Maricela Padilla
San Jose,California
Summary
Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
18
18
years of professional experience
Work History
Billing Represenative- Remote
UnitedHealth Group
San Francisco, CA
04.2022 - Current
- Investigated customer complaints related to billing issues.
- Analyzed account history to identify trends or irregularities in billing processes.
- Generated invoices for services rendered according to established guidelines.
- Processed credit card payments from customers using secure online systems.
- Researched discrepancies between customer invoices and payments received.
- Assisted customers with inquiries regarding their bills and payment options.
- Reviewed and processed customer invoices, credits, and payments accurately.
- Maintained detailed records of billing information in the company's database.
- Performed data entry to update customer accounts with payment details.
- Documented changes in claim statuses using specialized software systems.
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
- Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
Billing Specialist
Stanford Children's Hospital
Palo Alto, CA
05.2017 - 04.2021
- Submitted claims to insurance companies.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Performed data import, scanning or manual keying processes to verify invoice accuracy.
- Processed and sent invoices, adjustments and credit memos to customers.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Investigated and resolved issues to maintain billing accuracy.
- Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues
- Screened telephone calls and inquiries and directed them as appropriate
- Processed and tracked medical insurance claims.
- Compiled physical and digital documents, charts and reports.
- Updated group medical records and technical library to promote smooth office operations.
- Corresponded with hospitals and medical offices regarding incoming home health referrals.
- Processed paperwork, obtained billing forms and secured confidential information.
- Answered and logged incoming inquiries via phone, fax and email.
- Managed physical and digital files, monitored spreadsheets and updated reports to coordinate project materials.
- Developed administrative processes to achieve organizational objectives and improve office efficiency.
- Provided secretarial and office management support while building cooperative working relationships.
- Responded effectively to sensitive inquiries or complaints.
- Maintained accurate department and customer records.
- Obtained scanned records and uploaded to database.
- Processed financial documents, contracts, expense reports and invoices.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Managed numerous client accounts to track and collect money owed.
- Input payment history and other financial data to keep customer accounts up-to-date in system.
Store Manager
Starbucks
Morgan Hill, CA
01.2006 - 08.2016
- Assit Pharmacists in providing excellent service and meeting customer's needs
- Properly filled dispensed and average 1000 prescriptions per day
- Basic knowledge of New York and California Pharmacy Law
- Maintained drug inventory levels by ordering necessary medications and supplies and verifying againstpurchase orders
- Conduct loss prevention for store management and sales associates
- Maintained proper storage and security conditions for all drugs
- Verified patient data and billing information
- Strictly maintained customer and patient confidentiality
- Regularly completed paperwork and entered prescription and insurance billing information into patient profiles
- Promptly referred all doctors' calls and customers' medical questions to the pharmacist on duty.
- Recruited, trained and supervised new employees.
- Conducted daily store operations, including opening and closing procedures and cash handling.
- Managed inventory tracking and physical inventory counts to minimize loss.
- Balanced sales, reconciled cash and made bank deposits to facilitate opening and closing duties.
- Resolved customer complaints in a timely manner.
- Created weekly work schedules for store personnel.
- Trained and mentored associates to teach daily tasks and procedures.
- Delivered excellent customer service and adhered to standard practices to maximize sales and minimize shrinkage.
- Monitored employee performance and identified performance gaps for corrective action.
- Completed thorough opening, closing and shift change functions to maintain operational standards each day.
- Built customer confidence by actively listening to concerns and complaints and quickly resolving issues.
- Maintained accurate records of employee performance reviews.
- Reviewed customer feedback to make operational improvements and promote satisfaction.
- Identified operational issues and implemented appropriate process improvements to promote workplace safety and productivity.
- Evaluated store performance and incorporated feedback to implement improvement plans.
Education
Associate of Science - Computer Science
Western Career College
San Jose, CA01.2009
High School Diploma - General Education
Silver Creek High
01.2005
Skills
- Database Updates
- Time Management
- Issue Resolution
- One Call Resolution
- Team Building and Leadership
- Handling Escalations
- Work Prioritization
- Problem-Solving
- Workflow Management
- Positive and Constructive Feedback
- Decision-Making
- Performance Evaluations
- Call Center Operations
- Account Authorizations
- Delegating Work
- Policy Enforcement
- Complaint Resolution
- Employee Scheduling
- Call Monitoring
- Customer Service
- Complaint Handling
- New Hire Training
- Report Generation
- Data Verification
- Claims Processing
- Microsoft Excel
- Microsoft Access
- Database Management
- Records Management
- Administrative Support
- Verifying Data Accuracy
- Data Collection
- Medical Billing and Collections
- Discrepancy Resolution
- Statement Distribution
- Invoice Documentation Management
- Fee and Charge Computation
- Verbal and Written Communication
- Billing Data Verification
- Coding Proficiency
- Work Coordination
- Microsoft Office
- Data Input
- Data Management
Timeline
Billing Represenative- Remote
UnitedHealth Group
04.2022 - Current
Billing Specialist
Stanford Children's Hospital
05.2017 - 04.2021
Store Manager
Starbucks
01.2006 - 08.2016
Associate of Science - Computer Science
Western Career College
High School Diploma - General Education
Silver Creek High
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