Julia Natalie Silva
Inland Empire Health Plan
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13
years of professional experience
Pursuing challenging role that utilizes skills gained through IEHP organization and experience in customer service and administrative support. Aimed to support organizational needs as an exceptional candidate.
Work History
All Channels Representative- Bilingual (Medicare)
7 Years 2 Months- Providing first class customer service to Members
- Working Interpreter campaign/ Coordinating interpreter request for Members
- Working additional campaigns, Web Mail and Member Chat
- Meets Department Quality Benchmark and follow adherence
- Utilizes department systems Verint, Cisco, HSP MediTrac, and Five9
- Participates on weekly team huddles RIE’s and updating excel charts to account all production done for the team
- Medi-Cal and Medicare Certificate of completion
- Top QA performer for Outbound team per QA department
Member Service Representative- Bilingual MSR (Medi-Cal)
2 Years 4 Months- Providing first class customer service
- Ensuring Member privacy and security of PHI
- Participates on weekly team huddles RIE’s
- Meets Department Quality Benchmark and follow adherence
- Utilizes department systems Verint, Cisco, and HSP MediTrac
Office Manager/ Biller
3 Years 4 Months- Customer Service, managing office
- Chiropractic billing for cash, HMO, PPO, personal injury, and Worker’s Comp patients
- Insurance eligibility
- Subpoena request
- Logging referrals for Orthopedic, Pain Management, and MRI Facility per Doctor’s request
- Managing weight loss offices- Rancho Cucamonga, Mission Viejo, and San Diego
Front office Receptionist
6 Months- Customer Service
- Checking in patients
- Answering incomings calls and scheduling appointment
- Insurance eligibility
- Chart prepping for billing department
- Cleaning exam rooms maintaining a clean work environment
Education
Associates of Science Degree - Administrative Healthcare Management
- HIPPA Certified
- Dean’s List
Skills
Customer Service oriented
Agile in new environments
Accurate
organized with attention to detail
Ability to work independently to meet deadlines
Critical thinker/Problem solver
Resourceful and strategic problem solver
Telephone Etiquette
HIPAA Compliance
Microsoft
Excel
Word & Power Point proficient
Spanish Member Service Representative
45 WPM
Languages
Spanish
Timeline
All Channels Representative- Bilingual (Medicare)
Inland Empire Health Plan
06.2019 - CurrentRead More
Member Service Representative- Bilingual MSR (Medi-Cal)
Inland Empire Health Plan
02.2017 - 06.2019Read More
Office Manager/ Biller
Mojabe Chiropractic Rehab Center
10.2013 - 02.2017Read More
Front office Receptionist
Eagle Eye MRI Imaging Center
04.2013 - 10.2013Read More
San Joaquin Valley College
Associates of Science Degree from Administrative Healthcare Management
Read More