Skilled in customer service and problem-solving with proven ability to enhance customer satisfaction through effective communication and data analysis. Adept at managing high-volume interactions in fast-paced environments while maintaining organization and composure. Ready to leverage my experience and skills as a Customer Service Representative to support and grow with a new team.
Professional with experience in enhancing customer interactions and driving customer satisfaction. Skilled in problem-solving, communication, and empathy to effectively address and resolve customer concerns. Strong focus on team collaboration and achieving results, adaptable to changing needs, and reliable for consistent performance. Adept at using CRM software, handling inquiries, and providing exceptional service.
Work History
Customer Experience Specialist (Remote)
3 Months
Alignment Healthcare | 07.2026 - Current
Resolved member inquiries regarding benefits, eligibility, and plan navigation with accurate, empathetic support.
Reviewed case details to identify root causes and improve first-contact resolution.
Coordinated cross-functional follow-up with care teams to address escalations and close service gaps.
Documented member interactions in CRM systems to maintain complete, compliant service records.
Guided members through scheduling, referrals, and care access processes with clear communication.
Monitored service trends to recommend workflow improvements and reduce recurring issues.
Billing Experience (Remote)
6 Months
Allara Healthcare | 01.2026 - 07.2026
Resolving patient billing and insurance issues through Chat, Email,Phone.
Insurance Eligibility Check and Uploading into the patient's account.
Protecting patient rights by maintaining medical and financial information confidentiality in accordance with HIPAA.
Insurance Eligibility Check and Uploading into the patient's account.
Managed multiple tasks while maintaining adaptability and flexibility.
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Customer Service Representative (Remote)
3 Years 8 Months
Gainwell Technologies | 10.2021 - 06.2025
Answered inbound calls from Medicaid members and providers, providing assistance with benefits, eligibility, claims, and services to ensure informed decision-making.
Handled members and providers complaints and inquiries in a courteous and efficient manner.
Provided accurate information on Medicaid programs, policies, and procedures.
Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with members and providers.
Resolved complaints and inquiries from members and providers efficiently and courteously, enhancing customer experience and satisfaction.
Demonstrated excellent communication skills, both verbal and written, in order to interact with members and providers.
Communicated effectively with customers through clear verbal and written interactions, fostering positive relationships.
Operated within metrics (call volume, hold times), maintained confidentiality, escalated issues, followed protocols.
Patient Registration (Contract)
2 Months
Santamaria Eye Center | 01.2020 - 03.2020
Greeted patients and collected demographic/insurance information, ensuring compliance with policies and HIPAA through obtained signatures.
Verified insurance eligibility and secured authorizations while collecting co-pays/deductibles and resolving billing issues to enhance patient experience.
Entered patient data into databases and maintained accurate records, handling scanning/filing and answering telephones to provide necessary information efficiently.
Patient Registration (Contract)
4 Months
Virtua Hospital | 08.2019 - 12.2019
Greeted patients, collected demographic and insurance information, explained policies, and ensured HIPAA compliance through necessary signatures.
Verified insurance eligibility and authorizations, collected co-pays and deductibles, and resolved billing issues to facilitate seamless patient care.
Entered patient data into EMR/databases, maintained accurate records, and managed scanning and filing to support efficient data retrieval.
Answered incoming calls promptly to assist callers with inquiries.
Answered telephones and provided necessary information.
Engaged in continuous learning to acquire relevant skills and knowledge.
Patient Registration (Contract)
1 Year 6 Months
Osborn Family Health Center | 01.2018 - 07.2019
Greeted patients, collected demographic and insurance information, explained policies, and secured signatures for HIPAA compliance to ensure proper registration.
Accurately entered patient data into EMR/databases, maintained records, and handled scanning/filing. Answered telephones and provided necessary information.
Collaborated with coworkers to efficiently complete assigned tasks.
Managed multiple tasks simultaneously in a fast-paced environment.
Responded quickly to meet customer needs and resolve problems.
Education
High School Diploma - Medical Administration / Electronic Health Records
ASI Career Institute | Turnersville, NJ
High School Diploma - Program in Office Technology
Long Island Business Institute | Commack, NY
Skills
Customer service
Communication
Active listening
Conflict resolution
Adaptability and problem solving
Time management
Organization
Data management
Call center experience
Case management
Emotional Intelligence
Certification
HIPAA for Health Care Workers Certificate # 282332
Personal Information
Title: CUSTOMER SERVICE REPRESENTATIVE
Timeline
Customer Experience Specialist (Remote)
Alignment Healthcare
07.2026 - CurrentRead More
Billing Experience (Remote)
Allara Healthcare
01.2026 - 07.2026Read More
Customer Service Representative (Remote)
Gainwell Technologies
10.2021 - 06.2025Read More
Customer Service Representative (Remote Contract)
Robert Half - Pharmacy
08.2020 - 09.2020Read More
Patient Registration (Contract)
Santamaria Eye Center
01.2020 - 03.2020Read More
Patient Registration (Contract)
Virtua Hospital
08.2019 - 12.2019Read More
Patient Registration (Contract)
Osborn Family Health Center
01.2018 - 07.2019Read More
Long Island Business Institute
High School Diploma from Program in Office Technology
Read More
ASI Career Institute
High School Diploma from Medical Administration / Electronic Health Records
Customer Experience Specialist (Remote) at Enchanted Fairies Fine Portrait StudioCustomer Experience Specialist (Remote) at Enchanted Fairies Fine Portrait Studio