Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Nelfa Perez

La Feria,TX

Summary

Results-driven professional focused on delivering exceptional support for customer needs. Successfully manages concerns and resolves conflicts to maximize customer satisfaction. Offers strong background in customer relations and communication.

Overview

9
9
years of professional experience

Work History

Member Service Representative

Molina Healthcare
10.2023 - Current
  • Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
  • Maintained high-quality service by adhering to company policies and standards in all member interactions.
  • Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
  • Ensured compliance with regulatory requirements during all member interactions safeguarding both the organization''s reputation.
  • Consistently met or exceeded performance metrics through proactive management of workload and effective prioritization.
  • Responded to customer calls and emails to answer questions about products and services.

Administrative Assistant

Davita
12.2022 - 10.2023
  • Enhanced office efficiency by streamlining administrative processes and implementing organizational systems.
  • Ensured accurate record-keeping with diligent data entry and database management for vital company information.
  • Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
  • Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
  • Collaborated on special projects as assigned by leadership, contributing research findings or coordinating event logistics as needed for success.
  • Organized office events such as holiday parties or team-building activities, promoting a positive company culture and boosting employee morale.
  • Maintained up-to-date knowledge of industry best practices and office software updates to maximize efficiency in administrative tasks.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Restocked supplies and placed purchase orders to maintain adequate stock levels.
  • Executed record filing system to improve document organization and management.
  • Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
  • Enhanced client experience by conducting thorough intake assessments and accurately identifying their needs.
  • Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.
  • Enhanced scheduling efficiency by streamlining processes and implementing automated systems.
  • Collaborated with cross-functional teams to ensure accurate and efficient scheduling of resources.
  • Developed comprehensive training programs for new employees, improving overall team performance in managing schedules.

Office Manager/Administrator

Little Lighthouse Children's Reha
01.2015 - 08.2022
  • Streamlined office operations by implementing efficient filing systems and organizational strategies.
  • Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
  • Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
  • Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
  • Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
  • Enhanced company compliance by developing and implementing comprehensive policies and procedures.
  • Conducted thorough risk assessments to identify potential areas of non-compliance and recommended corrective actions.
  • Enhanced client experience by conducting thorough intake assessments and accurately identifying their needs.
  • Streamlined the intake process by developing and implementing efficient data collection methods for improved service delivery.
  • Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.
  • Identified areas of improvement within the intake process by regularly reviewing standard operating procedures and implementing changes as needed.
  • Ensured client confidentiality by adhering to strict privacy policies when handling sensitive information during the intake process.

Education

Certification - Medical Office

Vanguard Institute of Technology
Harlingen, TX

CPC Certificate - Medical Insurance Coding

US Carrer Institute
Fort Collins, CO
04.2024

High School Diploma -

La Feria High School
La Feria, TX
06.1993

Skills

  • Issue Resolution
  • Call center experience
  • Client Education
  • Dispute Resolution
  • Database Maintenance
  • Customer Service
  • Call Documentation
  • Customer Data Confidentiality
  • Attention to Detail
  • Organizational Skills
  • Reliability
  • Call Metrics
  • Medical terminology knowledge
  • Medical Charting
  • Medical office administration
  • HIPAA Compliance
  • Referral Verification
  • Patient Registration
  • Appointment Scheduling
  • EMR / EHR
  • Records Maintenance

Languages

Spanish
Full Professional

Timeline

Member Service Representative

Molina Healthcare
10.2023 - Current

Administrative Assistant

Davita
12.2022 - 10.2023

Office Manager/Administrator

Little Lighthouse Children's Reha
01.2015 - 08.2022

Certification - Medical Office

Vanguard Institute of Technology

CPC Certificate - Medical Insurance Coding

US Carrer Institute

High School Diploma -

La Feria High School
Nelfa Perez