Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities.
Overview
4
4
years of professional experience
Work History
Dental Customer Service Representative
The Cigna Company Group
07.2023 - Current
Provided courteous and knowledgeable assistance to dental plan members via phone, email, and online chat, addressing inquiries regarding benefits, claims, coverage, and eligibility
Managed approximately 60-80 incoming calls per day from customers
Resolved member concerns promptly and professionally, ensuring positive customer experience and fostering long-term relationships
Navigated and proficiently utilized various systems and databases to accurately document member interactions and update information, maintaining data integrity
Collaborated with internal teams to address complex member inquiries, escalating issues as necessary for swift resolution and ensuring member satisfaction
Stayed informed on evolving dental plans, policies, and procedures to effectively assist members and provide accurate information.
Operations Associate
Medline Industries
09.2020 - 05.2022
Fulfilled roughly 30 work orders per hour in fast pace medical manufacturing environment
Verified items received to items ordered for accuracy
Maintained compliance with safety regulations and achieved perfect safety record.
Implemented quality control measures, reducing errors and enhancing overall product quality.
Oversaw daily operations, ensuring timely completion of tasks and adherence to company policies and procedures.
Specimen Accessioner
Labcorp
05.2020 - 08.2020
Sorted and accessioned approximately 60 specimen orders per hour to adhere with company hourly quota
Verified accuracy and completeness of specimen information, including patient demographics and test orders
Entered specimen data into laboratory information systems (LIS) and maintained database integrity
Mitigated potential errors by double-checking data entry, minimizing instances of incorrect test order submission or mislabeled specimens.
Safeguarded patient privacy through diligent adherence to HIPAA regulations during all stages of accessioning process.
Education
Bachelors of Science - Chemistry
California State University, San Bernardino
San Bernardino, CA
05.2023
Skills
Specimen Accessioning
Laboratory Information Systems (LIS)
Quality Control
Data Entry
Medical Terminology
Attention to Detail
Document Control
Microsoft Outlook
Client Relations
Dispute Resolution
De-Escalation Techniques
HIPPA
Microsoft Office 365
Microsoft Excel expertise
Excellent communication and Interpersonal Skills
Volunteer Experience
Patient Care Assistant, Loma Linda Medical Center, Loma Linda, CA, 200+
Librarian Assistant, Feldheym Public Library, San Bernardino, CA, 100
Tier 2 Application Support Analyst at Evernorth Care Group – The Cigna Group – via MindlanceTier 2 Application Support Analyst at Evernorth Care Group – The Cigna Group – via Mindlance
Assistant Manager- Health Underwriting at Manipal Cigna Health Insurance CompanyAssistant Manager- Health Underwriting at Manipal Cigna Health Insurance Company