Ashly Rodriguez
Miami,FL
Summary
Detail-oriented client services representative skilled in investigating customer complaints and developing effective solutions. Strong background in CRM software utilization and maintaining product knowledge to enhance client interactions and support organizational goals.
Overview
8
8
years of professional experience
Work History
Client Services Member Representative
Staffing Specifix
Miami Lakes, FL
02.2025 - 08.2025
- Processed client requests and maintained accurate records in the company database.
- Investigated customer complaints regarding products or services provided by the company.
- Identified areas of improvement within the client services department and developed solutions to increase efficiency.
- Maintained an up-to-date knowledge base of product information in order to answer questions quickly and accurately.
Human Resource Assistant
Genesco
Nashville, TN
08.2024 - 02.2025
- Assisted in recruitment processes by scheduling interviews and coordinating candidate communications.
- Assisted with planning, organizing and coordinating company events.
- Compiled reports related to personnel activities such as attendance tracking, turnover rates, disciplinary actions.
- Assisted in developing training programs for staff members.
Medical Claims Examiner
Simply Healthcare Plans Inc.
West Flagler, FL
03.2017 - 08.2019
- Evaluated claims for medical services to ensure compliance with policies.
- Communicated with healthcare providers regarding claim discrepancies and resolutions.
- Utilized claims processing software to manage and track claims efficiently.
- Validated that all necessary documentation was included with each claim submission.
- Submitted appeals to payers when necessary to resolve denied or underpaid claims.
- Assessed coding accuracy, using ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
- Verified insurance coverage and eligibility of patients for services rendered.
Education
Associate of Science - Medical Assistant
Florida Career College
Pembroke Pines09-2019
High School Diploma -
Hialeah Gardens Senior High
Hialeah Gardens, FL06-2011
Skills
- Client relationship management
- Process improvement
- Data entry accuracy
- CRM software utilization
- Product knowledge maintenance
- Event coordination
- Bilingual communication
Languages
English
Professional
Spanish
Professional
Timeline
Client Services Member Representative
Staffing Specifix
02.2025 - 08.2025
Human Resource Assistant
Genesco
08.2024 - 02.2025
Medical Claims Examiner
Simply Healthcare Plans Inc.
03.2017 - 08.2019
Associate of Science - Medical Assistant
Florida Career College
High School Diploma -
Hialeah Gardens Senior High