Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Catherine Sarabia

Grand Prairie,TX

Summary

I am a team player with excellent customer service skills that I apply with sound judgment. I give meticulous attention to detail. I have the ability to resolve problems tactfully and diplomatically. I am purpose driven and I give 110% to CVS. I enjoy working for CVS.

Overview

9
9
years of professional experience

Work History

Subroagtion Clerk Costco National Account

CVS
05.2017 - Current
  • Work Directly with Subrogation Analyst
  • Initiate Subrogation Letters to Members Daily
  • Handle Subrogation Follow Up Letters in a Timely Manner
  • Complete Claims in ECHS Daily
  • Route Claims for Processing Daily
  • Maintain Subrogation Mailboxes for Current and Accurate Information
  • Excellent time Management Skills
  • Effective Problem Solver
  • Process improvement Effective workflow management
  • Records management professional
  • Research and data analysis
  • Resourceful and reliable worker
  • Close attention to detail
  • Adept multi-tasker
  • Excellent verbal communication
  • Great Team Player, Reliable and Committed ti Giving CVS 110%

CSR

CVS Caremark
06.2015 - 05.2017
  • This is an inbound and outbound call center position. Service Advocates are responsible for answering inbound calls regarding member's health care needs, while following up on commitments in a timely manner.
  • Acts as a single-point-of-contact for the member. Explains member plan of benefits, member's rights and responsibilities in accordance with contracted arrangements, claim status information, benefit coverage, plan eligibility, dental, vision, pharmacy, HSA, provider details, care management, on-boarding, tool usage and available programs/resources.
  • Owns the members concerns all the way through to resolution no matter where that might take us. You will be interacting with providers, clinicians, pharmacists, and many other professional's in an effort to provide total satisfaction and resolution to the member.
  • Consistently seek to build trusting relationships with members by understanding their needs and health aspirations.
  • Deliver a suite of services to members that support easy navigation of the healthcare system, from providing personalized next best action recommendations, to maintaining individual data accuracy and integrity.
  • Assists the member in finding their health ambition.
  • Connects the member with additional administrative and clinical resources as needed Uses proactive, predictive and preventative analytics to service members.
  • Provides high-quality, customer-focused telephonic service using knowledge of procedures and systems to meet and/or exceed customer satisfaction.
  • Coordinates with clinicians to compile the member's Care Plan and conduct adherence follow-up.
  • Works with case managers for members requiring urgent or emergent service, or services rendered in a setting other than a practitioner's office.
  • Service Advocates will proactively make outbound calls to engage members and assist them along their health care Journey.
  • Handle sensitive member information with discretion Prioritizes effectively to meet member service goals / deadlines
  • Resolves member issues, while effectively making the right decisions for our members
  • Collaborate with colleagues and co-workers to deliver a world class customer experience.

Education

High School Diploma -

Lindbergh High School
Renton, WA
1986

Cooperative Preschool Program - child developement

Olympic College
Bremerton, WA
1993

Certificate - undefined

Washington State Tietle 1/Learning Assistance Program
1998

Certificate - Electronic Medical Records

Health IT Certification
2013

Skills

  • File Maintenance
  • Document Management
  • I Maintain a High Level of Confidentiality
  • Quality Management Skills
  • Correspondence Writing
  • Customer Satisfaction
  • Research
  • Multitasking Abilities

Additional Information

  • INTEREST & ACTIVITIES - Spending time with my family boating, camping and hiking, competing in sprint distance triathlons, camping and hiking.

Timeline

Subroagtion Clerk Costco National Account

CVS
05.2017 - Current

CSR

CVS Caremark
06.2015 - 05.2017

High School Diploma -

Lindbergh High School

Cooperative Preschool Program - child developement

Olympic College

Certificate - undefined

Washington State Tietle 1/Learning Assistance Program

Certificate - Electronic Medical Records

Health IT Certification

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Catherine Sarabia