William E. Herrera
Glendale
Summary
To obtain a position with your company that will enable me to use my strong organizational office skills and customer service background.
Overview
20
20
years of professional experience
Work History
Provider Payment Appeal Analyst
Elevance Health
Woodland Hills
12.2012 - Current
- Advocated for customers in correspondence department, addressing inquiries and resolving issues.
- Handled member email requests regarding health insurance coverage, ensuring clear communication and timely responses.
- Collaborated with cross-functional teams to resolve complex appeal issues.
- Reviewed case files for accuracy and completeness in documentation.
- Analyzed appeals to determine compliance with regulatory guidelines.
- Conducted research on policies and procedures related to appeals processes.
- Ensured timely processing of appeals in accordance with established timelines.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Conducted research on evidence submitted in support of appeals.
Computer Repair Specialist
Willtown
Glendale
03.2011 - Current
- Provided independent computer repair services to clients.
- Performed hardware changes including memory and hard drive upgrades.
- Served community and acquired customers through word of mouth referrals.
- Self-employed
Administrative Support Specialist
CA Army National Guard
Van Nuys
08.2006 - Current
- Army National Guard Soldier training one weekend a month and two weeks a year, to be ready when needed.
- Input data into Milpers.
Customer Care Associate
DS Waters of America
Pasadena
11.2009 - 04.2011
- Provide customer service for Sparkletts, Alhambra and former Yosemite water delivery customers.
- Schedule telephone orders for delivery and resolve account billing adjustments.
Intermediate Clerk Typist
Antelope Valley Union High School District
Lancaster
02.2008 - 06.2009
- In charge of inputting student referrals as a clerk typist in the Discipline Room and helped maintain order with the kids sent there for disciplinary reasons.
Front Desk Service Representative Night
24 Hour Fitness
Palmdale
03.2007 - 11.2007
- Assisted guests at the front desk during graveyard shifts, handling inquiries and check-ins.
- Managed club operations during night shifts, ensuring seamless service for members.
- Ensured smooth club operations throughout night, enhancing member experience.
- Controlled entry access, verifying member status to maintain club security.
Skills
- Claim Processing
- Claims processing
- Data Analysis
- Technical Troubleshooting
- Microsoft Word
- Typing Accuracy
- Customer service
Timeline
Provider Payment Appeal Analyst
Elevance Health
12.2012 - Current
Computer Repair Specialist
Willtown
03.2011 - Current
Customer Care Associate
DS Waters of America
11.2009 - 04.2011
Intermediate Clerk Typist
Antelope Valley Union High School District
02.2008 - 06.2009
Front Desk Service Representative Night
24 Hour Fitness
03.2007 - 11.2007
Administrative Support Specialist
CA Army National Guard
08.2006 - Current