Janet Aponte

Janet Aponte

Skills

Skills

Quality Assurance

Trainer

Strong PC skills

Summary

  • Consistent Positive Demeanor
  • Excellent time management and problem solving skills
  • Life, Health and Variable Annuities License in all 50 states
  • Capable of relating to people on all levels of the business
  • Able to communicate effectively both written and verbally
  • Effective written and verbal communication skills

Objective

Seeking to meet and exceed quality standards, objectives, and the company's expectations by upholding the highest level of professionalism. With my management background, I hope to bring strong organizational and leadership skills to a corporation that values integrity and has a dedication to excellence.

Work History

Work History
May 2013 - Present

Provider Service Representitive

HealthFirst

  • Familiar with detailed physician and facility claims payment and billing practices
  • Assist with claim appeals research on an as needed basis
  •  Verify claims and confirm that claim audit is accurate on an as needed basis
  • Utilize knowledge of CPT, HCPCS, ICD-9, APC and DRG coding guidelines when analyzing claim payments
  • Understand COB including benefits with Medicare parts A and B 
  • Research, analyze, and trouble shoot complex claims 
  •  Answer incoming calls from providers regarding claim payment audits, being able to explain discrepancies that resulted in inappropriate payments
May 2013 - Aug 2009

Team Manager

Connextions

Human Resources Assistant

  • Conduct interviews and determine if the applicant meets company standards, then process new hire paperwork and inform non-selected candidates
  • Respond to employee inquiries and compile benefit packages and present as needed

WellPoint Senior Sales Manager

  • Created an environment where employees are engaged, excited and capable of delivering exceptional service
  • Demonstrated the ability to  handle various escalated issues from customers
  • Worked closely with the client as well as various departments within Connextions to ensure the     successful completion of AEP and gain continued business

UHG Coach/Trainer

  • Conducted interviews and hired agents
  • Train agents on Medicare Rx plans and how to sell over the phone, per CMS and UHG guidelines
  • Monitor, track, and motivate assigned agents to meet key performance indicators

Licensed Insurance Agent

  • Successfully completed College of Insurance to obtain the Life, Health and Variable Annuities License for 50 states
  • Met goals for processing Medicare enrollments, meetings and appointments requests
  • Consult with callers to assist with different plans as well as the application process
Oct 2008 - Jul 2009

Customer Service/Tech Support

AT&T Wireless

  • Assist customers with billing and service inquiries and complaints
  • Evaluate customer information to suggest alternative products and services
  • Troubleshoot technical issues with wireless devices
  • Multi-task working with several different computer systems simultaniously
Jul 2005 - Aug 2008

Customer Service/Inside Sales

Embarq/Sprint
  • Assisting customers with their needs along with offering company products and services
  • Demonstrated the ability to use aggressive selling  techniques and negotiating skills to exceed      monthly sales quota
May 2005 - Jun 2004

Inside Sales

DSI Financial
  • Acquire new customers by assisting them with consolidating credit card debit
  • Review client’s finances to assist them with reducing their debt

Education

Education

Human Resources Management

Seminole State College

Certifications

Certifications
Aug 2009 - Mar 2014

2-15 Life, Health and Variable Annuities License

State of Florida

References

References

Maurcus Washington

Maurcus Washington

Cherran Evans

Andrew Kirkland