Paris Ortiz
Stockton,CA
Summary
A personable and dedicated employee with extensive experience in customer relations and claims development. Several years in a fast-paced and high-volume customer support environment with a proven track record of driving customer adoption, retention, and satisfaction. Skilled in training and educating others, leading a team, collecting data, analyzing data, tracking growth, strong written and verbal communication, addressing customers; needs, and having a solid understanding of customer success best practices. Committed to providing an excellent customer experience.
Overview
6
6
years of professional experience
Work History
Customer Care/ Claims Rep
Blue Shield Of CA
07.2023 - 01.2024
- Responded to customer requests for products, services, and company information.
- Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
- Provide expertise or general claims support by reviewing, researching, and processing claims
- Documented customer interactions and transactions for accurate, up-to-date records.
- Fielded customer complaints, escalating complex issues to management for resolution.
- Consistently meet established productivity, schedule adherence and quality standards
Data Entry Clerk/CSR
Teladoc Health Remote
08.2022 - 02.2023
- Working part time remotely 3rd shift entering patient and account data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format, verifies entered customer and account data by reviewing, correcting, deleting or reentering data, purges files to eliminate duplication of data, relay information such as work orders or other messages to and from work crew, ICD-10 & ICD-9 coding, creating insurance claims, determine member’s eligibility if in question, manually calculate and/or apply pricing to each claim when necessary, monitor pending claims, examine claim to correct and/or update data so claim can properly adjudicate, place follow-up calls and respond to inquiries from patients and/or healthcare providers, as necessary
- Completed data entry tasks with accuracy and efficiency
- Used computer software to store and retrieve data
- Take calls back-to-back while toggling through several applications on multiple screens
Operations Specialist
Tesla
10.2019 - 12.2022
- Adhered to all quality control standards by thoroughly evaluating all printed components
- Safely operated hand and power tools to complete repetitive tasks
- Create spreadsheets to track important customer information and orders
- Transfer data from hard copy to digital database
- Verify outdated data and make any necessary changes to records
- Review data for deficiencies or errors.
Security/Customer Service Rep
Hammerhead Protection
05.2019 - 02.2021
- Time management and manage frequent telephone patient contacts while effective maintaining and documenting data in the patient registration systems.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs
- Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact
- Managed between 50-70 customer calls per day.
- Work in multiple computer systems, such as patient registration/accounting systems, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently
Cashier/Security/Customer Service Rep
Chipotle
01.2018 - 06.2019
- Conduct all cashier activities accurately, safely, while following company guidelines, maintain cash drawer, secure all funds in safes and performs cashier reconciliation at end of each shift to ensure accurate management of sales, customer service skills, work effectively & safely in a fast-paced environment while maintaining 100% total customer focus.
- Greeted customers entering store and responded promptly to customer needs
- Built relationships with customers to encourage repeat business
Education
High School Diploma -
Aspire Langston Hughes Academy
Stockton, CA06.2016
Skills
- Type 40WPM
- Data entry
- Data abstraction
- EMR
- Medical terminology
- Conflict management
- High call volume
- ICD-10 & ICD-9 coding
Timeline
Customer Care/ Claims Rep
Blue Shield Of CA
07.2023 - 01.2024
Data Entry Clerk/CSR
Teladoc Health Remote
08.2022 - 02.2023
Operations Specialist
Tesla
10.2019 - 12.2022
Security/Customer Service Rep
Hammerhead Protection
05.2019 - 02.2021
Cashier/Security/Customer Service Rep
Chipotle
01.2018 - 06.2019
High School Diploma -
Aspire Langston Hughes Academy
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