Bilingual Customer Care Representative I Resume Example Anthem

BILINGUAL CUSTOMER CARE REPRESENTATIVE I

Skills

Microsoft Office, Customer Focus, Member Pro, Medisoft, Medics Premier

Languages

Bilingual in English and Spanish

Experience

11/2015 to 07/2017

Bilingual Customer Care Representative IAnthem － New York, NY

Manage large amounts of incoming calls Identify and assess customers' needs to achieve satisfaction Transfer customer calls to appropriate departments Follow-up on customer inquiries not immediately resolved Handle and resolved customers complaints Ability to navigate through automated information systems to analyze the caller's situation Serve as liaison between the customer and various departments.

06/2015 to 11/2015

Medical SecretaryKling Dermatology － Brooklyn, New York

Check-in and greet patients in a polite, prompt helpful manner and provide any necessary instruction/direction.
Provide exceptional customer service.
Obtain and enter patient demographics and update as necessary in the computer system.
Obtain insurance information and verifies/interprets patient's insurance eligibility and benefits using telephone and online functions.
Respond to online appointment requests and inquiries.
Collect co-pays and patient balances as required by office policies and prove out the daily totals.
Apply CPT and ICD-10 codes accurately at check out.
Answer very busy multi-line phone system; schedule appointments using electronic software; take phone messages for physician and staff.
Provide clerical support to Physician and Management.

05/2010 to 05/2013

Data SpecialistHealthPlus PHSP － Brooklyn, New York

Health Education and Community Outreach Run weekly maternity newborn reports Checked epaces for HRA demographics Handled member incentives database, which helps track incentives sent to members and QARR measures Handled distribution and tracking of metrocards and travel reimbursements for the HECO team Organized mail merge and mailing Developed and maintain databases for Prenatal Outreach and Health Education programs Maintains and supports documentation, logs and data entry to monitor activity and/or outcomes related to care coordination services in an accurate and timely manner.
Collaboratively work with other departments to meet member needs and support departmental business initiatives.

12/2007 to 01/2009

Surgical CoordinatorNorthStar Medical － Brooklyn, New York

Educated patients about their upcoming surgery and coordinate all preoperative testing Scheduled and confirmed patient diagnostic appointment, surgeries and medical consultations Checked in and out patients and scheduled appointments Entered demographic and medical information in the computer system Interacted with insurance companies to obtain authorizations Assisted insurance companies with medical records Maintained open lines of communication between patients, physicians, staff, and laboratory personnel.

05/2005 to 06/2006

Medical SecretaryCardiology Associates of Brooklyn － Brooklyn, New York

Greeted visitors, establish purpose of visit, and direct them to appropriate staff Answered telephones and direct calls to appropriate staff Scheduled appointments and billing patients Obtained medical transcriptions from physicians Collected and process patients' co-payments daily.

01/2004 to 03/2004

Medical AssistantLong Island College Hospital － Brooklyn, New York

Obtained patients' vital signs and followed up with timely and accurate charting procedures.
Performed Phlebotomy and Electrocardiograms.
Established records and prepared specimens for laboratory analysis.
Filed patient records and assisted patients with information.

12/2002 to 03/2004

Medical AssistantGoldman Dermatology － New York, New York

Prepared patients for exams and obtained medical histories Prepared operating rooms and assisted with surgeries Performed routine task such as ordering medical supplies and inventory Updated and verified demographic and insurance information Assisted insurance companies with medical record information Collected co-pays from patients Scheduled appointments and surgeries.

08/2000 to 12/2002

Medical ReceptionistDermatology Center of New York － New York, New York

Managed medical front desk in areas of manual and computerized scheduling, billing, and medical insurance Coordinated daily pharmaceutical-related matters to verify and expedite a high volume of prescription orders Reviewed referrals, authorization and pre-certifications Confirmed patient eligibility, deductions, co-pays with insurance companies Handled patient registrations and appointment confirmations.

Education and Training

2018

Bachelor of Business Administration Degree: Health Services ManagementBerkeley College － New York, New YorkHealth Services Management

April 2004

DiplomaMandl College of Allied Health － New York, New York

March 2002

GraduateDrake Business School － Queens, New York

Skills

schedule appointments, Health Education, ICD-10, instruction, mailing, Phlebotomy, scheduling, surgery, vital signs

Resume Overview

Companies Worked For:

Anthem
Kling Dermatology
HealthPlus PHSP
NorthStar Medical
Cardiology Associates of Brooklyn
Long Island College Hospital
Goldman Dermatology
Dermatology Center of New York

School Attended

Berkeley College
Mandl College of Allied Health
Drake Business School

Job Titles Held:

Bilingual Customer Care Representative I
Medical Secretary
Data Specialist
Surgical Coordinator
Medical Assistant
Medical Receptionist

Degrees

Bachelor of Business Administration Degree : Health Services Management
Diploma
Graduate

Bilingual Customer Care Representative I Resume Example

Resume Score: 90%

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