Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.
Overview
10
10
years of professional experience
Work History
CUSTOMER SERVICE REPRESENTATIVE
MEDI-CAL
01.2021 - 01.2023
Attention to detail when ensuring medical services meet the established criteria for medical necessity as per the Centers for Medicare & Medicaid Services (CMS) guidelines
Managing the claims process by checking the status of claims, identifying denials, and taking appropriate action.
Handled customer inquiries and suggestions courteously and professionally.
CUSTOMER CARE SPECIALIST
XEROX
01.2016 - 01.2020
Provide prompt and courteous assistance to new and existing clients through inbound calls for Aetna and CVS Caremark pharmacy accounts
Facilitate prescription refills and process new prescription requests
Maintained and managed customer files and databases.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
DIRECT TV, CUSTOMER SERVICE REPRESENTATIVE
ORLANDO
01.2013 - 01.2015
Perform precise data entry tasks, maintaining a high level of accuracy and attention to detail in updating and managing customer account information.
Updated account information to maintain customer records.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Provided primary customer support to internal and external customers.
Education
Certificate of Medical Billing and Coding -
NorthWest College
01.2022
Skills
Proficient in medical terminology, with a year of hands-on experience in HIPAA regulations, CPT coding, ICD-10 classification, and insurance verification
Director I at LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of EducationDirector I at LEA Medi-Cal, Comprehensive Health Programs, San Joaquin County Office of Education