MONICA RODRIGUEZ
Ramona,CA
Summary
Qualified Member Services Representative with 5 years in fast-paced customer service and call center environments. Honorable and professional under pressure. I am a self-motivated, reliable and responsible hard working mother of one. I believe myself to be a team player and adaptable to all challenging situations.
Overview
6
6
years of professional experience
Work History
MEMBER SERVICE REPRESENTATIVE
PALOMAR HEALTH GROUP
ESCONDIDO
01.2018 - 01.2022
- Provided stellar customer service, while knowledge and performance of HIPPA
- Completed 40-60 referrals daily
- Prioritized urgent request submitted hourly to meet compliance
- Handled customer complaints in an efficient and courteous manner
- Answered incoming calls regarding patients referrals, urgent referrals, hospital admissions, etc
- Awareness of CPT, ICD and DX codes
- Exceeding skills on MS Word, MS Outlook & Spreadsheets
- Completed referral process daily in order to meet health plan deadlines
- Contacted health plans, patients and/or medical offices for any clarification needed on orders/eligibility
- Handled office duties in regards to in/out mail, filing and organization
VISUAL EMPLOYEE
FOREVER 21
EL CAJON
01.2017 - 01.2018
- Assisted management with visual store performance
- Provided greetings to walk in customers
- Appointed customer service and register responsibilities
- Shipment knowledge and placement for organization of clothing/product
- Recovery authority to maintain store hygiene/cleanliness
- Categorize store outcome
RECEPTIONIST
CC'S HAIR SALON
SANTEE
01.2016 - 01.2017
- Greeted visitors and provided them with assistance.
- Prioritized customer service
- Booked, confirmed and cancelled appointments
- Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
- Maintained, organized and managed salon up to according standards
- Inventory check and stocking current products for customers to visualize and purchase
Education
HIGH SCHOOL DIPLOMA -
01.2016
Skills
- Resourceful Coordinator
- Customer Service
- Insurance knowledge
- Healthcare knowledge
- Account Management
- Policy understanding
- Customer Support
Affiliations
- DIY Decor
- Gardening
- Toddler Activities
- Drawing/Painting
Timeline
MEMBER SERVICE REPRESENTATIVE
PALOMAR HEALTH GROUP
01.2018 - 01.2022
VISUAL EMPLOYEE
FOREVER 21
01.2017 - 01.2018
RECEPTIONIST
CC'S HAIR SALON
01.2016 - 01.2017