Monica Quiroz
Manvel,Tx
Summary
Dedicated and results- driven advocate with a proven track record of providing exceptional customer service and support within the healthcare industry. Passionate about assisting individuals and navigating complex healthcare systems. Seeking to leverage my experience and expertise as a Service Hero at United Healthcare to make a positive impact on the lives of members, and enhance overall satisfaction.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Advocate4Me Representative
UnitedHealthcare
05.2022 - Current
- Provide Frontline support for members, assisting with inquiries, concerns, and complaints regarding their healthcare coverage and benefits.
- Advocate on behalf of members to ensure they receive timely and appropriate care. Coordinating with healthcare providers and facilities, resolving issues, and disputes promptly, and effectively driving to achieve satisfactory outcome for all parties involved.
- Collaborate with internal teams, including claims, billing, and enrollment departments to address members' needs and improve overall service delivery.
- Participated in specials projects such as Housecalls, broker calls, secured emails, DocDna, and rewards escalation.
- Participate in ongoing training and professional development activities to stay up-to-date on industry, trends, best practices, and company procedures.
Patient Advocate/ Bariatric Coordinator
UT Health
05.2018 - 05.2022
- Helped patients file appeals to insurance denials and worked with insurance companies to resolve disputes
- Reviewed all patient paperwork for accuracy, including claims, bills and medical documents
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage and payment
- Responded to patient concerns and questions with compassionate and knowledgeable service
Office Manager/Front Office
Commercial Sandblast Company
01.2008 - 01.2017
- Accounting, Finance, Administrative Assistant duties, excellent Customer Service support, and Human Resources
- Greeted numerous visitors, including VIPs, vendors and interview candidates
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
Education
High School Diploma -
South Hills High School
West Covina, CA06.2003
Skills
- Excellent Customer Service/Support
- Fluent in Spanish
- NPS Champion
- Compliance Champion
- EEX Consultant
- Maestro
- Doc360
- EWD
- Iset
- I-cue
- Marx
- InComm
Certification
- CPR certified through American Heart Association
- M&R 1 Certification
Timeline
Advocate4Me Representative
UnitedHealthcare
05.2022 - Current
Patient Advocate/ Bariatric Coordinator
UT Health
05.2018 - 05.2022
Office Manager/Front Office
Commercial Sandblast Company
01.2008 - 01.2017
High School Diploma -
South Hills High School