EILEEN MACIEL
Pasadena,CA
Summary
Motivated and reliable customer/patient care representative. As a customer/patient representative, apply strong communication, problem-solving skills and polite, professional demeanor to resolve customer issues and maximize satisfaction. Experienced in exceeding performance goals in fast-paced environments. Trained in connecting with customers to build positive relationships and strengthen loyalty.
Overview
13
13
years of professional experience
Work History
Customer Service Representative
PrimeHealthCare
Ontario, CA
11.2022 - 12.2023
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Documenting phone calls in members file in the PAS system and word doc.
- Confirming members active status in PAS and Mesa system.
- Managed approximately 50+ inbound calls through the Nice phone system.
- Submitting cases on Case Tracker for escalated issues.
- Provide referral/authorization request status.
- Escalate urgent request via email to Utilization Management. Department.
- Verifying provider is in or out of network.
- Utilized active listening and communication skills to address customer inquiries and escalate issues to supervisor.
- Helped clients navigate online systems within established frameworks to obtain services.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
- Made outbound calls to obtain account information.
Receptionist/Cashier
Crown Lexus (AppleOne Employment Agency)
Ontario, CA
04.2022 - 11.2022
- Answered and directed incoming calls using multi-line telephone system.
- Sorted incoming mail and directed to correct personnel each day.
- Served visitors by greeting, welcoming and directing to appropriate personnel.
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Greeted visitors and verified reasons for visit and appointment information.
- Accepted cash and credit card payments, issued receipts and provided change.
- Answered customer questions and provided store information.
CASHIER
Subaru Of Ontario
CA
09.2021 - 02.2022
- Operated cash register for cash, check and credit card transactions with excellent accuracy levels
- Collected and authorized payments of guests
- Worked closely with supervisor to solve problems and handle customer concerns
- Maintained secure cash drawers, promptly resolving discrepancies in daily totals
- Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies
- Maintained cash drawer of $200
- Maintained a clean and organized workspace
- Daily log, on excel, of cash drawer at beginning and end of shift
- Scanning Repair and Parts invoices in system.
Cashier/Receptionist
Puente Hills Mitsubishi
CA
01.2020 - 06.2021
- Responsible for but not limited to:
- DealerTrack knowledge
- Completing monetary transactions, credit card payments and checks
- Answering phone and directing to proper department for assistance
- Stock vehicles new and used
- Printing KSR
- Knowledge of contracts organize paperwork
- Printing sales tax and calculations
- Input information on jacket
- Submitting Notice of transfers
- Separate trade information
- Submit Warranty and Gap coverage
- Knowledge of Ally and Diamond Care
- Cancel warranty and or Gap coverage
- Post Transportation cost invoices
- Assist DMV, Accounts Payable Receivables, and
- Contracts if needed
- Filing, scanning, Xerox, 10 key, 40 wpm approx.
Customer Service Representative
Mobility Solutions Inc
Colton, CA
06.2017 - 10.2020
- Greet customers
- Answer phone calls
- Assist with status on orders
- Phone calls to insurance companies and doctors, also to patients
- Contact schools and therapy units
- Assist sales Representatives with addresses and appointments when needed
- Initiate and follow up on orders, authorizations and other information needed for process of medical equipment
- Knowledge of TAR submitting
- CCS, Medi-Cal, HMO, PPO, IEHP, other private insurance
- Assisted customers with a warm and professional attitude
- Assisted customers with questions
- Handled emails, inbound calls, and outbound calls
- Performed data entry for customer information and Manufacture Quotes
Data Entry Clerk
Express Employment Professionals
Rancho Cucamonga, CA
05.2017 - 06.2017
- Temp agency, data entry for a PrimeCare Dental Plan
- Worked on project entering dentist information
- Hours of office
- NPI and license
- Creating spreadsheet
- Logging graduate school information, county or state, year graduated other dentist or specialist in practice
- Logging if any claims against dentist., Assisted with a project, entering Dentist information,
- Completed data entry tasks with accuracy and efficiency, for PrimeCare Dental Plan
- Compiled data and reviewed information for accuracy prior to input
- Reviewed and updated client correspondence files and database information to maintain accurate records.
Cashier and Customer Service
Walmart Supercenter
Pico Rivera, CA
08.2014 - 06.2015
Cashier
Walmart
Pico Rivera, CA
08.2014 - 06.2015
Administrative Assistant
Esperanza Services
Alhambra, CA
02.2011 - 03.2013
- Created and updated physical records to maintain current information
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance
- Transferred and directed phone calls, guests and mail to correct staff members
- Kept reception area clean and neat to give visitors positive first impression
- Created new client binders
- Assist with events for clients
- Cover Receptionist
- Assist with property work orders (complete in Diereses system)
- Submit check request to Property management for vendor and or maintenance personal for payment
- Assist with filing for Human Resource, Accounting and Real Estate
- Assist with projects due via xerox, documents, scanning.
Education
Diploma - Medical Insurance Biller
Northwest College
West Covina, CA01.2007
Diploma - Medical Office Management
Bryman College
El Monte, CA01.1999
Diploma -
El Monte High School
El Monte, CA01.1993
Skills
- Cash Register
- Reliable and Responsible
- Payment Processing
- Cash Handling
- Microsoft Office
- Medical Terminology
- Coin and Currency Counting
- Relationship Building
- Data Entry
- Insurance Authorizations
- Medical Coding
- CPT Coding
- Referral Verification
- Patient Eligibility
- Call Answering and Routing
- Customer Service-Oriented
- Insurance Forms
- HIPAA Compliance
- Collaboration and Teamwork
- Positive Attitude
- Verbal and Written Communication
- Reliable and Punctual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Customer Service Representative
PrimeHealthCare
11.2022 - 12.2023
Receptionist/Cashier
Crown Lexus (AppleOne Employment Agency)
04.2022 - 11.2022
CASHIER
Subaru Of Ontario
09.2021 - 02.2022
Cashier/Receptionist
Puente Hills Mitsubishi
01.2020 - 06.2021
Customer Service Representative
Mobility Solutions Inc
06.2017 - 10.2020
Data Entry Clerk
Express Employment Professionals
05.2017 - 06.2017
Cashier and Customer Service
Walmart Supercenter
08.2014 - 06.2015
Cashier
Walmart
08.2014 - 06.2015
Administrative Assistant
Esperanza Services
02.2011 - 03.2013
Diploma - Medical Insurance Biller
Northwest College
Diploma - Medical Office Management
Bryman College
Diploma -
El Monte High School