Nayari Bilone
Reading,PA
Summary
To obtain a challenging position utilizing my experience and skills, with the opportunity for professional advancement. Currently pursuing a Associates of science degree in Nursing from Reading Area Community College.
Overview
10
10
years of professional experience
Work History
Medical benefits service representative
The Loomis Company
06.2018 - 01.2024
- Provides customer service to members, providers, and clients with problems or any questions regarding claims or benefits
- Maintain customer service logs within a timely time frame
- Meets and exceeds monthly audits
- Assists with enrollment side of customer service
- Helps train new team members by having them sit in with calls or sitting with them on calls
- Handles Spanish callbacks and incoming Spanish calls for enrollment and benefits
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Answered constant flow of customer calls with minimal wait times.
- Updated account information to maintain customer records.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
Home Health Aide / Assistant Administrator
Blessed Hands Home Health Care
10.2016 - 11.2017
- Supports patients by providing housekeeping and laundry services; shopping for food and other household requirements; preparing and serving meals and snacks; running errands
- To oversee and implement the facility's Quality Assurance, Staff Development and HIPAA (Health Insurance Portability and Accountability Act) compliance programs
- Developed strong relationships with patients and their families, creating a supportive environment conducive to healing and improved wellbeing.
- Assisted patients in maintaining personal hygiene routines, enhancing their overall quality of life.
- Facilitated effective communication between patients and their healthcare providers by serving as an advocate for the patient''s needs.
Lead Toddler Room Assistant
Smart Start Academy
07.2016 - 10.2016
- Work with small children and help them acquire basic skills and knowledge
- Organizing activities, providing learning opportunities through play, comforting children in distress, supervising children on the playground, and reporting to parents
- Utilized creative storytelling methods to ignite curiosity and foster language development among toddlers during circle time sessions.
- Learned about every child's unique interests in order to better tailor lessons that captured their attention.
- Supported lead teacher in preparing daily lesson plans, maintaining a structured learning atmosphere for toddlers.
- Fostered strong communication with parents through regular updates on their child''s development, achievements, and areas requiring attention.
Sales associate - Cashier
Forever 21
10.2015 - 06.2016
- Greeting customers, helping guests on the salesfloor, informing customers of sales or specials, and ringing up purchases
- Perform several stocking, cashier, and administrative duties
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Managed returns, exchanges and refunds in accordance with store policy.
- Prepared merchandise for sales floor by pricing or tagging.
- Answered customer questions about sizing, accessories, and merchandise care.
- Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
Cashier
Savor a Mexico/ Restaurant
09.2013 - 01.2014
- Greet costumers
- Responsible for handling all payments for purchases made
- Preparing food
- Maintaining a clean work place
- Answer phone and placing orders
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Education
Associate of Science - Nursing - Currently Enrolled
Reading Area Community College
Reading, PAHigh School Diploma -
Bayonne High School
06.2014
Skills
- Professionalism and Integrity
- Insurance industry knowledge
- Policy Interpretation
- Salesforce Experience
- Benefits administration knowledge
- Verbal and written communication
- Documentation And Reporting
- Fluent Bilingualism
- Call center experience
- Document Translation
Languages
Spanish
Native or Bilingual
Timeline
Medical benefits service representative
The Loomis Company
06.2018 - 01.2024
Home Health Aide / Assistant Administrator
Blessed Hands Home Health Care
10.2016 - 11.2017
Lead Toddler Room Assistant
Smart Start Academy
07.2016 - 10.2016
Sales associate - Cashier
Forever 21
10.2015 - 06.2016
Cashier
Savor a Mexico/ Restaurant
09.2013 - 01.2014
Associate of Science - Nursing - Currently Enrolled
Reading Area Community College
High School Diploma -
Bayonne High School
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