Summary
Overview
Work History
Education
Skills
PROFESSIONAL QUALIFICATIONS
RELEVANT EXPERIENCE
Languages
Timeline
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Margarita Riojas

San Antonio

Summary

Professional with strong background in customer interactions and service solutions. Highly skilled in conflict resolution, communication, and problem-solving, ensuring customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs, and consistently focused on achieving results through efficient and empathetic service. Known for reliability and proactive approach to meeting customer and organizational goals.

Overview

7
7
years of professional experience

Work History

PA Investigation Analyst

Accenture
04.2021 - 04.2022

Assisted residents from Massachusetts with their insurance premiums. If they qualified we would pay their premiums. I assisted them by getting their Insurance provider information, pay stubs, ID's. Check if anyone in their family has medicaid. Check systems to verify information, toggle back and forth. I had to investigate all the information to get them qualified.

Customer Service Specialist

QVC
01.2020 - 01.2021

Care Provider

Senior Buddies
01.2015 - 01.2020

Customer Service Representative

UMR
06.2016 - 12.2018

Assisted Customers with their EOB Explanation of Benefits, In and out of Network Physicians, hospitals, Dr.'s offices. Explained and educated customers with their Deductible's, Office Co-Pay, out of pocket expenses. Who is eligible in their family plans.

Education

Billing And Coding - Home Health Aide Certificate

Excel Learning Center
San Antonio, TX
06.2015

GED -

Edgewood School District
San Antonio, TX

Skills

  • Microsoft office
  • Analytical thinking
  • MS Excel
  • Time management
  • Telephone Etiquette
  • Communication
  • Attention to detail
  • Critical thinking
  • Data processing
  • Continuous improvement
  • Root-cause analysis
  • Problem Solving
  • Bilingual

PROFESSIONAL QUALIFICATIONS

  • Over 10 years of Data Entry and courtesy Customer Service Representative experience.
  • Pride In always maintaining a professional work ethic.
  • Developed excellent communication skills, (Bilingual Spanish Language)
  • Proficient in completing any task that is set before me to meet performance goals.
  • Effective organizational skills with the ability to utilize my exceptional time management skills.

RELEVANT EXPERIENCE

  • Home Health Care Provider
  • Home Management and Care Planning
  • Empathy and compassion
  • Prescription Medication Management
  • Help with Personal Hygiene and Care
  • Assisting with Meals and Nutrition
  • Customer Service
  • Assisted in resolving customer billing issues and service complaints.
  • Served the customer both in person and over the phone.
  • Created a warm welcoming atmosphere for my staff and customers to have a pleasant experience.
  • Maintained quality control service procedures for customer satisfaction.
  • Inbound and outbound calling services offered solutions and instructions on resolving client questions.
  • Delivered and educated customers on policies and procedures
  • Medical Training
  • ICD-9, CPT, HCPCS Coding, 1500 Claim Form, Insurance Verification, Billing Procedures
  • Patient triage, vital signs, patient education, maintained and organized patient records
  • Infection Control, OSHA, HIPAA, CPR, First Aid, AED

Languages

Spanish
Native or Bilingual

Timeline

PA Investigation Analyst

Accenture
04.2021 - 04.2022

Customer Service Specialist

QVC
01.2020 - 01.2021

Customer Service Representative

UMR
06.2016 - 12.2018

Care Provider

Senior Buddies
01.2015 - 01.2020

Billing And Coding - Home Health Aide Certificate

Excel Learning Center

GED -

Edgewood School District