Andrea Rosales
Chino,CA
Summary
Qualified Member Services Representative with many years in fast-paced customer service and call center environments. Personable and professional under pressure.
Overview
17
17
years of professional experience
Work History
Member Services Representative
IEHP
Remotely
11.2021 - Current
- Customer Service, Claims assistance, Enrollment Support, Billing payment Assistance
- Problem Resolution, Documenting, Educating Members
- Compliance and Confidentiality , Coordination with other Departments
Medical Case Specialist
QTC
Fontana, CA
08.2019 - 11.2019
- Worked independently
- Managed daily work flow , inputting data in software programs , composing emails
- Met daily quotas
PBX Operator
Corona Regional Medical
Corona, CA
08.2016 - 06.2017
- Answered high call volume for all incoming and outgoing phone calls
- Followed protocol for emergency hospital codes
- Monitored security cameras and reporting to security of all suspicious activity
- Directed visitors to departments and answered multi line phone system
PBX Operator
Corona Regional Medical
Corona, CA
01.2013 - 01.2014
- Answered high call volume for all incoming and outgoing phone calls
- Followed protocol for emergency hospital codes
- Monitored security cameras and reporting to security of all suspicious activity
- Directed visitors to departments and answered multi line phone system
Office Manager
Total Woman Healthcare
Santa Ana, CA
06.2012 - 01.2013
- Retrieved city permits to run new physician doctor office
- Interviewed future employees and assisted with front office duties
- Ordered all supplies for each patient room such as beds and clinical instruments
- Organized grand opening and ran front/back office
Medical Receptionist
St. Jude Heritage
Fontana
09.2007 - 04.2009
- Was a Lead Medical Receptionist for a multi practice to three new physicians establishing their practice
- Handled and delegated phones calls to appropriate departments
- Completed daily tasks such as referrals, confirming appointments for the next day, creating patient electronic charts, and authorizations
Education
High School Diploma -
Ruben S. Ayala High School
Chino Hills, CASkills
- Issue Resolution
- Policy understanding
- Insurance knowledge
- Customer Service
- Account Management
- Database Management
- Healthcare knowledge
- Dispute Resolution
- Complaint Handling
- Customer Support
Timeline
Member Services Representative
IEHP
11.2021 - Current
Medical Case Specialist
QTC
08.2019 - 11.2019
PBX Operator
Corona Regional Medical
08.2016 - 06.2017
PBX Operator
Corona Regional Medical
01.2013 - 01.2014
Office Manager
Total Woman Healthcare
06.2012 - 01.2013
Medical Receptionist
St. Jude Heritage
09.2007 - 04.2009
High School Diploma -
Ruben S. Ayala High School