Summary
Overview
Work History
Education
Skills
Timeline
Generic

MAYRA OSORIO

Tustin,CA

Summary

Detailed-oriented with over eight years of experience in administrative work. Seeking to bring administrative skills to improve office efficiency. My strong work ethic will ensure meaningful contributions to your company's goals. Personable and professional under pressure. I am always on time and showing 110% effort.

Overview

12
12
years of professional experience

Work History

Senior Customer Service Representative

CalOptima Health
Orange, CA
01.2024 - Current

Orange

  • Led resolution of complex customer inquiries, improving overall satisfaction rates.
  • Mentored junior representatives, enhancing team performance and service quality.
  • Developed training materials for new staff on customer service protocols and best practices.
  • Implemented process improvements that reduced response times for customer issues.
  • Utilized CRM software to track interactions, ensuring accurate documentation and follow-up actions.
  • Resolved customer service issues using company processes and policies and provided updates to customers.
  • Demonstrated excellent multitasking abilities by managing multiple concurrent tasks while ensuring timely completion.
  • Enhanced customer satisfaction by promptly addressing and resolving complex inquiries and complaints.
  • Trained and directed new employees in call script use, conflict resolution, and data entry practices to boost customer satisfaction ratings.
  • Addressed escalated issues with diplomacy and tact while finding resolutions that satisfied both the client''s concerns and company interests.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.

Customer Service Representative

CalOptima Health
Orange, CA
08.2023 - 12.2024
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Updated account information to maintain customer records.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

Customer Service Representative

CareNational Healthcare Services
Orange County, CA
04.2023 - 08.2023
  • CalOptima Health - Temp
  • Handled customer inquiries and suggestions courteously and professionally.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Met customer call guidelines for service levels, handle time and productivity.

Credentialing and Enrollment Specialist

Nvision Eye Centers
Aliso Viejo, CA
03.2022 - 03.2023
  • Conducted primary source verifications such as background checks and board certifications.
  • Received and evaluated applications to look for missing and inaccurate information, once completed used Smartsheets for note taking.
  • Obtained NPI numbers for 80 providers and facilities and updated existing profiles.
  • Improved office efficiency by effectively managing internal communications and correspondence.
  • Monitored credentials and contacted practitioners when expiration dates were nearing.
  • Finalized and processed enrollment applications.
  • Upload and verify applications to MD Staff Software.
  • Update all provider data into MD Staff Software
  • Conduct calls to payor using contact sheet; Microsoft OneNote

Payor Contracting and Enrollment Specialist

Smile Brands Inc.
Irvine, CA
08.2021 - 03.2022
  • Received and evaluated 30 applications to look for missing and inaccurate information
  • Prepared records for site visits and file audits
  • Conducted primary source verifications such as background checks and board certifications
  • Obtained NPI numbers for providers and facilities and updated existing profiles
  • Contacted insurance carriers to obtain information regarding denials
  • Monitored credentials and contacted practitioners when expiration dates were nearing
  • Assisted clients with completion of applications and paperwork
  • Reviewed statistic enrollment data and prepared reports
  • Updated, entered and reviewed customer data using Excel Spreadsheets

Retail Compliance Coordinator/Contact Center Agent

Smart Circle International LLC
Newport Beach, CA
02.2016 - 07.2021
  • Collaborated with sales and marketing departments and other business units to address indications of improper sales practices and market conduct violations.
  • Identified potential areas of compliance vulnerability and risk to develop and implement corrective action plans.
  • Managed quality programs to reduce overdue compliance activities.
  • Gathered, organized and evaluated data to make accurate assessments of current operations.
  • Used Excel sheets to create reports to keep senior management informed of operations and progress of compliance efforts.
  • Assessed and resolved customer service problems and executed solutions and used Salesforce Software to document.
  • Contacted customers to resolve account delinquency status while minimizing company interest losses.
  • Worked independently and in team environment and inspired fellow employees to engage in high-performing and values-based culture.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Recommended products to customers, thoroughly explaining details.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Handled customer inquiries and suggestions courteously and professionally.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Updated account information to maintain customer records.
  • Responded to customer requests for products, services, and company information.
  • Reached out to customers after completed sales to suggest additional service or product purchases.

Case Manager

Alvandi Law Group
Irvine, CA
11.2014 - 02.2016
  • Prepared for trials by organizing exhibits and other key evidence.
  • Worked with attorneys, administrative assistants and fellow legal assistants.
  • Contacted clients to schedule appointments and discuss progress of cases.
  • Filed all court documents on behalf of attorneys.
  • Met with clients to update them on progress of cases.
  • Produced legal documents such as briefs, pleadings and appeals.

File Clerk

Alvandi Law Group
Irvine, CA
07.2014 - 11.2014
  • Handled customer inquiries and suggestions courteously and professionally.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Answered constant flow of customer calls with minimal wait times.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Updated account information to maintain customer records.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

Education

Psychology

Irvine Valley College
Irvine, CA
2014

High School Diploma -

Tustin High School
Tustin, CA
2012

Skills

  • Documentation and reporting
  • Logging call information
  • Customer Relationship Management
  • Inbound phone calls
  • Problem-solving skills
  • Credentialing Process
  • Compliance Reporting
  • Multitasking and Time Management
  • Spreadsheet Management
  • Data Entry Documentation
  • Bilingual -Spanish

Timeline

Senior Customer Service Representative

CalOptima Health
01.2024 - Current

Customer Service Representative

CalOptima Health
08.2023 - 12.2024

Customer Service Representative

CareNational Healthcare Services
04.2023 - 08.2023

Credentialing and Enrollment Specialist

Nvision Eye Centers
03.2022 - 03.2023

Payor Contracting and Enrollment Specialist

Smile Brands Inc.
08.2021 - 03.2022

Retail Compliance Coordinator/Contact Center Agent

Smart Circle International LLC
02.2016 - 07.2021

Case Manager

Alvandi Law Group
11.2014 - 02.2016

File Clerk

Alvandi Law Group
07.2014 - 11.2014

Psychology

Irvine Valley College

High School Diploma -

Tustin High School
MAYRA OSORIO