Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Associate II BPM
USTHealthproof Inc
Aliso Viejo, California
01.2025 - Current
Contributed innovative ideas and solutions to enhance team performance and outcomes.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Prioritized and organized tasks to efficiently accomplish service goals.
Identified needs of customers promptly and efficiently.
Assisted with customer requests and answered questions to improve satisfaction.
Maintained updated knowledge through continuing education and advanced training.
Recognized by management for providing exceptional customer service.
Promoted to SME assistance October 2025
Insurance Benefits Specialist
RemX, McKesson Specialty
Phoenix, Arizona
12.2022 - 02.2023
Processed employee benefits inquiries and resolved issues effectively.
Reviewed and maintained accurate benefits enrollment records for employees.
Assisted in educating employees about benefit options and eligibility requirements.
Reviewed eligibility for medical insurance coverage and other benefit plans.
Patient Service Representative
AmerisourceBergen
Conshohocken, Pennsylvania
10.2022 - 11.2022
Determination for support programs (Copay, PAP, and Medicaid)
Pharmacy triage and Coordination
Research and resolves any claim denials or underpayment of claims
Reports any trends or delays to program management (Billing, Denials, Claims, Pricing errors Payments)
Collected and verified patient information for accurate records management.
Processed insurance claims and explained coverage options to patients.
Handled patient complaints with empathy and provided appropriate resolutions.
Call Center Representative III
Maxim Healthcare
Columbia, MD
02.2021 - 02.2022
Managed high volume inbound calls from patients (Veterans Affairs) and healthcare providers due to scheduling and/or inquiry on claims
Assisted in resolving patient issues and concerns with empathy and professionalism.
Utilized multiple software systems to track calls, appointments, and follow-ups efficiently.
Collections Agent
Citibank
Tampa, Florida
06.2020 - 06.2021
Managed customer accounts to resolve outstanding payments efficiently.
Communicated with clients to negotiate payment arrangements and settlements.
Reviewed account histories to identify patterns in payment behavior.
Advised customers on credit policies and repayment options clearly.
Monitored account statuses regularly to ensure compliance with company policies.
Contacted customers and explained debt management to encourage timely debt payments.
Commercial Sales Coordinator
CVS Caremark
San Antonio, Texas
06.2018 - 08.2020
Utilized CRM software programs to track customer interactions.
Managed customer inquiries and provided product information to clients.
Maintained relationships with existing customers by responding promptly to inquiries and requests for service or assistance.
** (Selected Project) - Monitoring and recording insurance coverage for clients prescription requests.
Answering product service inquiries and suggestions from members and provider facilities
Customer Service Representative
Spectrum
San Antonio, Texas
09.2014 - 03.2018
Assisted customers with inquiries and resolved issues efficiently.
Provided product information and guided customers in selecting appropriate items.
Managed customer complaints while maintaining a positive service environment.
Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
Resolved complex problems by working with other departments to provide solutions that meet customer needs.
Identified opportunities for upselling additional products or services based on customer needs.