Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ashley Matias

Summary

Knowledgeable and dedicated customer service professional offering 7 years of experience addressing customer requests and concerns. Motivated to maintain customer satisfaction and contribute to company success. Works independently, with minimal supervision and consistently demonstrates a strong work ethic and excellent time management and problem-solving skills.

Overview

6
6
years of professional experience

Work History

Customer Care Representative I

Elevance Health
10.2022 - 01.2023
  • Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Used medical terminology knowledge to explain procedures, policies and services to members
  • Responsible for responding to member questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, claims and authorizations
  • Assist members with verifying claim information and processing, sending claims for adjustment, locating the status of authorizations, contacting provider offices for necessary information regarding claims or billing
  • Operated dual monitors and laptop station to obtain and extract information from various healthcare systems

Member Service Representative

USALLIANCE Financial
08.2021 - 06.2022
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction
  • Assisted members with correcting account, service and system issues by educating on required forms and technical processes
  • Opened new accounts and made changes to existing accounts
  • Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions
  • Executed wire transfers, stop payments and account transfers.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.

Service Manager

Chipotle Mexican Grill
03.2020 - 10.2021
  • Maintained compliance with company policies and procedures for food safety, sanitation and quality.
  • Oversaw balancing of cash registers, reconciled transactions and deposited establishment's earnings to bank.
  • Controlled labor hours and inventory costs through hands-on management and proactive changes.
  • Organized and oversaw food service training to educate employees on resetting tables, relaying orders to cooks and upselling food and beverages.
  • Set and enforced performance and service standards to keep consistent, high-quality environment devoted to customer satisfaction.

Patient Access Registrar

Putnam Hospital Center
09.2019 - 05.2020
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
  • Secured patient demographics and insurance data within the proper confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations
  • Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance
  • Imaged and scanned patient and registration documentation into electronic patient record via Cerner PM Office and FirstNet Tracking
  • Performed patient scheduling and registration functions anywhere between 20-50 patients to serve as initial contact point for medical office visits.

Food Service Manager

McDonald's
06.2018 - 09.2019
  • Maintained compliance with company policies and procedures for food safety, sanitation and quality
  • Oversaw balancing of cash registers, reconciled transactions and deposited establishment's earnings to the bank
  • Served breakfast, lunch and dinner to 50-100 customers per shift
  • Memorized over 30 menu items and rotating specials in order to give customized recommendations to guests
  • Swiftly and successfully resolved conflict resulting in customer satisfaction 100%
  • Warmly greeted new and returning customers and developed relationships resulting in customer loyalty
  • Responsible for upholding cash handling policies and procedures by balancing all register tills and deposits
  • Ensure that all deposits were safely secured and accounted for at night
  • Key holder and Closing Manager.

Office Assistant

College Suites At Washington Square
09.2016 - 05.2018
  • Welcomed office visitors and alerted staff to arrivals of scheduled appointments
  • Executed record filing system to improve document organization and management
  • Interacted with 50-100 customers by phone, email or in-person to provide information
  • Completed clerical tasks such as filing, copying and distributing mail
  • Developed correspondence letters, memos and emails
  • Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs
  • Answered questions and addressed, resolved or escalated issues to management personnel to satisfy customers
  • Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests
  • Answered multi-line phone system and transferred callers to appropriate department or staff member
  • Kept track of important resident information and potential residents through use of filing system
  • Create and execute use of Excel spreadsheets, Word Documents, etc. for storing and organizing important data.

Education

College Diploma - Medical Coding And Billing

Bryant & Stratton College
Buffalo, NY
04.2023

Associate of Arts - Psychology

Schenectady County Community College
Scotia, NY
05.2018

High School Diploma -

Schoharie High School
Schoharie, NY
06.2016

Skills

  • Active Listening
  • Detail-Oriented
  • Information Extraction and data entry
  • Data Evaluation and analysis
  • Customer Relations and retention
  • Proficient in Microsoft Word, Excel and Powerpoint
  • Time Management
  • Strong Written and Verbal communication
  • Ability to adapt quickly
  • Multitasking
  • Ability to work independently or in a team setting
  • HIPAA Compliance and Policy Procedures

Timeline

Customer Care Representative I

Elevance Health
10.2022 - 01.2023

Member Service Representative

USALLIANCE Financial
08.2021 - 06.2022

Service Manager

Chipotle Mexican Grill
03.2020 - 10.2021

Patient Access Registrar

Putnam Hospital Center
09.2019 - 05.2020

Food Service Manager

McDonald's
06.2018 - 09.2019

Office Assistant

College Suites At Washington Square
09.2016 - 05.2018

College Diploma - Medical Coding And Billing

Bryant & Stratton College

Associate of Arts - Psychology

Schenectady County Community College

High School Diploma -

Schoharie High School
Ashley Matias