
Hard-working, highly-organized professional with diverse administrative experience; team-player-works well with people at all levels; excellent telephone skills; quick learner, flexible-enjoy learning new and challenging tasks; maintain positive attitude; computer knowledge includes Excel, Microsoft Word, and certain industry-specific software.
CA/AZ Medi-CAL:Assisted members/non-members;Healthnet/Ambetter/Centene/Healthcare Marketplace: Health benefit questions, such as billing, payments, explanation of benefits, co-pays, specialty co-pays, deductibles, HMO/EPO/PPO plans, out-of-pocket maximum, claims, accepted/received monies/payments by phone-TeleServices, handled/assisted prior authorizations, pharmacy issues/depts, explained formulary & non-formulary medications/expenses, DME-durable medical equipment, finding in-network/out-of-network providers/specialists to meet specific needs, locations, etc.
United States
Title: Medical Call Center Customer Service Representative
English - Intermediate
Top Sales-2 consecutive month
WOW award-Jimmy Granger Ford