Silvia Delgadillo

• Applied mathematical abilities to calculate and check figures in accounting systems.
• Investigated daily variances and corrected errors to resolve discrepancies.
• Assessed data and information to verify entry, calculation and billing code accuracy.
• Contacted customers to immediately find resolutions for escalated issues.
• Input financial data and produced reports using [Software].
• Entered figures using 10-key calculator to compute data quickly.
• Followed up with customers to collect and verify financial information.

Inbound/Outbound calls 80+

Bilingual Spanish/English

In charge of several test pilot programs

Train new hires

Eligibility, benefits, referrals and authorizations

Issues and resolution

Provide backup support to as necessary accounts, prenatal, foster kids, elderly members.

Scheduled members with specialist

Responsible for inputting and locating participant information in member management system.

Contact participants for scheduling and enrollment information, follow up appointments through HEDIS.

Complete Initial Health Assessments for various health issues, Asthma, Diabetes, Hypertension, Heart Disease, weight loss programs for adults and children.

Performs Data Entry, resolve incomplete or incorrect data.

Verified eligibility of candidates, enroll candidates in lifestyle programs.

Input direct referral participant information to member management system.

In charge of communicating between patients, family members, care providers and other health care institutions, Nursing homes, Rehabilitation Centers.

Informing participants about the importance of a screening, and check ups

Building good communication skills with members to assess and address individual needs, providing timely and quality support.

High volume inbound calls 80+

Bilingual Spanish/English

Resolved patient questions and concerns in a timely and accurate fashion, customer satisfaction.

Handles phone inquired from patients, doctors facility teammates

Would provide services for several health plans throughout different states, for providers, colleges, universities, and military facilities.

Heavy customer service skills, Taking critical calls would involve dialing 911

Following a process, in which parents would call inquiring questions about their child being sick, obtaining information to at most accurate so when a member would be transferred the correct information would be available for the Nurse to assist the member.

Served as a third party between Nurse and Physician with ICU questions, and solutions.

Schedule appointments for patients

Inbound/Outbound calls 50+

Schedule appointments for four locations for several Therapists, for children and families.

Dealing with mental health patients, as well as with CPS cases

Would outreach to patients to verify appointments, as well as updating address and other issues that needed clients attention.

Verify clients insurance eligibility

HIPPA Compliance

Developed community reputation through a commitment to customer satisfaction and strong client relationships

Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions

Answered multi-line phone system, routing calls, delivering messages to staff, and greeting visitors.

Checking patients in and out of the office

Contact insurance companies regarding claims

Payables, Accounting

For new members would verify insurance or set them up with a payment plan.

Responsible for sending daily news to office members

close out at the end of the day, making sure all finances were correct including sending claims.

Backing up all systems get them ready for the following day

Processed invoices and expenses using QuickBooks to facilitate on-time payment.

Managed multiple tasks and met time-sensitive deadlines

Responded to inquiries from callers seeking information

• Developed and updated Excel spreadsheets and databases to track, analyze and report on performance of invoice data.
• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
• Sorted and distributed office mail and recorded incoming shipments for corporate records
• Payroll for over 100 employees
• Handled client correspondence and tracked records to foster office efficiency.
• Accounts Payables/Receivables, inputting freight invoice.