Theresa Houston Email & Phone Number

Rancho Cordova, California, United States

Referrals & Authorizations

El Dorado Hills, California

Member Services for IFP HMO TRIO assist members in consultation and referral to programs available to the members by resolving incoming calls concerning members eligibility, benefits, provider information, clinical and pharmacy needs.

Gold River Ca

Liaison between various carrier partners & other units within eHealth and applicants applying for Medicare services.Obtaining outstanding required documentation from ancillary applicants and forwarding them to various carrier partners to finalize the decision process. Providing excellent customer service to Medicare customers, carrier partners and other Units within eHealth. Exchange information with the health insurance carrier throughout the review process (via e-mail,… Show more Liaison between various carrier partners & other units within eHealth and applicants applying for Medicare services.Obtaining outstanding required documentation from ancillary applicants and forwarding them to various carrier partners to finalize the decision process. Providing excellent customer service to Medicare customers, carrier partners and other Units within eHealth. Exchange information with the health insurance carrier throughout the review process (via e-mail, Extranet notes, telephone, website, etc.) to determine and obtain outstanding requirements. Proactively make outbound telephone calls and e-mails to applicants to notify of and obtain outstanding requirements. Respond to telephone calls from applicants, carriers and coworkers. Process work queues that are generated during the various stages of follow-up to maintain the most current status and complete the review process. Coordinate and facilitate the communication (i. e. faxes, e-mail & verbal responses) between the applicant and the health insurance carrier. Research and resolve issues encountered while processing daily tasks. Show less

Rancho Cordova Ca

Roseville, California

Mansfield, Texas

2548 Ne 28Th Street Fort Worth Tx 76111

Administrative Coordinator/Front Desk] Provided professional and efficient administrative/customer service tasks to Trinity Industries customers, sales force and other internal departments. Independently carried out high volumes of work assignments to completion with minimal supervision requiring accuracy and strong attention to detail. Wrote and distributed emails, correspondence memos, letters, faxes and credit applications for new customers. Distributed/received and responded to railcar… Show more Administrative Coordinator/Front Desk] Provided professional and efficient administrative/customer service tasks to Trinity Industries customers, sales force and other internal departments. Independently carried out high volumes of work assignments to completion with minimal supervision requiring accuracy and strong attention to detail. Wrote and distributed emails, correspondence memos, letters, faxes and credit applications for new customers. Distributed/received and responded to railcar owners’ requests and inquiries on after market railcar parts and components. Conducted research, analyzed information, created quotes, keyed in orders, emailed order confirmations, provided drawing packages, and other necessary forms/paper work utilizing various business applications such as Microsoft Office, Word, Outlook, AS400, Sales Logics, BPCS and Internet Explorer. Executed confidential administrative duties and maintained an advance filing volume. Answered multi-line phone system, screened and routed calls to appropriate staff members and performed other related customer service and clerical duties as needed. Show less

Rancho Cordova, California

The HRA Staff conducted Health Risk Surveys to assess new Anthem BlueCross SPD member’s current health risk status. Made outbound calls to collect information for inpatient authorizations. Update demographic information via several computer based applications. Routed cases to RN team if needed and created an online case for the RN’s to work from. Gathered procedure dates, length of hospital stays and verified if any further care for patients was needed before. Updated documents and insurance… Show more The HRA Staff conducted Health Risk Surveys to assess new Anthem BlueCross SPD member’s current health risk status. Made outbound calls to collect information for inpatient authorizations. Update demographic information via several computer based applications. Routed cases to RN team if needed and created an online case for the RN’s to work from. Gathered procedure dates, length of hospital stays and verified if any further care for patients was needed before. Updated documents and insurance inquiries for accurate tracking and data analysis. Developed and maintains positive customer relations and coordinated with various internal customers within the company to ensure customer requests and questions were handled appropriately. Researched and analyzed data to address operational challenges and customer service issues. Provided external and internal customers with requested information. Under minimal supervision placed follow-up telephone calls, responded to patient e-mails answering customer questions that were routine in nature. Performed other advanced, diversified and confidential secretarial and administrative duties as needed. Show less

Rancho Cordova, California

Made outbound calls to collect information for inpatient authorizations. Update demographic information via several computer based applications. Routed cases to RN team if needed and created an online case for the RN’s to work from. Gathered procedure dates, length of hospital stays and verified if any further care for patients was needed before. Updated documents and insurance inquiries for accurate tracking and data analysis. Developed and maintains positive customer relations and… Show more Made outbound calls to collect information for inpatient authorizations. Update demographic information via several computer based applications. Routed cases to RN team if needed and created an online case for the RN’s to work from. Gathered procedure dates, length of hospital stays and verified if any further care for patients was needed before. Updated documents and insurance inquiries for accurate tracking and data analysis. Developed and maintains positive customer relations and coordinated with various internal customers within the company to ensure customer requests and questions were handled appropriately. Researched and analyzed data to address operational challenges and customer service issues. Provided external and internal customers with requested information. Under minimal supervision placed follow-up telephone calls, responded to patient e-mails answering customer questions that were routine in nature. Performed other advanced, diversified and confidential secretarial and administrative duties as needed. Show less

Rancho Cordova, California

Handled high volumes of inbound customer calls, responsible for providing high quality customer service on calls that were generally routine and sometimes unique in nature. Also responsible for conducting Tier 1 trouble shooting when customers required device assistance. Provided customer service transactions, including but not limited to; equipment troubleshooting, call handling, billing, service and equipment inquiries and all other customer transactions. Handled my own personal customer… Show more Handled high volumes of inbound customer calls, responsible for providing high quality customer service on calls that were generally routine and sometimes unique in nature. Also responsible for conducting Tier 1 trouble shooting when customers required device assistance. Provided customer service transactions, including but not limited to; equipment troubleshooting, call handling, billing, service and equipment inquiries and all other customer transactions. Handled my own personal customer escalations to minimize transfers. Customer Interactions Listened and responded appropriately on all customer interactions. Managed customer relationships by performing a full range of customer service functions. Used common courtesy and discretion to achieve customer loyalty. Empathized and acknowledged customers issues concerns or problems to establish trust and create solid partnerships. Customer Solutions Used negotiation and problem solving skills to resolve customer concerns. Demonstrated personal commitment to VZW code of conduct and business guidelines in all areas of work. Adhered to attendance guidelines to ensure successful contribution to team’s goals and performances. Demonstrated personal commitment to work effectively to become a valuabled member of the VZW team. Remained flexible and willing to help work on department initiatives as needed. With my knack for solving tough problems and my ability to focus on delivering exceptional customer service, I was able to demonstrate my impressive multi-tasking and tech-savvy skills to resolve challenging customer issues including device-related troubleshooting, billing, service inquiries and more. Answered a high volume of customer calls, while delivering innovative, individualized solutions, satisfying the ever-changing needs of the diverse Verizon Wireless customer base. Show less

Bulk Residential Account ExecutiveOperated in accordance with customer care policies, procedures, workflows and performance standards. Handled general account inquiries and troubleshooting of video, internet and phone products to resolve service issues with a first call resolution. Initiated sales and retention activities, up-selling and upgrading customers to company products or services. Performed diagnostic troubleshooting tasks requiring research and analysis of root causes for a… Show more Bulk Residential Account ExecutiveOperated in accordance with customer care policies, procedures, workflows and performance standards. Handled general account inquiries and troubleshooting of video, internet and phone products to resolve service issues with a first call resolution. Initiated sales and retention activities, up-selling and upgrading customers to company products or services. Performed diagnostic troubleshooting tasks requiring research and analysis of root causes for a variety of unpredictable service and repair calls. Accessed and communicated complex technical issues; created and coded trouble tickets, gathered customer history and scheduled trouble calls. Identified and reported system-related service interruptions. Worked various shifts in a 24 x 7 call center operation and performed other related duties as assigned. Show less

Dallas/Fort Worth Area

Took inbound calls for medical/over-the-counter products in the pharmaceutical distribution supply chain industry. Completed accurate data entry of large branded and generic pharmaceuticals in two segments: retail chains and independent retail pharmacies. Completed product research, solicited generic sales, processed drop shipment orders, sent/received faxes, provided price quotes, maintained email communications and handled requests for additional company materials and product enhancements or… Show more Took inbound calls for medical/over-the-counter products in the pharmaceutical distribution supply chain industry. Completed accurate data entry of large branded and generic pharmaceuticals in two segments: retail chains and independent retail pharmacies. Completed product research, solicited generic sales, processed drop shipment orders, sent/received faxes, provided price quotes, maintained email communications and handled requests for additional company materials and product enhancements or changes. Performed other administrative level secretarial/clerical tasks within the company as needed. Show less

Dallas/Fort Worth Area

Answered 11 lines for (9) Nephrologists, distribute mail, faxes,printed out EOBs and mailed out statements, sent out collectionletters on past due statements, faxed out certifications and proof ofcurrent licenses for the doctors, ordered office supplies, made newpatient charts, verified benefits, paged doctor's for hospitalconsults, scanned medical records into laserfiche, and performedoffice administration duties as needed.

Dallas/Fort Worth Area

Process extensive cost and analysis reports monthly to ensure the corporate customer receives the best value. Designated point of contact for the corporate national account decision maker. Provided technical and consultative support to corporate national accounts. Suggested new products and service plans that would benefit corporate customer, as well as increase revenue for Sprint PCS. Conducted quarterly meetings onsite to review and analyze upcoming revenue and sales. Responsible for… Show more Process extensive cost and analysis reports monthly to ensure the corporate customer receives the best value. Designated point of contact for the corporate national account decision maker. Provided technical and consultative support to corporate national accounts. Suggested new products and service plans that would benefit corporate customer, as well as increase revenue for Sprint PCS. Conducted quarterly meetings onsite to review and analyze upcoming revenue and sales. Responsible for providing the highest level of customer service to all Strategic and Enterprise Business Customers. Executed extensive billing research and maintained advanced hierarchy accounts. Set up new and replacement equipment orders and activations for corporate accounts. Perform soft collections on past due accounts. Partnered with Sales Account Team for escalations, rush orders and customer site visits while building loyalty and retention. Worked various shifts in a 24 X 7 call center operation and performed other office and administrative duties as assigned. Show less

Pending Completion B.A., Human Resources Management And Services

Activities and Societies: Business Management Human Resources program Bussiness Administration Human Resources and Medical Mangement cources

Associate'S Degree, Business Administration And Management, General

Studied Business Administration wanting to complete degree with concentration in Human Resources.