Hi, I’m
Genesix Lopez
Tampa
Summary
Motivated customer service and administrative professional with extensive experience in healthcare environments, particularly in supporting clinical teams and ensuring compliance with CMS, NCQA, and Model of Care regulations. Proven ability to maintain detailed patient records, assist with provider communication, and deliver exceptional customer service. Highly skilled in handling inquiries related to Medicare, Medicaid, and health plan benefits, while maintaining accuracy in documentation and data entry. Eager to bring strong organizational, communication, and problem-solving skills to a dynamic team.
Overview
9
years of professional experience
1
Certification
Work History
Elevance Health
Customer Service Representative
07.2023 - Current
Job overview
- Documented all patient interactions in compliance with Model of Care, NCQA, and CMS regulations.
- Responded to incoming inquiries through multiple communication channels, including department email.
- Conducted outbound calls to request clinical information, ensuring timely updates and accurate data entry in software systems.
- Delivered excellent customer service by acting as a key resource for both internal and external stakeholders.
Archer Travel
Travel Agent
08.2023 - 11.2024
Job overview
- Provided clients with comprehensive travel information, including visa, passport, accommodation, and tour package details.
- Coordinated and booked travel arrangements, ensuring all client needs were met while staying within budget.
- Resolved customer concerns related to travel bookings and provided exceptional customer service in a fast-paced environment.
No Limit Consultant
Account Executive
02.2023 - 07.2023
Job overview
- Negotiated contracts and developed strategic marketing materials to support business goals and increase customer retention.
- Analyzed customer data to create targeted campaigns, enhancing client loyalty and optimizing product offerings.
- Collaborated with cross-functional teams to ensure alignment on marketing strategies and client expectations.
Maximus Federal Services
Customer Service Representative
02.2022 - 02.2023
Job overview
- Provided Medicare beneficiaries with accurate benefits information and answered questions related to coverage.
- Resolved customer concerns and complaints with efficiency, maintaining high levels of customer satisfaction.
- Recommended appropriate healthcare coverage options based on individual customer needs, ensuring proper fit with available plans.
Dr. R. Pratdesaba
Front Desk Receptionist
08.2016 - 07.2018
Job overview
- Provided a welcoming atmosphere to clients and visitors by greeting them warmly and assisting with any immediate needs or inquiries.
- Managed appointment scheduling and coordination, ensuring seamless patient flow and efficient use of time for the healthcare team.
- Verified insurance coverage for appointments, collected co-payments, and ensured all necessary forms were accurately completed.
- Prepared and maintained patient charts, ensuring proper documentation was in place for each new patient.
- Supported the organization of medical records by filing and updating patient information, maintaining accuracy in both electronic and paper files.
Education
Cambridge College
Certificate from Medical Billing And Coding
04-2026
Universidad Interamericana De Puerto RicoSan Juan, PR
Bachelor of Science from Psychology
12-2021
Skills
- Time Management & Prioritization
- Healthcare Regulations & Compliance (CMS, NCQA, HIPAA)
- Administrative Support & Recordkeeping
- Microsoft PowerPoint & Excel
- Data Entry & Document Management
- Medicare & Medicaid Expertise
- Effective Communication & Customer Service
- Problem-Solving & Multitasking
- Clinical Information Coordination & Support
Certification
- travel agent - 2023
- atssa - 2022
- fbla - 2017
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Travel Agent
Archer Travel
08.2023 - 11.2024
Customer Service Representative
Elevance Health
07.2023 - Current
Account Executive
No Limit Consultant
02.2023 - 07.2023
Customer Service Representative
Maximus Federal Services
02.2022 - 02.2023
Front Desk Receptionist
Dr. R. Pratdesaba
08.2016 - 07.2018
Cambridge College
Certificate from Medical Billing And Coding
Universidad Interamericana De Puerto Rico
Bachelor of Science from Psychology
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