Natalia Ordorica
Tyler,TX
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Pharmacy Service Representative
ContinuumGlobal
06.2020 - 06.2023
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Managed high call volumes while providing exceptional customer support and maintaining professional composure.
- Mastered multiple software systems for seamless navigation during calls, improving efficiency and reducing hold times for customers.
- Established trust with clients by accurately addressing their concerns and offering appropriate resolutions based on their needs.
- Developed rapport with customers through empathetic listening skills, creating positive experiences even during difficult conversations.
- Exceeded monthly performance metrics consistently, contributing to the success of the call center operations.
Prior Authorization Representative
UT Health
02.2019 - 04.2020
- Provided exceptional customer service, addressing inquiries from both patients and healthcare providers promptly and professionally.
- Verified eligibility and compliance with authorization requirements for service providers.
- Ensured compliance with HIPAA regulations by maintaining strict confidentiality in handling sensitive patient information.
- Streamlined workflow for faster approval turnaround times, handling high volume of insurance verification tasks.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
Assistant Store Manager
WHATABURGER
03.2015 - 02.2019
- Monitored cash handling procedures closely to prevent theft or discrepancies in revenue reporting accurately.
- Improved customer satisfaction by implementing efficient service strategies and maintaining a clean, organized restaurant environment.
- Resolved customer complaints promptly and professionally, resulting in increased loyalty and repeat business.
- Scheduled staff shifts efficiently while balancing labor costs against anticipated business demands.
Education
High School Diploma -
Robert E Lee High School
Tyler, TX08.2015
Skills
- Data Entry
- Verbal and written communication
- Building rapport
- Patient confidentiality
- Insurance Verification
- HIPAA Regulations
- Microsoft Office
- Call Documentation
Certification
- CMC - Certified Medical Coder
- CBCS - Certified Billing and Coding Specialist
Timeline
Pharmacy Service Representative
ContinuumGlobal
06.2020 - 06.2023
Prior Authorization Representative
UT Health
02.2019 - 04.2020
Assistant Store Manager
WHATABURGER
03.2015 - 02.2019
High School Diploma -
Robert E Lee High School
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