Leah Mae Cedeno

LEAH MAE CEDENO Customer Support PROFILE As a responsible and detail-oriented individual, I am excited EDUCATION CEBU TECHNOLOGICAL UNIVERSITY Bachelor of Science in Industrial Technology (Major in Electronics- to embark with this new journey. With a strong commitment to organization and a proactive mindset, I LANGUAGE English thrive in environments where I can contribute to team success and enhance operational efficiency. PROFESSIONAL SKILLS Admin tasks Claims Processing Spreadsheet Insurance Verification Data Entry Appointment Setting Document Chaser Prior Authorizations CERTIFICATIONS January 2024 - HIPAA Training February 2023 - HIPAA Training WORK EXPERIENCE IPLOY, OPC - ADAPTHEALTH| CUSTOMER SUPPORT & MEDICAL DOCUMENTATION SPECIALIST January 30, 2023 - September 30, 2024 Reviewing Oxygen documentation for completeness, accuracy, and compliance with healthcare regulations and standards Ensuring that patient information is handled in accordance with HIPAA and other privacy regulations. Make outbound calls to clients for appointment reminders, follow-ups, or to provide additional information as necessary for Oxygen recertification. EXL SERVICES INC. - AETNA| CUSTOMER SUPPORT December 6, 2021 - January 27, 2023 Responding to inquiries from patients and providers regarding services, appointments, and medical records. Addressing and resolving concerns or complaints effectively and empathetically. Accurately documenting customer interactions and updating relevant information in the system Educating customers on healthcare policies, benefits, and procedures. Preparing and submitting insurance claims to payers accurately and in a timely manner. Verifying insurance requirements, gathering necessary documentation, submitting requests to insurers, communicating with insurance companies, handling denials or appeals, educating patients, and ensuring timely follow-up TIEDEMANN GLOBE INC - PHOENIX, ARIZONA | VIRTUAL ASSISTANT & LEAD GENERATION SPECIALIST February 15, 2021 - October 15, 2021 Identifying potential leads through market research, online platforms, and networking Engaging with prospects via email, phone, or social media to generate interest in products or services. Maintaining and updating lead databases with accurate and relevant information. Analyzing lead generation metrics and providing reports on performance and trends. Conducting follow-ups with leads to nurture relationships and move them through the sales funnel. EPERFORMAX - EBAY NA | CUSTOMER SUPPORT August 2018 - June 2019 Responding to inquiries about listings, transactions, and account issues via phone, chat, or email Addressing and resolving customer complaints related to orders, shipping, and returns. Providing users with information on eBay policies, procedures, and best practices for buying and selling.o Assisting customers with account settings, password resets, and security concerns. Recording customer interactions and resolutions in the system for future reference. TELEPERFORMANCE - BLUESHIELD OF CALIFORNIA | CUSTOMER SUPPORT February 2018 - July 2018 Responding to inquiries from patients and providers regarding services, appointments, and medical records. Addressing and resolving concerns or complaints effectively and empathetically. Accurately documenting customer interactions and updating relevant information in the system Educating customers on healthcare policies, benefits, and procedures. Preparing and submitting insurance claims to payers accurately and in a timely manner. Verifying insurance requirements, gathering necessary documentation, submitting requests to insurers, communicating with insurance companies, handling denials or appeals, educating patients, and ensuring timely follow-up