Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
Activities
sports
Languages
Timeline
Generic

NANCY GONZALEZ

Tucson,AZ

Summary

Bilingual (Spanish-English), highly organized and hardworking individual seeking to explore new carrier. Provide stellar Customer service with 3 plus years' experience. Attentive Medical Assistant with 12 years of experience in performing administrative and clinical tasks. Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over 5 years of managing documentation. Considered team player with exemplary multitasking skills. 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. Current goal is to implement the skills in Customer Service and Medical Assistant to a new career

Overview

6
6
years of professional experience

Work History

Remote Senior Advocate Representative

OptumRx
08.2021 - Current
  • Managed approximately 80 incoming calls, emails and faxes per day from customers
  • Reviewing member's benefits
  • Explaining insurance benefits
  • Setting and updating mail order accounts
  • Ensuring accuracy and client satisfaction
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.

Medical Assistant/Prior Authorization

Genesis OBGYN
01.2019 - 08.2021
  • Scheduled and rescheduled appointments, ensuring optimal patient flow and satisfaction
  • Assisted physicians during exams, improving patient care and efficiency
  • Performed basic laboratory tests, contributing to accurate diagnostics
  • Collected medical histories, enhancing patient record accuracy
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Streamlined submission of prior authorization requests, leading to faster patient access to needed treatments.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Managed high volume of prior authorization requests, consistently meeting deadlines while maintaining attention to detail.
  • Submitted for prior authorization with required documentation to appropriate funding source.
  • Developed strong working relationships with insurance companies to streamline prior authorization processes.

Education

LICENSE MASSAGE THERAPIST - Body Mechanics

CORTIVA INSTITUTE
Tucson, AZ
08.2019

MEDICAL ASSISTANT - Medical Microbiology And Bacteriology

INTERNATIONAL INSTITUTE OF AMERICA
Tucson, AZ
05.2006

Skills

  • Network troubleshooting
  • Remote support tools
  • Attention to detail
  • Team leadership
  • Written and oral communication
  • LiveChat
  • Customer service
  • Problem-solving
  • Customer satisfaction
  • Empathy display
  • Insurance procedures
  • ICD-10 coding
  • CPT coding

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Customer Follow-up - Ensured that customers were satisfied with company products and services by doing purchase follow-up calls.
  • Telephone Service - Professionally processed 80+ calls per day, providing information and service to ensure customer satisfaction.
  • Recognized for outstanding dedication to patient care.
  • Recognized for going above and beyond the call of duty.

Activities

Part-time massage therapist (self-employed), self-motivation, demonstrate good judgment when interacting with guests and team members

sports

Baseball/softball : Currently I am playing on 2 different coed teams. I have played this sport since I can remember; what I have learned from it is determination, concentration and resilience which as become useful in my working career. I have learned that loosing is as equally important as wining. 

Languages

Spanish
Native or Bilingual

Timeline

Remote Senior Advocate Representative

OptumRx
08.2021 - Current

Medical Assistant/Prior Authorization

Genesis OBGYN
01.2019 - 08.2021

LICENSE MASSAGE THERAPIST - Body Mechanics

CORTIVA INSTITUTE

MEDICAL ASSISTANT - Medical Microbiology And Bacteriology

INTERNATIONAL INSTITUTE OF AMERICA
NANCY GONZALEZ