Jonatan Bauza Rios

• Enroll participant in dental, medical benefits
• Provide information about their retirement plan
• Add dependent
• Provide medical plans information
• Provide information about different types of savings accounts HRA, HSA, FSA
• Transfer participant to the correct department if needed
• Be professional, kind empathetic, detail oriented and a 'yes i can help you with that' attitude.

• Created and revised procedures, checklists and job aids to reduce errors.
• Developed and maintained quality assurance procedure documentation
• Take payments, Donations and handle billing profiles
• Assisted customers with a warm and professional attitude
• Handled emails, inbound calls, and outbound calls
• Interacted with customers through live chat.
• Assist my direct supervisor with delegated task.
• Train and coach Tier 3 and 4 medical accounts following the given quality guideliness

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• Assist members with inquiries in a professional matter
• Billing
• Claim processing
• Customer service
• Cpt codes
• Grievance and appeals.

• Receive calls that were escalated due to angry callers or requested a supervisor.
• Developed and maintained quality assurance procedure documentation.
• Claims processing
• Billing and enrollment
• Medical coding and authorizations
• Pharmacy authorizations
• Pharmacy claims
• Medsurg, spap ,LIS, LEP
• IPA medical groups
• Cpt, ICD coding

• Camara monitoring
• Police dispatch
• Inbound/outbound calls
• Make daily reports.

• Unloading trucks, stocking, inventory control, binning and filling outs.