Summary
Overview
Work History
Education
Skills
Timeline
Generic

VIVANNA BARRAZA

Norwalk,CA

Summary

Detailed Client Service Associate known for having great organizational skills. Gifted at working with all types of members. I am devoted to providing every member a positive and memorable experience. Looking for a new role where hard work and dedication will be highly valued. I am looking to grow.

Overview

2
2
years of professional experience

Work History

Member Service Representative

SCAN Health Plan
Long Beach, CA
04.2023 - Current
  • Greeted customers and provided prompt, courteous service.
  • Adhered to all applicable policies, procedures, regulations, and laws.
  • Assisted colleagues with tasks as needed during peak times of activity.
  • Assisted with customer inquiries, complaints, and requests for information regarding insurance policies.
  • Asked probing questions and offered solutions to resolve customer issues.
  • Collected payments, processed receipts and informed policyholders of outstanding balances.
  • Maintained client confidentiality according to HIPAA regulations at all times.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Resolved customer complaints and concerns in a professional manner.
  • Maintained accurate records of all transactions, including refills and new prescriptions.
  • Updated billing systems regularly by entering new customer information or modifying existing records.

Medical Referral Specialist

Skin and Cancer Institute
Cerritos, CA
03.2022 - 04.2023
  • Coordinated referrals with primary care physicians, specialists, and other healthcare providers.
  • Provided support for administrative tasks related to medical referrals such as filing paperwork, scanning documents.
  • Assisted in scheduling, rescheduling, and canceling appointments for patients.
  • Answered incoming calls from potential new patients and existing patient inquiries.
  • Assisted in the development of referral processes and procedures.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.

Insurance Verification

Chest and Critical Care Consultants
Anaheim, CA
11.2021 - 03.2022
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Collaborated with internal staff members such as Billing Specialists, Medical Coders., to resolve any discrepancies in patient's insurance information.
  • Contacted patients to confirm demographic information and communicate financial responsibilities.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Conducted variance analysis on actual results versus budgets and forecasts.
  • Verified patient eligibility and benefits for insurance coverage.
  • Maintained accurate records of patient data in the system.

Education

Billing And Coding - Medical Insurance Coding

American Career College
Los Angeles, CA
12-2021

High School Diploma -

San Dimas High School
San Dimas, CA
06-2015

Skills

  • Adaptability and Flexibility
  • Policy understanding
  • Complaint Handling
  • Relationship Building
  • Payment management
  • Team Collaboration
  • Active Listening
  • Document and Records Management
  • Transaction Processing
  • Effective Communication
  • Customer service excellence
  • Understanding Customer Needs

Timeline

Member Service Representative

SCAN Health Plan
04.2023 - Current

Medical Referral Specialist

Skin and Cancer Institute
03.2022 - 04.2023

Insurance Verification

Chest and Critical Care Consultants
11.2021 - 03.2022

Billing And Coding - Medical Insurance Coding

American Career College

High School Diploma -

San Dimas High School

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VIVANNA BARRAZA