Lillian Jaramillo
Chicago
Summary
Thank you for giving me the opportunity to share my resume with you today. It briefly describes my experience in customer care, call center, business administration and healthcare. I am confident with my knowledge I have gained and as a Team Leader my credentials will match perfectly with your requirements for employment.
My characteristics demeanors are hard working, loyal, trustworthy and taking lead with problem solving. Potential growth is an everyday process and I believe in educating myself to continue with ability of using a valuable asset to my employer.
Overview
14
14
years of professional experience
Work History
Team Leader
Central States Funds
02.2017 - Current
- Monitor team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Review and ensure information is at hand from 3rd parties such as provider information before submitting to Provider maintenance department for processing
- Supervise team members to confirm compliance with set procedures and quality requirements.
- Work with team to identify areas of improvement and devised solutions based on findings.
- Build strong relationships with customers through positive attitude and attentive response.
- Establish open and professional relationships with team members to achieve quick resolutions for various issues.
- Evaluate customer needs and feedback to drive product and service improvements.
- Cultivated positive relationships with vendors to deliver timely and cost-effective supply of services and materials.
Benefits Analyst
Central States Health and Welfare Pension Funds
02.2015 - Current
- After thorough review of documents such as claims, I assist members with any questions they have regarding their account
- Provide customer service to Members, Local Union representatives and Healthcare Providers
- Provide insurance verification such as medical, dental, vision and prescription
- Verify indicative record information is current
- Release personal health information to the members with HIPAA compliance
- Offer and fax dental breakdowns to the providers
- Create daily inquiries to other departments within the fund
- Assist with any Pension related questions
- Answer any medical or dental claim questions
- I am part of a 'Spanish team' in the fund
- I work the message center twice a week
- Duties are answering providers and members via our website and receive attachments such as dental claims, EOB's and indicative records and transferring them to the appropriate departments.
Business/Insurance Administrator
Ora Dental Studio
01.2010 - 02.2017
- Credentialed providers
- Communicated with insurance agents to obtain verification of coverage and eligibility
- Entered claims data such as billing codes and submitted claims
- Received and entered insurance payments, adjudicated claims in accordance to their plan and policies
- Entered account notes such as write offs and coordination of benefits
- Worked on aging report and investigated claims from leading to end
- Set up and present treatment plans to patients
- Send/receive pre-authorizations
- Checked out patients and collect payments
- Set up financial arrangements with patient when necessary
- Processed end of day.
Education
Completed general college courses. -
Moraine Valley Community College
Palos Hills, IL01.2009
Obtained a high school diploma -
Oak Lawn Community College
Oak Lawn, IL01.2004
Skills
- Work Planning
- Complaint Resolution
- Client Service
- Mentoring
Languages
Fluent in English and Spanish
Summary Of Qualifications And Skills
- CRM software
- Facets
- Liquid Office
- Cisco
- Finesse
- Java
- Motivated and driven
- Critical thinker
- Detailed oriented
- Strong organizational skills
- Soft people skills
- Excellent customer service
- Strive for the One call resolution
- ADA and CPT code knowledge
- Knowledge in Medical and Dental terminology
- Knowledge in Claims, Short-term disability, Pension, Life insurance, and HealthCare.
- Goal Oriented
- Fast learner
- Responsible
Timeline
Team Leader
Central States Funds
02.2017 - Current
Benefits Analyst
Central States Health and Welfare Pension Funds
02.2015 - Current
Business/Insurance Administrator
Ora Dental Studio
01.2010 - 02.2017
Completed general college courses. -
Moraine Valley Community College
Obtained a high school diploma -
Oak Lawn Community College
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