Elizabeth Nuño Meza
La Puente,CA
Summary
Adept at dispute resolution and maintaining policy knowledge, I significantly reduced case turnaround times at Elevance. With a proven track record in multitasking and excellent communication, I consistently exceeded sales targets and enhanced customer satisfaction, demonstrating reliability and assertiveness across roles. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
12
12
years of professional experience
Work History
Appeals and Grievances Coordinator
Elevance
03.2020 - Current
- Remained knowledgeable regarding company policies and procedures and current developments within operational departments.
- Submitted verbal and written notification to members and providers.
- Reduced turnaround times for case resolutions by effectively prioritizing workload based on urgency levels designated by regulatory standards.
- Demonstrated high-level attention to detail when reviewing medical records, provider contracts, and other relevant documents during case assessments.
- Actively participated in quality improvement initiatives aimed at enhancing the overall member experience within the organization''s healthcare services offerings.
Customer Service Representative
Elevance
02.2019 - 03.2020
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Medical Scribe
Foothill Eye Medical Group
12.2016 - 12.2018
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions.
- Ensured compliance with HIPAA regulations by consistently maintaining patient confidentiality and protecting sensitive information during documentation processes.
- Accompanied physicians through day in fast-paced, stressful environments.
Sales and Marketing Representative
Excalibur Solutions
02.2015 - 08.2016
- Exceeded quarterly sales targets through diligent follow-ups, customer-focused solutions, and persuasive negotiation skills.
- Consistently met or exceeded monthly quotas by adopting a proactive approach to lead generation, relationship management, and closing deals.
- Collaborated with leadership to identify marketing and communication needs for team and stakeholders.
Receptionist
Kittrich Corporation
02.2014 - 02.2015
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
Sales Associate
Windsor Fashions
02.2013 - 01.2014
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
Education
Mountain View High
El Monte, CA2012
Skills
Policy Knowledge
Dispute Resolution
Assertiveness
Teamwork and Collaboration
Attention to Detail
Multitasking Abilities
Reliability
Excellent Communication
Languages
Spanish
Native or Bilingual
Timeline
Appeals and Grievances Coordinator
Elevance
03.2020 - Current
Customer Service Representative
Elevance
02.2019 - 03.2020
Medical Scribe
Foothill Eye Medical Group
12.2016 - 12.2018
Sales and Marketing Representative
Excalibur Solutions
02.2015 - 08.2016
Receptionist
Kittrich Corporation
02.2014 - 02.2015
Sales Associate
Windsor Fashions
02.2013 - 01.2014
Mountain View High
Similar Profiles
Deborah A LivengoodDeborah A Livengood
Physical Health Team Lead at ElevancePhysical Health Team Lead at Elevance
Nilsa RamirezNilsa Ramirez
Customer Care Representative/Claims Representative at ElevanceCustomer Care Representative/Claims Representative at Elevance
ERIC THOMPSONERIC THOMPSON
Clinical Provider Auditor at ElevanceClinical Provider Auditor at Elevance
MICHELLE BOHANONMICHELLE BOHANON
LTSS Coordinator at ElevanceLTSS Coordinator at Elevance
Xzavier Xzavier RodriguezXzavier Xzavier Rodriguez
Volunteer at Paws and BarksVolunteer at Paws and Barks