ALICIA RUIZ
Portland,OR
Summary
Resourceful Medicare Sales Representative with strong background in healthcare industry. Possess deep understanding of Medicare plans, policies, and regulations. Proficient in identifying customer needs and providing appropriate solutions. Consistently exceeded sales targets in previous roles due to effective communication skills and solid product knowledge. Demonstrated ability to build lasting relationships with clients while maintaining high ethical standards.
Overview
16
16
years of professional experience
Work History
Data Control - Temporary
Kaiser Permanente
02.2016 - 01.2018
- Process and batch accounts receivable systems, accurate data entry of charges
- Process and batch incoming charge slips as requested
- Submit billable charges as requested.
Retail Sales - TEMPORARY
Kaiser Permanente
08.2015 - 03.2016
- In-person customer service discussing enrollment options and benefits collecting leads and follow up
- Answer health insurance questions
- Assist enrollment with producers
- Data entry – inputting member information into system.
Intake Specialist & Hospital Operator
PROVIDENCE NURSE ADVICE LINE
Portland, OR
01.2015 - 01.2016
- Screen incoming calls for nurses by urgency of individual, page physicians
- Use system to properly look at group insurance
- Follow up with individuals regarding symptoms and phone call messages
- Use information for training methods
- Answer hospital incoming calls, call emergency codes as requested by staff, transfer calls.
Sales Admin
regence life and health insurance company
01.2007 - 01.2012
- Customer Service – Discuss COBRA eligibility, enrollment and billing issues on group and individual level
- Run daily and monthly reports
- Enroll individuals onto COBRA plan and update insurance companies with enrollment
- Collect premiums, run reports and distribute funds monthly to groups
- Stay abreast to new COBRA laws – EX ARRA, CEA, TEA extensions
- Work with employers/producers and individuals regard COBRA benefits and eligibility.
PROVIDENCE MEDICARE AND INDIVIDUAL SALES
Providence heatlh & SERVICES
01.2002 - 01.2005
- Customer Service - Receiving inbound, making outbound calls to groups
- Run daily and monthly reports for groups and individuals updating insurance
- Work with insurance agents/producers on commissions and health plan inquiries
- Maintain agent commissions, Process/verification on member applications
- Review Medicare and Individual benefits with prospective members
- Input member information into system and process applications.
Education
EVEREST College
01.2014
Grant High School
Oregon01.2001
Skills
- Customer service
- Data entry
- Insurance products (Medicare, Individual, COBRA)
- Administrative tasks
- Retail sales
- Health insurance knowledge
- Enrollment options and benefits
- Answering health insurance questions
- Assisting with enrollment
- Intake specialist
- Hospital operator
- Screening incoming calls
- Paging physicians
- Group insurance
- Training methods
- Answering hospital incoming calls
- Calling emergency codes
- Transferring calls
- Sales administration
- COBRA eligibility, enrollment, and billing
- Running daily and monthly reports
- Enrolling individuals onto COBRA plan
- Staying updated on COBRA laws
- Working with employers/producers and individuals regarding COBRA benefits and eligibility
- Medicare and individual sales
- Working with insurance agents/producers on commissions and health plan inquiries
- Maintaining agent commissions
- Processing and verifying member applications
- Reviewing Medicare and individual benefits with prospective members
- Microsoft Word
- Excel
- Access
- Lotus Notes
- Sametime
- Facets
- EPIC
- GroupFacts
- Radar
References
References available upon request.
Timeline
Data Control - Temporary
Kaiser Permanente
02.2016 - 01.2018
Retail Sales - TEMPORARY
Kaiser Permanente
08.2015 - 03.2016
Intake Specialist & Hospital Operator
PROVIDENCE NURSE ADVICE LINE
01.2015 - 01.2016
Sales Admin
regence life and health insurance company
01.2007 - 01.2012
PROVIDENCE MEDICARE AND INDIVIDUAL SALES
Providence heatlh & SERVICES
01.2002 - 01.2005
EVEREST College
Grant High School