Nancy Perez
Irving,TX
Summary
Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.
Overview
12
12
years of professional experience
Work History
Commercial Monitoring
ADT Security
07.2021 - Current
- Reviewed camera and system feeds and alerted proper respondents regarding discrepancies.
- Reported irregularities such as fire and safety hazards to maintenance.
- Operated and monitored fire alarm and security CCTV systems to maintain building safety.
- Prepared detailed incident reports to facilitate appropriate follow-up.
Inside Sales Specialist
Alliance Family Of Companies
06.2019 - 04.2020
- Insurance data entry.
- Verify insurance benefits.
- Answered customers' questions regarding medical test, prices and availability.
- Scheduled and confirmed appointments for patients.
- Dispatched technicians to patient home for accurate testing.
Customer and Provider Services
Molina Healthcare Inc.
10.2015 - 05.2019
- Answered average of 100 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
- Assisted customers by finding solutions to problems and making recommendations based on extensive medical policy knowledge.
- Reviewed services rendered and completed to reconcile codes.
- Verified proper ICD-9 coding on claims.
- Worked with other departments to determine patient complaints.
Self Pay Collections
Navigant Cymetrix
08.2015 - 08.2016
- Performed targeted collections on past due accounts aged over 90 days.
- Negotiated to collect balance in full.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Exceeded goals through effective task prioritization and great work ethic.
Customer Service Representative
Humana
12.2013 - 01.2015
- Managed large volume of medical claims on daily basis.
- Reviewed provider coding information to report services and verify correctness.
- Answered constant flow of customer calls with minimal wait times.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Updated account information to maintain customer records.
Pharmacy Care Representative
West Corporation
12.2011 - 01.2013
- Guided and supported more than 100 customers via phone each day.
- Maintained patient profiles, updating organizational database with current information.
- Problem solved pharmacy rejections.
- Verify Authorizations.
- Processed, shipped and mailed patient medications.
Education
Macarthur High School
Irving, TXMedical Assistant
ATI Career Training Center - Dallas
Dallas, TXSkills
- Goals and performance
- Analytical Thinking
- Payment Processing
- Account Management
- ICD-9 Coding
- Patient Registration
- Eligibility Determination
- Insurance Verification
- Bilingual - Spanish
- Appointment Scheduling
Timeline
Commercial Monitoring
ADT Security
07.2021 - Current
Inside Sales Specialist
Alliance Family Of Companies
06.2019 - 04.2020
Customer and Provider Services
Molina Healthcare Inc.
10.2015 - 05.2019
Self Pay Collections
Navigant Cymetrix
08.2015 - 08.2016
Customer Service Representative
Humana
12.2013 - 01.2015
Pharmacy Care Representative
West Corporation
12.2011 - 01.2013
Macarthur High School
Medical Assistant
ATI Career Training Center - Dallas
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