Jennifer Yvette Rendon
Elk Grove,CA
Summary
Experienced professional with a strong background in processing, known for improving operational efficiency and maintaining accuracy in documentation. Client support specialist dedicated to enhancing retention, brand trust, and loyalty. Collaborative team player focused on delivering results and adapting to changing requirements. Skilled in data management and compliance with regulatory standards.
Overview
16
16
years of professional experience
Work History
Customer Service Representative
Anthem Blue Cross
07.2019 - 07.2025
- Utilization and knowledge of multiple health care system processes.
- Knowledge of claims processing and payment adjustment.
- Managed high-volume calls while maintaining professionalism and empathy in interactions involving HIPPA sensitive practices.
- Advocated for members/patients through their health care needs, establishing trust, customer retention and loyalty.
- Dialog with Health Care Professionals, billing, internal health insurance departments to carry out customer needs.
- Trained new staff on customer service best practices and company policies for improved support.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Member Level Processor
Blue Shield of California, El Dorado Hills, CA with Volt
08.2018 - 07.2019
- Process new member additions, enrollments, eligibility updates and reports within established production and quality standards.
- Reviews accuracy of data entered against source documents. Identifies and resolves issues with enrollment information and member eligibility.
- Regularly contacts internal and external customers and business partners to verify or obtain additional information to complete processing work and verify member eligibility/data
- Uses daily reports to manage eligibility for electronic groups.
- Acts as mentor to new team members
- Responsible for researching and correcting Personal Care Provider (PCP) errors in Facets
Large Group Member Processor
Blue Shield of California, El Dorado Hills, CA with Volt
08.2016 - 12.2016
- Process health data using automated systems within set standards.
- Handle group changes like renewals, installations, billing updates, address modifications.
- Resolve enrollment and eligibility issues.
- Enter correct codes; research to solve problems.
- Contact staff internally and externally to verify and resolve information.
- Support office with clerical tasks as needed.
- Maintain database input.
- Access and update complex screens.
- Ensure data accuracy; comply with regulations.
- Apply Blue Shield knowledge in group building.
- Process cancellations; interact with Sales, Brokers, employer groups.
Customer Service Representative/ Data Analyst
Maximus Federal Services, Rancho Cordova, CA with Aerotek
11.2014 - 02.2016
- Contracted for Health Net Federal Services Veteran Assistance.
- Assisted U.S. veterans in selecting healthcare providers across specialties and resolved high volume calls with exceptional solutions.
- Scheduled health appointments for veterans.
- Reviewed and processed large volumes of medical documentation.
- Communicated with customers and providers regarding updates on medical records.
- Verified appointments, requested medical records for services, and processed payments upon record verification.
- Reported follow-up service requests and arranged necessary actions for veterans.
- Reviewed health care evaluations to obtain additional authorizations for effective care paths.
Filing Clerk and Client Service Representative
Hospice and Interim Health Care with Staff World Services, Sacramento, CA
09.2014 - 10.2014
- Assisted in new referral intake
- Organized and maintained confidential patient files to ensure compliance with health regulations.
- Process and scan files to be entered into computer in digital health care database.
- Use scanners to convert forms, receipts, and reports into electronic format.
- Assist with patient files, Medical records, MD orders, payroll collection functions.
- Complete other assignments as requested and assigned.
Office Assistant
Camco Real Estate, Sacramento, CA
01.2014 - 06.2014
- Answer phone calls
- Assist Real Estate Agent with open listings
- Schedule appointments with clients; initial contact and property showing.
- Coordinate all transactions/communication between clients and vendors (lenders, inspectors, title companies)
- Organize and File records
Front Desk Supervisor
Holiday Inn Express and Suites, Sacramento, CA
12.2009 - 11.2012
- Implemented sales initiatives, boosting occupancy and profitability.
- Registered guests and issued room keys.
- Maintained professional guest interactions.
- Built strong interdepartmental relationships.
- Monitored room availability via Opera software.
- Supervised 5 front desk staff members.
- Oversaw front desk staff appearance and performance.
- Collaborated with Sales on marketing projects.
Education
General Education
American River College
05.2014
High School Diploma - undefined
Keema High School
01.2007
Skills
- Health Care insurance knowledge
- Client relations specialist
- Experience in maintaining HIPAA standards
- Excel data analysis skills
- Health services facilitator
- Client assistance coordinator and support
- Claims processing expertise
- Data Entry Processor
- Bilingual communication in English and Spanish
- Digital communication tools
- Efficient typing skills at 40 WPM
- Critical thinking
- Recordkeeping proficiency
- Document and medical record management
- Teamwork and collaboration
Timeline
Customer Service Representative
Anthem Blue Cross
07.2019 - 07.2025
Member Level Processor
Blue Shield of California, El Dorado Hills, CA with Volt
08.2018 - 07.2019
Large Group Member Processor
Blue Shield of California, El Dorado Hills, CA with Volt
08.2016 - 12.2016
Customer Service Representative/ Data Analyst
Maximus Federal Services, Rancho Cordova, CA with Aerotek
11.2014 - 02.2016
Filing Clerk and Client Service Representative
Hospice and Interim Health Care with Staff World Services, Sacramento, CA
09.2014 - 10.2014
Office Assistant
Camco Real Estate, Sacramento, CA
01.2014 - 06.2014
Front Desk Supervisor
Holiday Inn Express and Suites, Sacramento, CA
12.2009 - 11.2012
High School Diploma - undefined
Keema High School
General Education
American River College
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