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Lisa Ann Valdes
About
Detail
Florida, United States
Résumé
Jobs
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- CCustomer Service RepresentativeAug 2024 - Nov 2024 (4 months)• Supported military personnel and their families by addressing healthcare questions and navigating the TRICARE system, utilizing knowledge of healthcare terminology and benefits. • Utilized a resource database and system navigation tools to resolve inquiries and provide accurate information on coverage, eligibility, and claims. • Demonstrated an understanding of healthcare benefits, privary regulations, and miliary specific needs to ensure high-quality service.
Fraud Detection RepresentativePscuMay 2022 - Jul 2024 (2 years 3 months)• Analyzed card member account activity to detect potential fraud and suspicious transactions. • Assisted customers by addressing account irregularities, activating/resetting cards, and safeguarding confi dential information. • Maintained accurate documentation on account activities and built customer relationships through effective communication.- Customer Service RepresentativeConifer Health SolutionsOct 2019 - Nov 2021 (2 years 2 months)• Managed inbound customer service calls, assisting with inquiries on provider locations, enrollment, payments, and COVID-19 testing. • Documented all interactions in proprietary software, ensuring HIPAA compliance. • Enhanced the customer experience by resolving issues promptly and effectively.
- BBusiness Owner/ManagerDec 1998 - Dec 2019 (21 years 1 month)• Directed daily operations and supervised staffto achieve business objectives. • Handled customer inquiries, estimates, invoicing, and financial records, including accounts receivable/payable and bank reconciliations.
Education
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- Diploma - Medical Billing and CodingUltimate Medical AcademyJan 2010 - Sep 2010 (9 months)