Summary
Overview
Work History
Education
Skills
Volunteerworkhistory
Languages
Timeline
Generic

Nathali Ramirez

Surprise,AZ

Summary

Customer Service Representative with over 5 years of experience in telephone customer service including sales, customer care, and tech support. Familiar with major customer service software. Conflict resolution, and possess a positive attitude. Outgoing, and efficient with the capacity to multi-task. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

11
11
years of professional experience

Work History

Sales Associate Manager

Gap Outlet Store
10.2013 - 05.2024
  • Received and processed cash and credit payments for in-store purchases
  • Described use and operation of merchandise to customers
  • Exceeded targeted sales goals by 20%
  • Opened and closed the store, including counting cash, opening cash registers and creating staff assignments
  • Worked as a team member to provide the highest level of service to customers
  • Verified that all merchandising standards were maintained on a daily basis.
  • Handled customer relations issues, enabling quick resolution, and client satisfaction.
  • Managed a team of sales associates, providing guidance and support to improve overall performance.
  • Enhanced store presentation by optimizing store layout, visual merchandising, and promotional materials.
  • Collaborated with sales leadership to drive prospecting and enhance engagement through sales promotions.
  • Led staff meetings to discuss customer service and sales goals, operational problems or procedural changes.
  • Resolved customer issues quickly to close deals and boost client satisfaction.
  • Closed lucrative sales deals using strong negotiation and persuasion skills.
  • Coached and counseled sales personnel, assisting with individual selling efforts and helping sales representatives reach targets.

Customer Services Rep/Biller

Sonora Quest Laboratory
02.2017 - 01.2019
  • Receives incoming calls from patient and providers in reference to payment issues, perceived inappropriate patient service and update on insurance date
  • Responsible for determining nature of calls and documenting via claim system an appropriate associated reason code
  • Effectively research, resolve and respond to billing issues accurately and expeditiously
  • Supplies support function to reimbursement area in posting zero payment explanation of payments from insurance companies
  • Monitor patient account providing account reconciliation to facilitate prompt payment and prevent inappropriate transfers to the outside collection agency
  • Responsible for cross-functional assistance with EOB adjustments, Bad Debt Recovery Trailer Entry and Cash Payment mailing.
  • Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
  • Kept all patient information secure and confidential.
  • Followed up with appropriate parties to obtain prompt payments.
  • Reduced billing errors by implementing strict policies and systematic procedures.
  • Managed a high volume of invoices, prioritizing workload to meet deadlines and maintain cash flow.
  • Streamlined the billing process by automating data entry tasks, leading to improved efficiency and accuracy.

Customer Support Center / Medical Scheduler

Terros
06.2014 - 02.2017
  • Direct incoming calls to corresponding clinics, answering an average of 4,000 calls monthly
  • Scheduled the first initial intake for general mental health, substance abuse, Serious Mental Illness (SMI) and also for primary care physician (PCP)
  • Verify all commercial insurance and Ahcccs for all Patient and client
  • Maintain up-to-date records at all times
  • Data entry for commercial insurance, personal information, etc
  • Maintain Care Point logs
  • Scan documents/files into Care Point and/or Claim Trak properly
  • Travel to different Terros clinics to assist with front office (as needed).
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Managed cancellations or no-shows efficiently, proactively filling open slots with patients from waitlists or urgent care needs.
  • Followed up with patients to reschedule missed appointments.
  • Ensured compliance with HIPAA regulations while handling sensitive patient information during all aspects of appointment scheduling processes.
  • Verified insurance coverage and eligibility for medical services prior to scheduling appointments to prevent billing issues.
  • Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
  • Maintained accurate patient records for proper tracking of patient history and treatment.
  • Answered phone calls and messages for 50+

physician for medical facility, scheduling appointments, and handling patient inquiries.

  • Coordinated with insurance companies to verify coverage and obtain necessary authorizations for medical procedures.
  • Assisted with front desk tasks such as check-ins and check-outs, contributing to a seamless patient experience.

Education

High School Diploma -

Coronado High School
Scottsdale, AZ
05.2007

High School Diploma -

Coronado High School
Scottsdale, AZ
05.2007

Skills

  • Bilingual- Spanish
  • Strong organizational skills
  • Experienced in customer service relations in both high and low volumes
  • Dedicated team player
  • Energetic work attitude
  • Good written communication
  • Proficient with Microsoft Office (Word, PowerPoint, Excel)
  • Strong problem solver
  • Excellent interpersonal skills
  • Sales Team Leadership
  • Salesforce proficiency
  • Meeting Management
  • Customer Engagement

Volunteerworkhistory

  • Watkins Shelter
  • Immaculate Heart of Mary Catholic Church
  • Phoenix Children’s Hospital

Languages

Spanish
Native or Bilingual

Timeline

Customer Services Rep/Biller

Sonora Quest Laboratory
02.2017 - 01.2019

Customer Support Center / Medical Scheduler

Terros
06.2014 - 02.2017

Sales Associate Manager

Gap Outlet Store
10.2013 - 05.2024

High School Diploma -

Coronado High School

High School Diploma -

Coronado High School
Nathali Ramirez