Ariella Uribe
Fresno,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude, strong communication, and problem resolution skills to each customer issue. Seeking full-time position that offers professional challenges utilizing skills. Alongside a solid history of surpassing productivity and quality targets in high-volume settings. Skillful in building long-lasting, loyal customer relationships. With willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Humana Healthcare Advocate
Conduent
02.2023 - Current
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Navigated multiple computer systems and applications to find information
- Checked employees' benefits enrollment for accuracy and inputted all data into crm.
- Supported accounts receivable operations within assigned functions.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Verified insurance eligibility and coverage for patients.
- Identified, analyzed and researched systemic issues and made recommendations for resolution.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Investigated insurance claims denials and appeals.
- Resolved billing inquiries and disputes in timely fashion.
- Entered patient demographic and insurance data into electronic medical record system.
- Built and maintained positive working relationships with patients and staff.
- Took copayments and compiled daily financial records.
- Resolved customer complaints using established follow-up procedures.
- Facilitated communication between patients and various departments and staff.
- Documented customer interactions and transactions for accurate, up-to-date records.
- Advised customers on required information for claim submissions to progress applications.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Developed in-depth understanding of insurance policies and procedures to give accurate recommendations to suit clients' needs.
- Followed up with customers on unresolved issues.
- Calculated adjustments, premiums and refunds.
(ACP)- Program Eligibility Specialist
Conduent
09.2021 - 02.2023
- Resolved discrepancies with client applications to verify eligibility.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Documented and detailed calls and complaints using call center's CRM database.
- Developed and updated databases to handle customer data.
- Communicated with people from various cultures and backgrounds on application process.
- Processed and certified documents for accuracy and compliance with government regulations.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Developed extensive fact-checking and research skills by continuously reviewing different programs and options.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
- Investigated and resolved customer inquiries and complaints quickly.
- Promptly responded to inquiries and requests from prospective customers.
- Logged call information and solutions provided into internal database.
- Met customer call guidelines for service levels, handle time and productivity.
IHSS Care Provider
IHSS Adult Services Program
12.2018 - 07.2019
- Administered medication as directed by physician.
- Provided transportation and appointments management.
- Followed nutritional plans to prepare optimal meals.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
- Provided mobility assistance such as walking and regular exercising.
- Traveled to clients' homes to complete healthcare services and promote continuity of care.
- Transported clients to and from medical appointments with safety and efficiency.
- Replaced bandages, dressings and binders to care for wounds and encourage healing.
- Monitored client health by performing routine pulse, temperature and blood pressure checks.
- Completed entries in log books, journals, and care plans to accurately document and report patient progress.
- Assisted with daily living activities, running errands, and household chores.
- Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
- Entrusted to handle confidential and sensitive situations in professional matter.
Customer Care Representative
Alorica
11.2015 - 07.2018
- Responded to customer needs through competent customer service and prompt problem-solving.
- Assisted call-in customers with questions and orders.
- Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Navigated multiple computer systems and applications to find information.
- Communicated with clients regarding account services, statements, and balances.
- Logged call information and solutions provided into internal database.
- Resolved concerns with products or services to help with retention and drive sales.
- Met customer call guidelines for service levels, handle time and productivity.
- Assisted customers in identifying issues and explained solutions to restore service and functionality.
- Investigated and resolved customer inquiries and complaints quickly.
- Maintained up-to-date knowledge of product and service changes.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Educated customers about billing, payment processing and support policies and procedures.
- Promoted available products and services to customers during service, account management, and order calls.
- Processed debit and credit card and electronic check payments.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Collaborated with supervisors to escalate and address customer inquiries or technical issues.
Front Desk Receptionist
Robs Computer Repair
08.2014 - 10.2015
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Entered and updated sensitive customer information during check-ins and room changes.
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
- Confirmed appointments, communicated with clients, and updated client records.
- Scheduled, coordinated and confirmed appointments and meetings.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Collected room deposits, fees, and payments.
- Responded to inquiries from callers seeking information.
- Completed data entry and filing to keep records updated for easy retrieval.
- Organized, maintained and updated information in computer databases.
- Handled incoming and outgoing package deliveries, working with vendors to complete special requests and track missing packages.
Education
No Degree - Social Work
Fresno City College
Fresno, CA08.2025
High School Diploma -
JE Young Academics
Fresno, CA06.2013
Skills
- Microsoft Office
- Customer Service
- [CRM Software Expert
- Insurance Verification
- Medicare Part B,C,D
- Investigate Claims
- Benefits Explanations
- Payment Collection
- HIPAA Compliance
- Clinical Data Entry
- Time Management
- PC Proficiency
- Call Control Skills
- System Documentation
- Data Gathering
Timeline
Humana Healthcare Advocate
Conduent
02.2023 - Current
(ACP)- Program Eligibility Specialist
Conduent
09.2021 - 02.2023
IHSS Care Provider
IHSS Adult Services Program
12.2018 - 07.2019
Customer Care Representative
Alorica
11.2015 - 07.2018
Front Desk Receptionist
Robs Computer Repair
08.2014 - 10.2015
No Degree - Social Work
Fresno City College
High School Diploma -
JE Young Academics