Summary
Overview
Work History
Education
Skills
Timeline
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Thalia Perez

Houston,TX

Summary

Dedicated Customer/ Claim Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.

Overview

9
9
years of professional experience

Work History

CSR

United Concordia/ Highmark
11.2022 - Current
  • Managed high call volumes, maintaining a professional demeanor during peak hours and effectively multitasking in a fast-paced environment.
  • Demonstrated empathy and active listening skills, resulting in a higher rate of customer satisfaction and repeat business.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Answered constant flow of customer calls with minimal wait times.
  • Assisted providers with claim information such as denial reasons


Insurance Coordinator

Parker Nickolas Read Dental
10.2020 - 11.2022
  • I was responsible for handling all insurance verifications, assists patients with insurance benefits and communicates with insurance companies regarding claims
  • Worked with patients to resolve financial challenges and maintains a healthy aging accounts receivable.
  • Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
  • Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
  • Filed and tracked insurance claims and communicated claims status to patients.

Front Office Assistant

Houston Orthodontic Specialist
07.2019 - 10.2020
  • Greet all patients upon their arrival and ensure their needs are exceeded
  • Schedule all appointments
  • Stabilize the production by scheduling the ideal day
  • Would update patient’s addresses, telephone numbers and insurance information as the patient arrived
  • Oversee the schedule during the day to ensure that it runs smoothly
  • Adjusted the schedule as necessary
  • Maintained a professional and welcoming environment for clients, contributing to an overall positive experience.
  • Reviewed and updated customer information in database for accuracy.

INSURANCE COORDINATOR/FRONT OFFICE

Aqua Dental
05.2015 - 07.2019
  • Check In/Out Patients, collected payments, verified Insurance all patients insurance/Medicaid
  • Handled EOB payments
  • Contacted insurance for any outstanding claims
  • Applied Fee Schedules to the open dental system
  • Accounts payable
  • Helped with Marketing/Events
  • Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
  • Obtained prior authorization and precertification for outpatient procedures.
  • Verified insurance and communicated coverage to staff and patients.

Education

Diploma -

North Shore Senior High School
Houston, TX
06.2013

Skills

  • Bilingual
  • Organized
  • High attention to detail
  • Easy to adapt to new environments
  • Fast Learner

Call center experience

Customer Focus

Complaint Handling

Dependable and Responsible

Critical Thinking

Computer Skills

Timeline

CSR

United Concordia/ Highmark
11.2022 - Current

Insurance Coordinator

Parker Nickolas Read Dental
10.2020 - 11.2022

Front Office Assistant

Houston Orthodontic Specialist
07.2019 - 10.2020

INSURANCE COORDINATOR/FRONT OFFICE

Aqua Dental
05.2015 - 07.2019

Diploma -

North Shore Senior High School

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Thalia Perez