JESSICA RODRIGUEZ
El Paso,USA
Summary
Results-driven healthcare and customer service professional with experience in medical billing, insurance verification, and multi-channel client support. Extensive knowledge of Medicare and the Health Insurance Marketplace, including claims processing, eligibility, and policy updates. Proven ability to manage high call volumes, resolve complex account issues, and ensure accurate documentation while maintaining compliance with industry standards. Recognized for strong problem-solving skills, attention to detail, and delivering efficient, high-quality service in fast-paced environments.
Overview
9
9
years of professional experience
Work History
Census, Medicare and Marketplace Dual CSR
Maximus Federal Services
El Paso, TX
02.2024 - 02.2026
- Provided expert assistance to consumers in evaluating and enrolling in Medicare and health insurance marketplace plans.
- Assisted customers in revising and adjusting plans to optimize their experience and meet evolving requirements.
- Managed support for diverse customer inquiries and account complications, ensuring effective problem-solving and satisfaction.
Medical Billing Associate
Texas Tech University
El Paso, Texas
03.2022 - 01.2024
- Oversaw billing and re-billing processes for claims directed to appropriate payer sources.
- Facilitated communication between business office personnel and department staff to address account-related questions.
- Reviewed and processed by mail or via Healthcare link portal correspondence and paper claims.
- Submitted Form A adjustment request when invoices require manual processing.
- Attended seminars/training sessions to keep current on procedures and processes.
- Executed patient registration and insurance follow-up to streamline financial screening and enhance collection of unpaid balances.
Member Service Representative
DentaQuest
El Paso, Texas
01.2020 - 10.2021
- Responded and resolved internal and external general customer inquiries via verbal and written communications through all channels including phone, email, web portal, and chat interactions.
- Documented all customer interactions.
- Educated customers and dental professionals on eligibility, benefits, claims payment, and authorizations.
Customer Service Representative
Alorica
El Paso, Texas
04.2018 - 10.2018
- Managed incoming calls and logged claims, ensuring accurate filing and processing.
- Provided customer feedback on the root cause of their technical issues and how it will be resolved.
- Familiar with current technology inclusive of an understanding of the functionality of wireless networks.
Busser/Cashier
Casita Linda Mexican Restaurant
El Paso, Texas
01.2017 - 08.2017
- Ensured that empty tables are ready to receive new guests.
- Assisted customers with sales transactions accurately and effectively.
- Assisted in other duties depending on the nature of the restaurant.
Education
Certified Phlebotomist -
Pima Medical Institute
Skills
- English - Native/Bilingual
- Spanish - Native/Bilingual
- Microsoft Office Proficient
- Computer literacy
- Interpersonal Communication
- Problem solving
- Teamwork
- Critical thinking
- Active listening
- Customer service (4 years’ experience)
QUALIFICATIONS
- Phlebotomy Program at Pima Institute
- Blood drawing
- Blood processing
- Blood sampling
- Vitals
- Knowledge of testing
- Knowledge of HIPPA violations
- Patient/Phlebotomy communication and educational skills
- Trained in the acquisition and processing of CLIA waived testing
Timeline
Census, Medicare and Marketplace Dual CSR
Maximus Federal Services
02.2024 - 02.2026
Medical Billing Associate
Texas Tech University
03.2022 - 01.2024
Member Service Representative
DentaQuest
01.2020 - 10.2021
Customer Service Representative
Alorica
04.2018 - 10.2018
Busser/Cashier
Casita Linda Mexican Restaurant
01.2017 - 08.2017
Certified Phlebotomist -
Pima Medical Institute