Jacqueline Gonzalez
Dedicated and bilingual customer service professional with experience in remote support, claims and benefits assistance, client communication, and high-volume call handling. Strong background in medical administration, pharmacy operations, and insurance coordination. Skilled in resolving concerns, supporting members with coverage questions, and maintaining accurate documentation. Fluent in English and Spanish with a proven ability to assist diverse customers with professionalism and care.
Experienced with patient scheduling, medical billing, and administrative support. Utilizes organizational skills and attention to detail to maintain efficient office operations. Knowledge of medical terminology and healthcare regulations ensures compliance and accurate patient records.
Work History
Provider
1 Year 3 Months- Monitored client conditions and reported changes promptly to care team.
- Supported medication reminders and ensured adherence to daily care routines.
- Prepared nutritious meals and maintained safe, clean living environments.
- Documented client activities, observations, and services accurately for continuity of care.
- Maintained client dignity, privacy, and comfort during all care interactions.
Medical Office Specialist
1 Year- Scheduled appointments, managed referrals, and coordinated procedures using eClinicalWorks
- Verified insurance coverage, obtained authorizations, and updated patient accounts
- Collected payments and maintained accurate medical and billing documentation
- Communicated with patients and providers while adhering to HIPAA guidelines
Pharmacy Technician Trainee
2 Years 1 Month- Processed prescriptions, verified dosages, and communicated with prescribers and patients
- Assisted with insurance coordination, billing issues, and claim discrepancies
- Managed inventory, processed payments, and handled high-volume prescription fulfillment
Customer Service Representative
1 Year 11 Months- Provided member support for Centene Corporation health insurance plans, including eligibility, benefits, claims, and coverage clarification
- Resolved billing issues, guided members through referrals, authorizations, and benefit usage
- Assisted callers with account setup, online portal access, and navigation support
- Documented interactions in CRM systems with accuracy and compliance
- Escalated complex issues to care management, provider relations, or claims specialists
- Met performance goals including first-call resolution and customer satisfaction standards
- Remote