TARA MINTZ
Miami,FL
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
24
24
years of professional experience
Work History
Personal Injury Processor
Pearl Holding Group
Coral Springs, FL
08.2023 - Current
- Review and verify personal information including names, address and other data when reviewing claim submissions
- Communicate regularly with insurance agents , policyholders, beneficiaries and more to prepare claims
- Evaluate insurance policy coverage and calculate respective claim amounts to issue premiums, adjustments, refunds and more
- Ensure medical insurance claims have proper billing codes that match the services provided
Healthcare Advocate
Rightway Healthcare
11.2020 - 07.2021
- Healthcare navigation concierge service delivery via phone, chat, text, and email
- Sources high-quality care providers based on a member's needs and preferences
- Providing them witha “go-to” expert resource to support them every step of the way throughout their healthcarejourney
- Answers benefit questions; ensures members understand their options and shared financialresponsibility, e.g
- Deductibles, coinsurance, and out of pocket maximum
- Supportsmembers with healthcare billing questions and issue resolution
- Supports members with carecoordination, such as scheduling and canceling doctor's appointments and arranging otherancillary support services.
Census Taker
United States Census Bureau
06.2020 - 08.2020
- Visit households that haven't responded to the census, speaking with residents and using electronicdevices (such as smartphones and tablets, issued by the Census Bureau) to collect census data
- Interviewing household residents and updating address lists
- Compiling all data and transmittinginformation electronically at the end of the day for processing or Follow up.
City Carrier Assistant
United States Postal Services
09.2019 - 01.2020
- Routes or cases of all classes of mail in sequence of delivery along an established route
- Rearrangesand relabels cases as required
- Withdraws mail from the distribution case and prepares it in sequencefor efficient delivery independently or by another carrier along an established route
- Prepares andseparates all classes of mail to be carried by truck to relay boxes along route for subsequent delivery
- Handles undeliverable mail in accordance with established procedures
- Delivering mail along aprescribed route, on foot or by vehicle, on a regular schedule, picking up additional mail from relayboxes as needed
- Collects mail from street letter boxes and accepts letters from mailing fromcustomers; on certain routes may deliver mail that consists exclusively of parcel post, or the collectionmail
- Uses a portable electronic scanner as instructed
- Obtains receipts for certified mail.
Customer Service Advocate
United Health Care Group
07.2018 - 08.2019
- Respond to incoming calls from our customers on issues related to benefit eligibility questions andprescription status inquiries for Florida Medicaid accounts
- Guide and educate callers on theirprescription benefits, use of plan, formulary, premiums and status of orders and claims or inquiries
- Identify issues and communicate solutions and steps to customers, pharmacies and physicians withprescription orders and reorders
- Demonstrate outstanding service to identify the source of the caller'sissue and work to resolve the inquiries in a timely and professional manner
- Help guide and educate customers about the fundamentals and benefits of consumer-driven health caretopics such as selecting the best benefit plan options, maximizing the value of their health plan benefitsand choosing a quality care provider
- Assist customers in navigating myuhc.com and other
- UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient with ourtools.
Patient Representative II
Mount Sinai Medical Center
08.2017 - 10.2017
- Efficiently scheduling appointments for new and established patients(sick, well, annual, hospital followup}
- Accurately enters patient demographics and insurance information in the database, Verify insuranceinformation, collect referrals and authorizations
- Knowledge of HIPPA laws and compliance
- Demonstrates proper phone etiquette when receiving, transferring and placing calls, Ensure all calls areidentified properly and efficiently
- Process cash and credit card payments
- Completing daily receipts andjournals and depositing them to the cashier
- Overall demonstrates teamwork and healthcare excellence.
Customer Service Advocate / Senior Accounting Service Representative
Farmers Insurance Group
08.2007 - 12.2016
- Handle incoming calls from internal and external customers including producers, and coworkers relatedto any policy or commission issue resulting in “One Call” resolution
- Analyze complex accounting relatedissues, resolve by identifying, understanding and resolving the problem causes
- Capture accurate callinformation in the Call Tracking System
- Research payments disputes, lost payments, misapplied moneyand other troubleshooting as necessary which may result in processing credits and charging payments
- Review and evaluate documents for accurate information and acceptability
- Notify Management uponidentifying system related issues with ideas of what is the cause and possible solutions
- Investigate andmake exception decisions based on requests
- Maintain an up to date knowledge on law and policychanges
- Analyze, clarify and resolve basic policy and account related questions from customers on personal lineaccounts
- Handling incoming high call volume
- Review problems and communicate with appropriatepersonnel to obtain information when necessary
- Responds to customer inquiries through appropriatemediums
- Attains performance level standards as outlined in performance objectives
- Continues to buildpersonal skill sets by participating in in-house or outside insurance or industry related courses andseminars as deemed necessary to expand product and system knowledge
- Facilitate monthly meetings andtake minutes
- Stay current with relevant products
- Understands organization's overall strategy
- Models
- Farmer's core values
- Performs other duties as assigned
- Worked back office underwriting.
Coordinator Assistant / Dispatcher
University of Miami/Sylvester Cancer Center
02.2000 - 06.2005
Education
High Diploma -
Miami Carol City Senior
1993
Skills
- Strong Communication skills, Demonstrate Leadership, Outstanding Customer Service,
- Strong Organization and Critical Thinking Skills, Excellent Multi-tasking, High Degree of Empathy,
- Account Receivable, Microsoft Office, Excel, Underwriting, AS400, Accounts Payable, Microsoft Word,
- Project Development, Lotus Notes, Data Entry, Cross Trained
Timeline
Personal Injury Processor
Pearl Holding Group
08.2023 - Current
Healthcare Advocate
Rightway Healthcare
11.2020 - 07.2021
Census Taker
United States Census Bureau
06.2020 - 08.2020
City Carrier Assistant
United States Postal Services
09.2019 - 01.2020
Customer Service Advocate
United Health Care Group
07.2018 - 08.2019
Patient Representative II
Mount Sinai Medical Center
08.2017 - 10.2017
Customer Service Advocate / Senior Accounting Service Representative
Farmers Insurance Group
08.2007 - 12.2016
Coordinator Assistant / Dispatcher
University of Miami/Sylvester Cancer Center
02.2000 - 06.2005
High Diploma -
Miami Carol City Senior