Ciara Cruz
Aurora,CO
Summary
Empathetic professional in customer service known for high productivity and efficiency in task completion. Possess specialized skills in conflict resolution, data entry, and customer relationship management. Excel in communication, problem-solving, and adaptability, ensuring positive experiences and outcomes for customers.
Overview
7
7
years of professional experience
Work History
Customer Care Coordinator II
Anthem Blue Cross
Denver , Colorado
11.2022 - Current
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
- Facilitated communication between members, providers, internal departments, and external organizations regarding appeals inquiries.
- Communicated regularly with physicians' offices regarding status updates on pending claims or reimbursements.
- Maintained up-to-date knowledge of changes in state and federal laws pertaining to health care coverage.
- Handled HMO, PPO, EPO, SMALL GROUP, INDIVIDUAL, LARGE GROUP policies.
- Adjusted Claims.
- Filed Appeals.
- Worked with CPT codes.
- Updated Coordination of benefits.
- Ensured compliance with HIPAA regulations when handling sensitive patient information.
Scheduling Specialist/CSR
One Stop Appliance Repair
Englewood, Colorado
06.2020 - 08.2022
- Coordinated with vendors for repairs and maintenance of office equipment.
- Managed company database and ensured the accuracy of contact information.
- Scheduled appointments for clients, customers, and other visitors.
- Enhanced productivity and customer service levels by anticipating needs and delivering outstanding support.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Customer Service Representative
Allied Global
Thronton, Colorado
03.2018 - 04.2020
- Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken
- Determine charges for services requested, collect deposits or payments, or arrange for billing
- Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments
- Complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers
- Obtain customer information such as name, address, and payment method, and enter orders into computers
- Developed strategies to collect on past due accounts while maintaining customer relationships.
Education
High School Diploma -
Gladiator Connection
Denver, CO06.2019
Skills
- Conflict mediation
- Problem-solving abilities
- Customer relationship management
- Problem resolution
- Time management
- Attention to detail
- Calm under pressure
- High-energy attitude
- Multitasking
- Active listening
Timeline
Customer Care Coordinator II
Anthem Blue Cross
11.2022 - Current
Scheduling Specialist/CSR
One Stop Appliance Repair
06.2020 - 08.2022
Customer Service Representative
Allied Global
03.2018 - 04.2020
High School Diploma -
Gladiator Connection