Justice Elizalde
Pomona,CA
Summary
Ambitious professional driven to launch career in health care administration Abide by HIPAA Law Customer-focused Representative with a proven capacity to trouble shoot issues to ensure customer satisfaction. Call Center Representative versed in customer support in high volume environments. Superior computer skills and telephone etiquette. Team-oriented Retail Sales Associate who works well in a collaborative environment yet thrives on personal achievements. Highly effective at handling confidential information and identifying system improvements with ease.
Overview
9
9
years of professional experience
Work History
Call Center Representative
Emanate Health Orthopedics
02.2023 - Current
- Responded to customer calls and emails to answer questions about our services.Adhered to company policies and scripts to consistently achieve call-time and qualityMet customer call guidelines for service levels, handle time and productivity.Investigated and resolved patient inquiries and complaints quickly.Handling over 80+ of inbound calls a day and meeting a goal of under 5 minutes per call.Knowledge of insurance policies, insurance portals, authorizations, and orders
Jr. insurance specialist & cALL CENTER REPRESENATIVE
PLANNED PARENTHOOD OF ORANGE COUNTY AND SANBERNARDINO COUNTY
03.2017 - 06.2021
- Working for Planned Parenthood we take care of a variety of Health Centers throughout Orange County and San Bernardino County scheduling patients in a timely and accurate fashionAlways maintain up-to-date recordsAbide by the HIPAA law, Formulated and enforced Service and Health Center policies, procedures and quality assurance measuresVerified Commercial Insurances along with Medi-Cal, Cal-Optima EtcProvide accurate and appropriate information in response to customer inquiries, Negative test results, Medical Scripts that are gone over with Patients while scheduling appointmentsAs an Insurance Specialist we perform tasks such as creating spread sheets on excel on a monthly basis to be reviewed and approved by the patient services director, contact health insurance companies to request eligibility and benefits for out of network services.
ATTENDANT
ATTRACTION, DISNEYLAND RESORT, ANAHIEM
07.2015 - 07.2016
- Cross-trained and provided back-up for other attraction host, made sure children were the appropriate height to ride, inspect for wear and tear, stopped vehicles and exit passengers off the attraction in case of an emergencyAlways keeping an eye out for guests’ safety, opening/closing check list safety procedures before and after operating all the attractions.
Education
Pomona United Adult School
Pomona, CASkills
- Appointment Scheduling
- Scripted Calls
- Call Center Operations
- Administrative and Office Support
- Inbound Phone Call Management
- Typing 50 WPM
- Excellent Multi-tasker
- Routing Calls
- Commercial Insurance Verification
- Cold Calling
- High customer service standards
- Microsoft Word & Excel
Timeline
Call Center Representative
Emanate Health Orthopedics
02.2023 - Current
Jr. insurance specialist & cALL CENTER REPRESENATIVE
PLANNED PARENTHOOD OF ORANGE COUNTY AND SANBERNARDINO COUNTY
03.2017 - 06.2021
ATTENDANT
ATTRACTION, DISNEYLAND RESORT, ANAHIEM
07.2015 - 07.2016
Pomona United Adult School