Summary
Overview
Work History
Education
Skills
Additional Information
Software
Timeline
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Cristina Gonzalez

Member Service Specialist
Dallas,TX

Summary

Seeking a position within a progressive organization that offers opportunities for professional growth, work-life balance, continuous improvement, and advancement. Knowledgeable and dedicated customer service professional with extensive experience in customer service industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

1
1
Language
4
4
years of post-secondary education
8
8
years of professional experience

Work History

Member Services Rep• Billing specialist

CHRISTUS Health
08.2018 - Current
  • Assist members with processing payments, prepare billing disputes for review, EOB, process refund and payment history requests, and respond to urgent billing inquiries, Claim review along with providing providers with benefit inquires.
  • Giving prior authorization status.
  • Managed over 80 customer calls per day.
  • Led projects and analyzed data to identify opportunities for improvement
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
  • Demonstrated respect, friendliness and willingness to help wherever needed
  • Used critical thinking to break down problems, evaluate solutions and make decisions
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately

Member Services Rep

Molina Healthcare
12.2016 - 08.2018
  • Manage inbound and outbound calls, HIPAA knowledge, insurance verification, EOB, data entry, ensure customer satisfaction.
  • Giving prior authorization status.
  • Managed over 50 customer calls per day
  • Upholding HIPPA Law
  • Maintained up-to-date knowledge of product and service changes
  • Provided excellent customer care by responding to requests via email and phone.
  • Quickly and accurately answered customer questions, suggested effective solutions and resolved issues to increase customer satisfaction 90%.

Manager

Radio Shack
07.2013 - 12.2016
  • Assist customers with product inquiries, receive shipments, cash deposits, set individual and team goals, ensure each employee had the resources and knowledge to complete job functions.
  • Trained new hires.
  • Set daily plans to meet organizations goals

Education

High School Diploma -

John Leslie Patterson Jr High School
08.2012 - 05.2015

No Degree - Social Work

Eastfield College
Mesquite, TX
03.2020 - Current

Skills

    Multi-line phone talent

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Additional Information

  • AWARDS , Quality Assurance Award (5) - %100

Software

Microsoft Word

Microsoft Excel

Power point

Spreadsheet

Timeline

No Degree - Social Work

Eastfield College
03.2020 - Current

Member Services Rep• Billing specialist

CHRISTUS Health
08.2018 - Current

Member Services Rep

Molina Healthcare
12.2016 - 08.2018

Manager

Radio Shack
07.2013 - 12.2016

High School Diploma -

John Leslie Patterson Jr High School
08.2012 - 05.2015

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Cristina GonzalezMember Service Specialist