Open To Work
Cassandra Cruz
Ceres,CA
Work Preference
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
Health Concierge
Aetna
Ceres, CA
11.2021 - Current
- Managed over health plan-related calls in fast-paced call center environment.
- Stayed up to date on latest plans, products and services for different types of customers.
- Researched and corrected customer issues in areas such as plan benefits, coverage eligibility and claims processes.
- Supported members through navigation of enrollment process to facilitate optimal decisions.
- Answered questions on diverse topics, including authorization procedures, copay requirements and premiums.
- Explained policies, procedures and services to patients.
- Ability to analyze claims and identify problem with claims.
- ICD-/ICD-10 Coding knowledge.
- EPDP, CCI, PSPP extensive knowledge.
Supervisor Care Giver
Davis Guest Home
Modesto, CA
02.2014 - 12.2020
- Delegated work to staff, setting priorities and goals.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Discussed job performance problems with employees, identifying causes and issues to find solutions.
- Improved patient outlook and daily living through compassionate care.
- Observed patients for changes in physical, emotional, mental or behavioral condition and injuries.
- Followed care plan and directions to administer medications.
- Aided with mobility and independence for disabled individuals and continually monitored safety.
- Recorded client status progress and challenges in logbooks and reports.
- Checked patients vitals and blood sugar levels
- Passed medication to all patients
Education
High School Diploma -
Argus High School
Ceres, CA05.2009
Skills
- Helpful and Service-Oriented
- Quick learner
- Organized and Detail-Oriented
- Call Center Operations
- Comfort with Technology and Databases
- Microsoft Office proficient
- Database Search and Data Entry Skills
- Proficient in medical terminology
- BLS and CPR certified
- Multitasking and Organization
- Attention to Detail
Timeline
Health Concierge
Aetna
11.2021 - Current
Supervisor Care Giver
Davis Guest Home
02.2014 - 12.2020
High School Diploma -
Argus High School