Nadia Dargani
Los Angeles,CA
Summary
To obtain a challenging position as a Customer Care Representative in a reputable organization where I can utilize my skills and experience in handling claims, grievances, appeals, provider communication and support , and handling payments from clients.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Customer Care Representative I
Anthem Blue Cross of California
09.2021 - 02.2023
- Handle claims, grievances, and appeals from members and providers
- Communicate with providers to ensure timely and accurate processing of claims
- Investigate and resolve customer issues and concerns related to claims, payments, and provider communication
- Process payments for claims and ensure accuracy of payment amounts
- Maintain accurate and up-to-date records of customer interactions and transactions.
Outpatient Clinical Care Coordinator
Providence St. John’s Health Center
03.2021 - 05.2021
- Assess patient needs and develop care plans in collaboration with interdisciplinary teams
- Coordinate care services, including scheduling appointments, arranging transportation, and coordinating referrals
- Communicate with patients and families to ensure understanding of care plans and treatment options
- Documented patient care services and maintained accurate and up-to-date records
- Assisted with administrative tasks, like answering and managing patient records.
Human Resources Assistant
Cedars Sinai Medical Center
07.2019 - 12.2019
- Digitize EPAF Documentation through the utilization of various HER/EMR software systems
- Performed HR duties, including performance appraisals, Kronos changes, and managed employee records
- Assist with HR projects and initiatives as needed
- Provide HR support to employees and managers on various HR-related issues.
Senior Lead Intern
Single Parents of Power
01.2019 - 05.2019
- Assisted with program development and implementation
- Conducted assessments and developed treatment plans
- Communicated with clients and families to ensure understanding of treatment plans and progress
- Documented counseling services and maintained accurate and up-to-date records
- Participated in supervision and training sessions
- Processed claims and payments for services rendered.
Marketing Coordinator
Mar Vista Health Center
10.2011 - 05.2014
- Made about 100 outbound calls average on a daily basis
- Revitalize web content and social media profiles
- Coordinated resources to craft marketing plans for various projects, including product launches and events
- Worked closely with all product development departments to create and maintain marketing materials for sales presentations and client meetings
- Leveraged different market research strategies to investigate new product planning.
Education
M.A. Clinical Psychology -
Pepperdine University
04.2024
Undergraduate Certificate with Honors - Medical Billing & Coding -
DeVry University
06.2021
B.A. Neuropsychology -
Mount Saint Mary’s University
05.2019
Skills
- Excellent communication skills
- Strong problem-solving & analytic skills
- Ability to multitask and prioritize tasks effectively
- Detail-oriented
- Proficient in Microsoft Office and other systems, including E H R and E M R software
Certification
Certified Medical Biller and Coder
Certified Life, Health, and Accident Insurance Agent
Timeline
Customer Care Representative I
Anthem Blue Cross of California
09.2021 - 02.2023
Outpatient Clinical Care Coordinator
Providence St. John’s Health Center
03.2021 - 05.2021
Human Resources Assistant
Cedars Sinai Medical Center
07.2019 - 12.2019
Senior Lead Intern
Single Parents of Power
01.2019 - 05.2019
Marketing Coordinator
Mar Vista Health Center
10.2011 - 05.2014
M.A. Clinical Psychology -
Pepperdine University
Undergraduate Certificate with Honors - Medical Billing & Coding -
DeVry University
B.A. Neuropsychology -
Mount Saint Mary’s University
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