Linda Rubio
Monterey Park
Summary
Polite and professional Customer service representative successful in applying strong communication problem resolution skills to each customer issue/inquiry. Solid history of surpassing productivity and quality targets in high-volume/ normal volume settings. Skillful in building long-lasting, loyal customer relationships.
Overview
7
7
years of professional experience
Work History
Customer Service Representative
Health Net Member Services
01.2021 - 06.2023
- Provide claim status// Send claims back for reprocessing, Outbound calls for follow up inquiries, File and solve member appeals & grievances, Provide authorization status, Take payment for monthly supplemental plan, Provide benefits / eligibility
Customer Service Representative
Network Medical Management / CSR Claims
02.2019 - 03.2020
- Professionally Follow up on providers information on patients Hospital, office or Medical Claims, Establish Check Tracer information, Provide check and payment information, Provide members eligibility information, Answer 90+ calls daily and provide excellent customer service, Monitor patients Claim for payment status or denial status of EOB, Check authorizations for patients medical
Precision Connect
09.2016 - 11.2018
- Stay up to date on all insurance changes, Schedule transportation for active members, Provide members eligibility and benefits information, Provide health insurance information such as medical & medi-care, Communicating with dispatch for Etas of members transportation
Education
East Los Angeles College
06.2022
High School Diploma -
Fernando R. Ledesma High School
01.2012
Skills
- HIPPA CERTIFIED
- Medical claim EOB knowledge // CMS-1500 // UB04
- Medical terminology
- Communication skills
- PPO/HMO // MEDICARE SUPPLIMENTAL PLAN knowledge
- Call center operations
- Administrative and office support
- Cash handling
- Documentation of every call received
- Order documentation
Timeline
Customer Service Representative
Health Net Member Services
01.2021 - 06.2023
Customer Service Representative
Network Medical Management / CSR Claims
02.2019 - 03.2020
Precision Connect
09.2016 - 11.2018
East Los Angeles College
High School Diploma -
Fernando R. Ledesma High School
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