Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kristina Camacho

San Antonio,Texas

Summary

Healthcare professional with 10+ years of expertise in Medicare and Medicaid enrollment, claims processing, and X12 transaction sets. Proficient in data analysis, compliance, and process improvement. Track record of improving eligibility management and client satisfaction. Looking to apply skills in healthcare operations and customer service in a new role.

Overview

12
12
years of professional experience

Work History

Sr Enrollment & Eligibility – Electronic Data Analyst

UnitedHealthcare
San Antonio, TX
02.2019 - 04.2024

Utilized data analysis and visualization techniques to improve enrollment processes, reducing errors by 20%. I managed Medicare and Medicaid eligibility, processed retroactive updates, and resolved discrepancies in enrollment data, ensuring compliance with healthcare regulations. My contributions directly enhanced client satisfaction and streamlined operations.

SME Enrollment & Eligibility- Enrollment Outreach

UnitedHealthcare
San Antonio, TX
02.2015 - 02.2019

Led outreach for Medicare/Medicaid inquiries and medical records, analyzing enrollment error reports to resolve discrepancies. Trained associates on compliance, performance metrics, and call quality, which enhanced team effectiveness. Managed disenrollment audits, processed disenrollment letters, and provided exceptional service through inbound/outbound inquiries, ensuring accuracy and client satisfaction.

Business Credit Card Specialist II

JP MORGAN CHASE
San Antonio, TX
03.2014 - 02.2015

Resolved customer inquiries regarding payments, account status, and billing issues in a high-volume inbound call center, ensuring prompt and accurate responses. By issuing refunds, credits, and processing account updates, I maintained high customer satisfaction. I consistently met performance metrics and quality standards while advising customers on business credit card services and handling policy renewals.

Technical Support Agent

Conduit
San Antonio, TX
08.2012 - 08.2014

Managed customer service inquiries in a high-volume inbound call center, addressing issues like payments, account status, and billing. I processed refunds, credits, and account updates, resulting in high customer satisfaction. Met productivity targets, adhered to quality metrics, and provided expert advice on business credit cards and policy renewals.

Education

HIGH SCHOOL Diploma -

Holmes/Business Careers High School
San Antonio, TX

Skills

  • Enrollment & Eligibility Management (EDI, X12, 834 Transactions)
  • Medicare and Medicaid Eligibility Operations
  • Data Analysis & Problem Resolution
  • Compliance & Process Improvement
  • Training and Coaching for Teams
  • Stakeholder Relationship Management
  • Member Application Processing
  • Microsoft Office Suite & Advanced Excel Skills
  • Communication: Verbal & Written
  • Data quality assurance processes

Timeline

Sr Enrollment & Eligibility – Electronic Data Analyst

UnitedHealthcare
02.2019 - 04.2024

SME Enrollment & Eligibility- Enrollment Outreach

UnitedHealthcare
02.2015 - 02.2019

Business Credit Card Specialist II

JP MORGAN CHASE
03.2014 - 02.2015

Technical Support Agent

Conduit
08.2012 - 08.2014

HIGH SCHOOL Diploma -

Holmes/Business Careers High School
Kristina Camacho