Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mikayla Rodriguez

Moreno Valley,CA

Summary

Empathetic and detail-oriented Correspondence phone support with proven experience in healthcare member support, specializing in Medi-Cal correspondence and phone support. Adept at providing compassionate, knowledgeable assistance to diverse populations, including low-income families and individuals with complex healthcare needs. Skilled in resolving member concerns regarding eligibility, benefits, pharmacy, and billing through both written and verbal channels, while proactively identifying and preventing future issues. Known for delivering an effortless customer experience by taking ownership of each interaction, fostering trust, and providing clear, accurate guidance. Proficient in multi-tasking across dual monitors, utilizing Excel for premium calculations, and navigating multiple healthcare systems. Committed to upholding the mission of delivering service worthy of our family and friends through empathy, advocacy, and clear communication. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Overview

6
6
years of professional experience

Work History

Texas Health and Human Services Advisor 2

Texas Health and Human Services
06.2022 - 07.2024
  • Managed processing of food stamps and Medicaid.
  • Completed required training courses for Medicaid and snap
  • programs
  • Able to process cases in reasonable time frames
  • Ensure that job seekers are aware of and have access to
  • available financial assistance programs and resources to
  • support their job search and employment goals
  • Conduct ongoing research and stay updated on the latest
  • changes and updates in Medicaid and SNAP programs to
  • ensure accurate and up-to-date information is provided to
  • clients
  • Educate job seekers on the eligibility requirements and
  • application process for government assistance programs such
  • as food stamps, Medicaid, and snap programs
  • Provide guidance and support to job seekers in navigating the
  • Texas Health and Human Services website and online

MEDICAL CUSTOMER SERVICE REPRESENTATIVE

Harte Hanks
01.2021 - 04.2021
  • Address and resolve patient inquiries and complaints through various communication channels.
  • Schedule and confirm patient appointments, ensuring efficient use of clinic resources.
  • Verify insurance coverage and handle pre-authorization processes to facilitate patient care.
  • Educate patients on billing processes, including payment plans and insurance benefits.
  • Maintain accurate patient records in Electronic Health Records (EHR) systems.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Goal-oriented professional with proven success in applying analytical skills to solve complex problems and overcome challenges. Dedicated to enhancing team performance and driving business success.

PATIENT Insurance Verification

Christus Saint Elizabeth Hospital
01.2018 - 12.2018
  • Facilitated patient check-ins and check-outs, ensuring smooth and efficient registration processes.
  • Handled high-volume patient inquiries regarding appointments, billing, and insurance with professionalism and empathy.
  • Ensured accuracy in claim submissions through thorough insurance authorizations.
  • Coordinated appointment scheduling and rescheduling, optimizing the clinic’s workflow and reducing wait times.
  • Resolved patient concerns and escalated complex issues to appropriate departments, maintaining high patient satisfaction.
  • Maintained accurate patient records and upheld HIPAA standards, safeguarding confidential information.

Education

Behavioral Sciences

Grand Canyon University
Phoenix, AZ
01.2027

Skills

  • Customer Service Excellence
  • Verbal and Written Communication
  • Conflict Resolution
  • Problem Solving
  • Claims Processing
  • Healthcare Benefits Knowledge
  • Time Management
  • Multitasking
  • Active Listening
  • Attention to Detail
  • Team Collaboration
  • CRM Software Proficiency
  • Relationship Building
  • Goal-Oriented Sales Approach

Timeline

Texas Health and Human Services Advisor 2

Texas Health and Human Services
06.2022 - 07.2024

MEDICAL CUSTOMER SERVICE REPRESENTATIVE

Harte Hanks
01.2021 - 04.2021

PATIENT Insurance Verification

Christus Saint Elizabeth Hospital
01.2018 - 12.2018

Behavioral Sciences

Grand Canyon University