cynthia torres
@cynthiatorres
Experienced service center representative with strong claims processing skills.
What I'm looking for
I am a dedicated service center representative with extensive experience in claims processing and customer service. Over the years, I have honed my skills in handling Medicare enrollments, processing claims, and ensuring compliance with healthcare regulations. My tenure at UAHN/Banner University Medical Center allowed me to manage a high volume of claims efficiently while maintaining accuracy and attention to detail.
Throughout my career, I have demonstrated my ability to communicate effectively with members and providers, ensuring that all necessary information is gathered and processed in a timely manner. I take pride in my work ethic and commitment to providing exceptional service, whether it's assisting members with their Medicare applications or resolving complex issues within the Federally Facilitated Marketplace.
Experience
Work history, roles, and key accomplishments
Medicare Enrollment Specialist
Centauri Health Solutions
Responsible for determining member eligibility for the Medicare Savings Program and submitting applications to various counties across 50 states. Ensured members gathered all necessary documentation for submission and notified them of benefit approvals.
Service Center Representative/Claims Processor
UAHN/Banner University Medical Center
Sep 2014 - Nov 2021 (7 years 2 months)
Processed 1500 claims daily, meeting a quota of 200 claims per day, and managed special projects. Created SRs for secondary insurance verification, denying claims and billing primary insurance when applicable.
Customer Service Representative
AppleOne
Oct 2013 - Feb 2014 (4 months)
Addressed employee inquiries from UMC hospital, creating and routing tickets for system issues to the appropriate departments. Ensured timely resolution of technical problems.
Scheduler
Radiology Ltd
Sep 2012 - Jan 2013 (4 months)
Scheduled patient appointments for various medical imaging procedures across seven locations and verified doctor's orders and insurance approvals. Managed appointment confirmations, cancellations, and rescheduling.
Sales Associate
Macys
Nov 2007 - Feb 2008 (3 months)
Assisted customers in the children's department, maintained fitting room cleanliness, and managed sales transactions. Handled customer calls, cash, and register close-outs.
Customer Service Rep
DES/DERS
Oct 2010 - Jul 2012 (1 year 9 months)
Assisted claimants with filing new, additional, and re-opened unemployment claims, including emergency unemployment compensation. Provided information on claim status, benefits, and updated claimant information.
Customer Service Rep
Sears Holdings
Apr 2008 - Sep 2010 (2 years 5 months)
Processed customer orders over the phone, provided product information, and managed order status inquiries. Handled customer service in both English and Spanish, and performed data entry for warranties and schedules.
Customer Service
Greyhound Bus Lines
Feb 2007 - Nov 2007 (9 months)
Provided customers with bus schedules, quoted prices, and sold tickets over the phone. Assisted with information on bus stations across 50 states.
Education
Degrees, certifications, and relevant coursework
Apollo College
Diploma, Medical
2009 - 2010
Completed a diploma program in medical studies. Gained foundational knowledge and skills relevant to the healthcare industry.
Flowing Wells High School
High School Diploma, General Studies
1998 - 2002
Obtained a high school diploma, completing general education requirements.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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