Monique Ramos
San Antonio,TX
Summary
Professional advocate with extensive experience in client relations and conflict resolution. Strong focus on team collaboration, achieving results, and adapting to changing needs. Skilled in communication, problem-solving, and empathy, with dependable and flexible approach to challenges.
Overview
7
7
years of professional experience
Work History
Care Coordinator
The Medical Team
San Antonio, TX
09.2018 - 08.2021
- Coordinated in recruiting, hiring, training and scheduling caregivers /CNA to go out to clients homes.
- Verified insurance coverages, generated reports, ensuring clients had active prior authorizations for PAS and Respite Services.
- Clerical duties such as data entry, answering emails, telephone calls, in person interactions with staff and clients.
Care Coordinator
American Medical Home Health Services
San Antonio, TX
08.2021 - 09.2022
- Coordinated in recruiting, hiring, training and scheduling caregivers/CNA to go out to client homes.
- Verified insurance coverages, generated reports, ensuring clients had active prior authorizations for PAS and Respite Services.
- Clerical duties such as data entry, answering emails, telephone calls, in person interactions with staff and clients.
Senior Member Service Representative
Community First Health Plans
San Antonio, TX
10.2022 - 03.2025
- Assisted members and providers with inquiries, providing accurate information on health plan benefits and services.
Member Advocate
Community First Health Plans
04.2025 - 10.2025
- Advocate and resolve member inquiries regarding benefits and services, ensuring clarity and satisfaction.
- Educate members on available resources.
- Mentor, educate and provide resources to my team.
- Respond to emails and task effectively.
Senior Member Advocate
Community First Health Plans
San Antonio, TX
09.2025 - Current
- Advocate and resolve member inquiries regarding benefits and services, ensuring clarity and satisfaction.
- Manage escalated request effectively, working closely with supervisors and service coordination to ensure successful outcomes for members.
- Educate members on available resources and services.
- Assist members with complaints and appeals.
- Respond to emails and task effectively.
- Mentor, educate and provide resources to my team.
Education
High School Diploma -
San Antonio Can High School
San Antonio, TX06-2013
Skills
- Spanish fluency
- Customer service
- Leadership
- Problem-solving abilities
- Multitasking abilities
- Clerical skills
- Mentor
- Microsoft Office
Timeline
Senior Member Advocate
Community First Health Plans
09.2025 - Current
Member Advocate
Community First Health Plans
04.2025 - 10.2025
Senior Member Service Representative
Community First Health Plans
10.2022 - 03.2025
Care Coordinator
American Medical Home Health Services
08.2021 - 09.2022
Care Coordinator
The Medical Team
09.2018 - 08.2021
High School Diploma -
San Antonio Can High School