Betzaida D. Soto
Sacramento,CA
Summary
To obtain a position that utilizes my communication, interpersonal skills and use my past work experience to benefit your company to ensure the long-term success of my employer.
Overview
11
11
years of professional experience
Work History
MOSC II
UCD Medical Center
02.2023 - Current
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Clarified customer issues and determined root cause of problems to resolve patient complaints.
- Participated in team meetings and training sessions to stay informed about updates and changes.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Managed patient registration process, confirming data accuracy and completeness.
- Investigated insurance claims denials and appeals.
- Used EPIC to schedule appointments.
- Entered patient demographic and insurance data into electronic medical record system.
- Managed messages between patients and providers.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Answered high volume of calls for our specialty dep ex: cardiology, OBGYN , orthopedics,endocrinology ,Dermatology ,allergy.
Medical Receptionist
Elica Health Centers
01.2022 - 12.2022
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Gained customer trust by providing knowledgeable and accurate information in both English and Spanish.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Organized paperwork such as charts and reports for office and patient needs.
- Provided language translation services for patient inquiries.
- Utilized Spanish proficiency to build relationships with Spanish-speaking patients .
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Performed various administrative tasks by filing, copying and faxing documents.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Medical Receptionist
WellSpace Health
11.2019 - 01.2022
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Explained clinical policies and procedures to provide assistance to patients with limited English proficiency.
- Helped patients complete necessary medical forms and documentation.
- Interpreted conversations simultaneously to help both provider and patient handle medical needs or manage personal concerns.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Performed various administrative tasks by filing, copying and faxing documents.
- Assisted Spanish language-speaking patients with inquiries.
Customer Service Representative II
Lucent Health Solutions
03.2016 - 07.2018
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Educated clients about health insurance coverage options, benefits and costs.
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Provided coaching and mentoring to employees.
- Trained and mentored new personnel hired to fulfill various roles.
- Assisted customers with Spanish-language inquiries in a timely and professional manner.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Met customer service objectives by providing superior customer service to Spanish-speaking customers.
- Responded to customer inquiries regarding health insurance coverage and policies to assist with informed decision-making.
- Utilized Spanish proficiency to build relationships with Spanish-speaking customers.
- Assisted clients with filing and tracking health insurance claims to facilitate swift settlements.
- Updated account information to maintain customer records.
- Met all call quality standards and daily quotas for first-call resolution.
- Maintained and managed customer files and databases.
Customer Service Representative II
Stonewood Ins
07.2012 - 03.2016
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Collected premiums on or before effective date of coverage.
- Answered constant flow of customer calls with minimal wait times.
- Analyzed risk factors to recommend appropriate coverage levels.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Educated clients on insurance policies.
- Calculated premiums and established payment methods for sales.
- Updated account information to maintain customer records.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
- Corresponded with clients through email, telephone, or postal mail.
- Managed multiple tasks and met time-sensitive deadlines.
- Provided clerical support to company employees by copying, faxing, and filing documents.
Education
High School Diploma -
Western High School
Anaheim, CA06.2021
Skills
- Front Desk Operations
- Critical Thinking
- Call Transfers
- Office Supplies and Inventory
- Operational Requirements
- Patient Data Processing
- Patient Callbacks
- EMR Systems
- Records Maintenance
- Telephone Etiquette
- Spanish Interpreting
- High-Volume Environments
- Complex Problem-Solving
- Interpret Language
Languages
Spanish
Native or Bilingual
Timeline
MOSC II
UCD Medical Center
02.2023 - Current
Medical Receptionist
Elica Health Centers
01.2022 - 12.2022
Medical Receptionist
WellSpace Health
11.2019 - 01.2022
Customer Service Representative II
Lucent Health Solutions
03.2016 - 07.2018
Customer Service Representative II
Stonewood Ins
07.2012 - 03.2016
High School Diploma -
Western High School
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