Leticia Rubalcaba
Riverside,CA
Summary
Self motivated and highly organized Member Services Representative with a year of experience on the medical side and three months on the Medicare side. Able to multitask in a high-paced environment. Comprehensive background with Medi-cal, Medicare, HMO's and Managed Care.
Overview
14
14
years of professional experience
Work History
Member Service Representative -Medicare
IEHP
Rancho Cucamonga, CA
11.2020 - Current
- Manage customer conflicts and challenging situations by staying calm and accessing job aids to develop strategic solutions.
- Display strong telephone etiquette, effectively handling difficult calls.
- Handles client inquiries with exceptional professionalism and enthusiasm.
- Provide customer service and issue resolution while working hard to keep a high QA score.
- Supported new team members through The Buddy Program on the Medical side.
- Participated in R.E.A.I.M prior to assisting the Medicare team from September2021-December 2021.
Certified Enrollment Counselor
Central City Community Health Center
Norco, CA
06.2017 - 04.2020
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Handled all delegated tasks, including keeping a spreadsheet of monthly enrollments and verifying eligibility at the beginning of the month.
- Assisted with placement of patients to Adult Day Health Care Program (ADHC), and Health Homes program.
- Provided excellent service and attention to patients when face-to-face or through phone conversations.
- Kept an organized work environment.
- Assisted with marketing and health fair events.
Brand Ambassador
M2w Inc.
Glendora , CA
05.2014 - 03.2020
- Created positive and rewarding client experiences through warm and friendly customer interactions.
- Collaborated with customer service team members to assist with product information and provided outstanding service.
- Organized and carried out promotional events by setting up and tearing down event sites, interacted with potential customers.
- Promoted T-Mobile/Metro PCS products by educating customers and potential customers about current promotions.
- Took high-quality photographs of products and customers to support social media campaigns.
Medical Assistant
Central City Community Health Center
Norco, CA
06.2015 - 06.2017
- Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
- Conducted patient interviews to gather health history, vital signs and information about current medical issues.
- Assisted physicians by checking vital signs and preparing patients for procedures, including EKGs, phlebotomy, glucose testing and pulmonary function tests.
- Responsible for organizing 50+ charts, documents and verifying eligibility before appointments.
- Responsible for all faxes, medical records and all telephone calls that came in.
Medical Assistant
Family Specialty Care Medical Group
Chino, CA
10.2012 - 03.2015
- Assisted provider by preparing patients for procedures, including EKGs, Pap smears, phlebotomy, glucose testing and pulmonary function tests.
- Conducted patient interviews to gather health history, vital signs and information about current medical issues.
- Prepared prescription refill requests on behalf of physician to prevent lags.
- Experienced in front and back office, controlling patient flow, collecting payments, verifying insurance and assisting in delivery of quality healthcare.
- Kept facility stocked with necessary supplies, equipment and instruments.
- Verified appointment times with patients, prepared charts, pre-admission and consent forms.
Shift Supervisor
Jack In The Box
Pomona, CA
11.2010 - 03.2015
- Kept areas clean, neat and inspection-ready at all times to comply with product guidelines.
- Set up, adjusted and maintained machines to operate at peak levels and meet challenging demands.
- Completed opening and closing duties to facilitate business operations.
- Assisted upper management with daily operations to meet standards of service and quality.
- Enforced safety protocols to promote cost-effective and safe handling of equipment and materials.
- Responsible for multitasking in a fast-paced environment.
Education
Bachelor of Science - Health Administration
University of Phoenix
Tempe, AZ08.2024
Medical Assistant Certificate - Medical Assistant
UEI College
Ontario, CA09.2012
High School Diploma -
Pomona High School
Pomona, CA06.2010
Some College (No Degree) - Pre-Allied Health, Biology
Citrus Community College
Glendora, CASkills
- HIPAA compliance
- Medical Terminology
- Medical Records
- Ability to type 55 WPM
- Microsoft Word
- Microsoft Excel
- Bilingual in Spanish
- Customer Service
- Outreach
- Community Liason
Timeline
Member Service Representative -Medicare
IEHP
11.2020 - Current
Certified Enrollment Counselor
Central City Community Health Center
06.2017 - 04.2020
Medical Assistant
Central City Community Health Center
06.2015 - 06.2017
Brand Ambassador
M2w Inc.
05.2014 - 03.2020
Medical Assistant
Family Specialty Care Medical Group
10.2012 - 03.2015
Shift Supervisor
Jack In The Box
11.2010 - 03.2015
Bachelor of Science - Health Administration
University of Phoenix
Medical Assistant Certificate - Medical Assistant
UEI College
High School Diploma -
Pomona High School
Some College (No Degree) - Pre-Allied Health, Biology
Citrus Community College
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