Professional in customer service management with strong focus on team collaboration and achieving results. Skilled in conflict resolution, communication, and managing team performance. Reliable and adaptable, ensuring seamless operations and customer satisfaction in dynamic environments. Prepared to lead and support team to meet and exceed goals.
Overview
17
17
years of professional experience
Work History
Customer Service Supervisor/ GSC/ CRO/ BSO
Piedmont Aviation/Unifi Aviation - AA Contract
Palm Springs, CA
11.2023 - Current
3 years experience on American Mainline and Regional Contracts.
Supervised daily operations of customer service team to enhance service quality and efficiency.
Trained and mentored new staff on company policies and customer interaction protocols.
Resolved escalated customer issues, maintaining high satisfaction levels through effective communication.
Implemented process improvements that reduced response times and increased customer satisfaction ratings.
Assist in training team members on new automated tools and processes.
Train and support team members in transitioning to automated systems.
Extremely Proficient on QIK, ACE, GateReader, Sabre, and all MIcrosoft Programs.
Create and maintain detailed documentation of automated processes and workflows.
Scheduling Coordinator/Billing Office
TNT Staffing / Arrowhead Orthopedics
Redlands, CA
06.2021 - 12.2022
Handled scheduling for 14 different orthopedic surgical providers
Responsible for verifying patients' medical coverage and potential shared costs such as copay/coinsurance
Responsible for ensuring that patients were cleared for all pre surgical testing and bloodwork prior to scheduling
Responsible for sorting and maintaining EMR
Proficient in several scheduling programs as well as utilizing multiple insurance systems for benefit verification
Responsible for cancellation, re-scheduling appointment and updating the system at all times.
Member Services Representative/Claims Coordinator/Appeals
SCAN
Long Beach, CA
01.2020 - 06.2021
Responsible for handling calls from physicians and support staff in order to assist with claim processing and submission
Handled member inquiries in regards to Medicare coverage and benefits
Assisted senior members with care coordination and appointment setting
Direct liaison between Medicare and private insurers to assist with benefit coordination.
Assisted retail pharmacies with electronic claim submissions
Monitored the status of prior authorization requests for medical procedures
Coordinated with various medical groups for primary care physician assignment and provider locations
Expert in cloud-based systems such as Google Docs, Slack, Netsuite, Microsoft Teams
Administrative Medical Coordinator
Melrose Gardens
Hollywood, CA
06.2017 - 11.2019
Direct supervisor for a staff of 30 employees
Responsible for overseeing that 85 residents in the facility received proper medical care by managing medication and scheduling appointments.
Responsible for the facility compliance with medication management
Handled scheduling and payroll.
Assisted with the coordination of financial responsibilities with resident family members
Customer Service Rep
Nordstrom/HauteLook
Los Angeles, CA
10.2015 - 10.2016
Handled high call volume customer inquiries.
Responsible for handling customer communications via web, chat and phone.
E-Commerce company with various shipping providers.
Responsible for Reviewing web orders, processing returns, handling credit card payment processing, tracking orders and troubleshooting varying shipping issues
Heavy data entry
Expert in cloud-based systems such as Google Docs, Slack, Netsuite, Microsoft Teams
Customer Service Representative
Trailblazer/Kelly Services
Dallas, TX
02.2013 - 06.2014
Responsible for handling inbound calls with inquiries pertaining to a government incentive program.
Heavy data entry to maintain records of participant calls.
Responsible for entering detailed notes in the system in regards to participant concerns and resolutions.
Referral Coordinator
Concentra/ Cornerstone Staffing
Plano, TX
03.2011 - 05.2013
Responsible for handling a heavy call volume on a multi line phone system.
Received documents from Concentra medical centers requesting additional care for worker compensation patients.
Direct liaison between employers and injured employees
Responsible for obtaining authorization for continuation of care and notifying patients of case status.
Responsible for entering notes into the system in regards to correspondences with adjustors and patients.
Customer Service Representative/ Senior Resolution Specialist/ Prior Authorizations Rep
CVS/Caremark
Richardson, TX
10.2009 - 02.2011
Pharmacy Trained and worked on 12 major accounts handling questions, comments and concerns about prescription benefit plans that participants were enrolled in.
Responsible for mentoring and training new hires on plan details and company policies and procedures.
Quickly and effectively solve customer challenges.
Maintain quality control/satisfaction records, constantly seeking new ways to improve customer service.
Promoted to the Resolution Specialist Team, which is responsible for handling escalations from customer service reps.
Direct liaison between customer service representatives and account managers for customers, to provide first call resolutions.
Responsible for tracking and ensuring the delivery of member medication orders.
Responsible for contacting local pharmacies and ensuring medications are in stock and assisting physicians with authorization paperwork for medication approvals.
Responsible for entering and maintaining notes on patient accounts for the purposes of follow up.
Pharmacy Technician responsible for contacting physician offices for refills
Education
High School -
James Monroe High School
01-2002
Vocational Certification - New Hire Certification Mainline
American Airlines Training Academy
Dallas
03-2023
Vocational Certification - Regional Customer Service Training Recertification
American Airlines Training Academy
Dallas, TX
04-2026
Vocational Certification - BSO Recertification
American Airlines Training Academy
Dallas, TX
01-2025
Vocational Certification - BSO Training
American Airlines Training Academy
Dallas
05-2024
Vocational Certification - CRO Certification
American Airlines Training Academy
Dallas
07-2024
Vocational Certificate - GSC Certification
American Airlines Training Academy
Dallas, TX
02-2025
Skills
Contract drafting
Payroll and invoicing
Quickbooks
Word, Powerpoint, Excel
Training and mentoring
Team development
New hire training
Handling escalations
Delegating work
Employee scheduling
Complaint resolution
Inter-department collaboration
Section name
Authorized to work in the US for any employer
Timeline
Customer Service Supervisor/ GSC/ CRO/ BSO
Piedmont Aviation/Unifi Aviation - AA Contract
11.2023 - Current
Scheduling Coordinator/Billing Office
TNT Staffing / Arrowhead Orthopedics
06.2021 - 12.2022
Member Services Representative/Claims Coordinator/Appeals
SCAN
01.2020 - 06.2021
Administrative Medical Coordinator
Melrose Gardens
06.2017 - 11.2019
Customer Service Rep
Nordstrom/HauteLook
10.2015 - 10.2016
Customer Service Representative
Trailblazer/Kelly Services
02.2013 - 06.2014
Referral Coordinator
Concentra/ Cornerstone Staffing
03.2011 - 05.2013
Customer Service Representative/ Senior Resolution Specialist/ Prior Authorizations Rep
CVS/Caremark
10.2009 - 02.2011
High School -
James Monroe High School
Vocational Certification - New Hire Certification Mainline
American Airlines Training Academy
Vocational Certification - Regional Customer Service Training Recertification