Gertrudis Puertas
Riverview,FL
Summary
Client-centered Eligibility Specialist with a career spent accurately managing records, handling appointment scheduling and overseeing other administrative tasks in fast-paced settings. Bilingual individual committed to engaging others and delivering exceptional service. Ready to tackle new challenges in an office-based environment.
Overview
9
9
years of professional experience
Work History
Medicare Specialist
Diagnostic Clinic Medical Group
Largo, FL
06.2023 - Current
- Handled new enrollments by entering customers' data and reviewing information.
- Provided beneficiaries with information about plan benefits and eligibility determinations.
- Educated clients on available resources and services within their communities.
- Provided case management services to ensure the delivery of quality care.
- Answered incoming calls from patients, providers, and insurance companies in a courteous manner.
- Ensured all paperwork related to patient care was completed accurately and timely.
- Pulled patient files and verified insurance before patient's appointment.
- Coordinated patient appointments and maintained appointment schedule.
Medicare Customer Service Representative
Maximus Federal Services
Riverview, FL
09.2019 - 06.2023
- Answered incoming calls from Medicare beneficiaries, providing them with information regarding their benefits.
- Resolved customer complaints and concerns in a timely manner.
- Collaborated with various departments within the organization to resolve customer issues quickly and efficiently.
- Responded promptly to customer inquiries about coverage options, claims status, and other related topics.
Sales Customer Support Specialist
Air Rescue Air Condition
Tampa, FL
09.2018 - 09.2019
- Performed data entry tasks into various systems to track customer interactions and follow-up activities.
- Assisted customers with placing orders accurately and efficiently.
- Provided customer support for sales inquiries, resolving product and service related issues.
Collections Agent
Achieva
Clearwater, FL
07.2015 - 08.2018
- Negotiated payment plans with customers to ensure timely repayment of debt.
- Adhered to company policies and applicable laws while collecting debts from customers.
- Contacted customers and explained debt management to encourage timely debt payments.
Education
Some College (No Degree) - ESOL
St.petersburg College
St. Petersburg, FLAssociate of Arts - Journalism
Santa Maria
CaracasSkills
- Negotiation Tactics
- Networking and Relationship Building
- Conflict Resolution Techniques
- Customer Service Expertise
- Knowledge of ECW and Sales force
- Bilingual
- CMS Guidelines
- Eligibility Determination
- Organizational Skills
Timeline
Medicare Specialist
Diagnostic Clinic Medical Group
06.2023 - Current
Medicare Customer Service Representative
Maximus Federal Services
09.2019 - 06.2023
Sales Customer Support Specialist
Air Rescue Air Condition
09.2018 - 09.2019
Collections Agent
Achieva
07.2015 - 08.2018
Some College (No Degree) - ESOL
St.petersburg College
Associate of Arts - Journalism
Santa Maria
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