Ana Villagomez
12351 AVE 432, Orosi,CA
Summary
Enthusiastic customer service professional with multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Highly-motivated with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Skillful at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Care Navigator
Aston Carter
Remote, United States
10.2023 - Current
- Coordinating continuity of care issues for new and existing members.
- Coordinating with contracted provider organizations.
- Managed weekly caseloads of members to ensure timely outreach and assessment completion.
- Addressed and followed-up with members quality concerns using approved processes.
- Documented all outreach and interventions in the case management system.
Fact Finding Agent
Aston Carter
Remote, United States
03.2022 - 04.2023
- Reviewed claim documents for accuracy.
- Utilized UI codes and policies, procedures to assess if claimant was eligible.
- Communicated with claimants and employers by phone and email to obtain missing information.
- Assisted with customer requests and answered questions to improve satisfaction.
- Identified needs of customers promptly and efficiently.
- Handled all assigned claims promptly and effectively.
Customer Service Representative
Fanueil Group
Remote, United States
10.2020 - 01.2022
- Performed data entry for customer information
- Managed client records
- Answered general questions
- Provided policy and service information
- Demonstrated excellent communication skills in resolving consumer complaints.
- Consulted with customers to resolve service and billing issues.
- Set up and activated customer accounts.
- Educated customers on special pricing opportunities and company offerings.
- Answered inbound calls, chats and emails to facilitate customer service.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
Receptionist/ Medical Assistant
Adventist Health
Reedley, CA
11.2013 - 06.2015
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Maintained current, organized and efficient office inventories.
- Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
- Responded to patient callbacks and phone-in prescription refill requests.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Measured vital signs and took medical histories to prepare patients for examination.
- Documented notes during patient visits.
- Educated patients about medications, procedures and physician's instructions.
Education
Associates of science - Clinical and Administrative Medical Assisting
San Joaquin Valley College
Skills
- Data entry
- Documentation Review
- Eligibility Determination
- Understanding Customer Needs
- Efficient and Detail-Oriented
- Medical Terminology
- Insurance Verification
- Microsoft Office
- Administrative Support
- Data Collection and Processing
- Critical Thinking
- Customer Service
- Case management
- Google Docs/Sheets
Languages
- English
- Spanish
Timeline
Care Navigator
Aston Carter
10.2023 - Current
Fact Finding Agent
Aston Carter
03.2022 - 04.2023
Customer Service Representative
Fanueil Group
10.2020 - 01.2022
Receptionist/ Medical Assistant
Adventist Health
11.2013 - 06.2015
Associates of science - Clinical and Administrative Medical Assisting
San Joaquin Valley College