Jacquelyn Montoya
Phoenix,AZ
Summary
Proven track record in enhancing customer satisfaction and streamlining operations, as demonstrated at State Farm through expert risk assessment and superior communication skills. Adept at insurance verification and compassionate care, consistently achieving high customer satisfaction ratings. Skilled in both technical knowledge and fostering positive relationships, I excel in fast-paced environments requiring attention to detail and ethical professionalism. Hardworking Medical Assistant brings top-notch abilities in reception and clerical work. Equipped to handle fast-paced office operations with continuous flow of patients and assignments. Meticulous in completing assignments and always ready to help team members.
Overview
7
7
years of professional experience
Work History
Claims Adjuster
State Farm
Tempe, AZ
09.2023 - Current
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Evaluated insurance policies and analyzed damages to determine coverage.
Medical Assistant
Sahara Behavioral Health
Glendale, AZ
06.2021 - 08.2023
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Enhanced clinic efficiency by thoroughly documenting patient information and updating electronic health records.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Bowling Attendant
Main Event
Avondale, AZ
06.2019 - 02.2020
- Handled cash transactions accurately while maintaining strong attention to detail during busy periods of operation.
- Assisted customers with lane set-up, shoe rental, and equipment selection for optimal performance.
- Ensured smooth transitions between groups by efficiently resetting lanes and managing waitlists.
- Fostered positive relationships with regular customers through attentive service delivery that catered specifically to their needs on each visit.
- Adapted quickly during unexpected situations such as power outages or equipment malfunctions to keep business running smoothly without compromising customer satisfaction.
- Created a welcoming atmosphere by greeting customers enthusiastically upon arrival and thanking them as they left the establishment.
- Resolved customer complaints professionally and effectively to maintain high satisfaction rates among patrons.
- Supported marketing efforts by assisting in the promotion of special offers, events, and discounts available at the facility.
Restaurant Hostess
Augies Sports Grill
Litchfield Park, AZ
02.2017 - 05.2018
- Demonstrated strong multitasking skills by handling telephone inquiries while attending to in-person guest needs seamlessly.
- Handled high-pressure situations gracefully, managing multiple tasks simultaneously while maintaining a calm demeanor.
- Answered customer questions about hours, seating, and menu information.
- Maintained an organized waitlist for busy times, ensuring efficient seating of guests.
- Enhanced customer satisfaction by greeting and seating guests promptly upon arrival.
- Took reservations and to-go orders by phone, answered customer questions, and informed of accurate wait times.
- Provided exceptional service through friendly interactions with customers, answering questions and addressing concerns.
- Contributed to a positive team atmosphere by supporting coworkers during peak hours or when understaffed.
- Collaborated with servers to ensure smooth transitions between tables, minimizing wait times for guests.
Education
Certification of Medical Assisting With Phlebotomy - Medical Assisting
Arizon College Of Allied Health
Glendale04.2021
Skills
- Highly motivated
- Advanced oral and written communication skills
- Risk Assessment
- Insurance policy coverage knowledge
- Technical knowledge
- Quality Control
- HIPAA Compliance
- Patient Scheduling
- Customer Service
- Medical terminology knowledge
- Vital Sign Monitoring
- EMR / EHR
- Clinical Documentation
- Phlebotomy
- Reliable team player
- Electronic Health Records
- CPR
- Immunization Administration
- Specimens collection and processing
- Professionalism and Ethics
- Insurance Verification
- Appointment Setting
- Compassionate caregiver
Languages
Spanish
Limited Working
Timeline
Claims Adjuster
State Farm
09.2023 - Current
Medical Assistant
Sahara Behavioral Health
06.2021 - 08.2023
Bowling Attendant
Main Event
06.2019 - 02.2020
Restaurant Hostess
Augies Sports Grill
02.2017 - 05.2018
Certification of Medical Assisting With Phlebotomy - Medical Assisting
Arizon College Of Allied Health