Thalya Cruz
Blythewood,SC
Summary
Astute Call Center professional offering polished communication skills. Brings excellent organizational skills and talent for overcoming customer objections. Self-motivated and true team player.
Overview
7
7
years of professional experience
Work History
Validation Specialist
CORESTAFF Services
Columbia, SC
04.2021 - Current
- I currently answer inbound calls for the appeals department. I check Hearing/appeal status and help start a new appeal if necessary.
- Previously I would validate appeals for the same unemployment office
- My daily tasks was to research the cases given daily on our spreadsheet and determine if the appeal is valid and if so I print all necessary documents to support the claimants appeal and send it off to schedule a hearing
Claims Processor I
Blue Cross Blue Shield
Columbia, SC
03.2020 - 02.2021
- Process state health plan claims
- Early out specialist
Receivable Solutions
Columbia, SC
10.2018 - 03.2020
- I started in a bad debt position for a hospital in Florence,sc (McLeod) and was then moved to a special project for that same hospital
- (Customer service) once the project ended I was placed in early out for that same hospital.
Authorization Specialist
BCBSSC
Columbia, SC
10.2017 - 10.2018
- I started as an open enrollment specialist and then was moved to the authorization department.
Leasing Agent/Assistant
Alexander Properties Group
Columbia, SC
11.2016 - 10.2017
- I assisted with showing models and leasing apartments
- I made sure the lounge was always clean and equipped with supplies for residents
- I met goal every month and assisted the leasing manager with recruiting technicians and day to day tasks.
Claims clerk
BCBSSC
Columbia, SC
06.2015 - 05.2016
- I prepared and reviewed insurance claims
- I also organized and worked with detailed records.
Customer Service
Walamart super center
Columbia, SC
03.2014 - 03.2015
- Provided excellent customer service while on the selling floor, fitting room and front end
- I also stocked and organized merchandise.
Education
High School Diploma -
Blythewood High School
Blythewood, SC06.2013
Skills
- Sales Experience (7 years)
- Excel (5 years)
- Medical Coding (2 years)
- Medical Terminology (3 years)
- Front Desk (1 year)
- CPT Coding (2 years)
- CD-9 (1 year)
- Administrative experience (4 years)
- Customer service (7 years)
- Property Leasing (1 year)
- ICD-10 (1 year)
- Accounts Receivable (1 year)
- Insurance Verification (2 years)
- Medical Billing (2 years)
- Complex Problem-Solving (5 years)
- Managing Multiple Priorities (5 years)
Timeline
Validation Specialist
CORESTAFF Services
04.2021 - Current
Claims Processor I
Blue Cross Blue Shield
03.2020 - 02.2021
Receivable Solutions
10.2018 - 03.2020
Authorization Specialist
BCBSSC
10.2017 - 10.2018
Leasing Agent/Assistant
Alexander Properties Group
11.2016 - 10.2017
Claims clerk
BCBSSC
06.2015 - 05.2016
Customer Service
Walamart super center
03.2014 - 03.2015
High School Diploma -
Blythewood High School
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