Amber Soto
San Antonio,TX
Summary
Dynamic professional with extensive experience at Community First Health Plans, excelling in customer service and issue resolution. Proven ability to enhance member satisfaction through exceptional communication and strong empathy. Skilled in training and mentoring, contributing to team success and operational efficiency. Compliant with regulations, ensuring seamless service delivery.
Overview
3
3
years of professional experience
Work History
Senior Member Service Representative
Community First Health Plans
12238 Silicon Drive Suite 100 San Antonio Texas 78
03.2023 - Current
- Knowledge in commercial lob and other lines of business in order to serve as a liaison to members and providers regarding benefits and services, resolving member and provider issues, providing information regarding all aspects of the Commercial call center, either by phone or in person.
- Compliant with HIPAA regulations.
- Maintain detailed records of transactions and interactions, ensuring seamless handover between team members as needed.
- Mentor new hires to assist with their understanding of the job functions.
Registration Access Specialist
University Hospital
09.2022 - 03.2023
- Patient registration, verifying insurance, collecting payments, and maintaining accurate patient records, while also providing excellent customer service
- Contributed to a positive work environment by actively participating in team meetings, sharing best practices, and providing constructive feedback when necessary.
- Leveraged knowledge of various software platforms to optimize the management of patient information and streamline daily tasks.
- Enhanced data accuracy in patient records through meticulous documentation of access-related information.
Member Service Representative
Community First Health Plans
11.2021 - 09.2022
- Helped large volume of members/providers every day with positive attitude and focus on member satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Promoted a positive work environment by fostering open communication between colleagues and management.
Education
High School Diploma -
Edison High School
San Antonio, TX06-2017
Skills
- Training and mentoring
- Exceptional communication
- Customer service expertise
- Strong empathy
- Compliance
- Issue resolution
- Adaptability and flexibility
- Dispute resolution
- Teamwork
- Problem-solving skills
- Multitasking
- Computer skills
Timeline
Senior Member Service Representative
Community First Health Plans
03.2023 - Current
Registration Access Specialist
University Hospital
09.2022 - 03.2023
Member Service Representative
Community First Health Plans
11.2021 - 09.2022
High School Diploma -
Edison High School