06.2003 - 01.2005Read More
Receptionist
Gracie Academy
02.2003 - 06.2003Read More
Receptionist
Dependable Auto Shippers Inc.
04.2001 - 10.2002Read More
Long Beach Career College
Business Degree from Business Computer
Read More