Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Vast variety in experience shows adaptability and competence.
Overview
8
8
years of professional experience
Work History
Claims and Billing Specialist
Nationwide Medical
08.2023 - Current
Comply with request from insurance companies for additional documentation
Manage high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts
Review report for outstanding or unresolved invoicing and conduct research
Collect payments on outstanding patient and insurance invoices, then deposited and posted payments
Handle incoming and outgoing supervisor calls
Review daily reports for status of pending payment claims
Manage insurance provider renewals to maintain company status.
Customer Service Representative
AIG/Corebridge
08.2021 - 05.2023
Streamlined documentation processes through digitization efforts, reducing paperwork while maintaining data accuracy and security
Answer product questions and assist agents with pre- and post-sale inquiries
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information
Provided coaching and mentoring to new hires, contributing to their successful integration into team
Educate clients on investment products, services they are currently enrolled in
Customer Service Representative
Health Net
01.2021 - 07.2021
Giving providers claim status and member eligibility
Documenting each call using company systems
Escalating inquiries to appropriate staff as required.
Streamlined call center processes for improved efficiency and reduced wait times
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business
Barista
Lorelles Coffee Shop
08.2019 - 01.2021
Maintained highest standards of conduct and service to support company reputation.
Enhanced customer satisfaction by efficiently preparing and serving high-quality beverages
Assisted in inventory management to maintain adequate stock levels and reduce wastage
Lead Teacher
Bricks 4 Kidz
07.2018 - 03.2019
Lead Junior Robotics and Advanced Robotics, grades K-6
Kept students on-task with proactive behavior modification and positive reinforcement strategies.
Kindergarten Teacher Assistant
West Valley Christian School
07.2016 - 01.2018
Collaborated with administrators on classroom policies, management strategies, and discipline
Taught lessons encompassing skill-building activities in speaking, writing, reading and listening.
Promoted social development and emotional well-being among students by incorporating cooperative learning activities into daily routines
Education
MBA -
Cal State University of Long Beach
Long Beach, CA
05.2025
Bachelor's of Behavioral Sciences in Communication Studies -
Cal State University of Northridge
Northridge, CA
01.2021
Associates in Communication studies & Liberal Arts -
College of The Canyons
Valencia, CA
01.2019
Skills
Time management
Attention to detail
Collaborative
Digitally literate
Strong communications skills
Adaptable
Invoice Processing
HIPAA Compliance
Microsoft Office Suite
Billing Systems and Software
Records Organization and Review
Timeline
Claims and Billing Specialist
Nationwide Medical
08.2023 - Current
Customer Service Representative
AIG/Corebridge
08.2021 - 05.2023
Customer Service Representative
Health Net
01.2021 - 07.2021
Barista
Lorelles Coffee Shop
08.2019 - 01.2021
Lead Teacher
Bricks 4 Kidz
07.2018 - 03.2019
Kindergarten Teacher Assistant
West Valley Christian School
07.2016 - 01.2018
MBA -
Cal State University of Long Beach
Bachelor's of Behavioral Sciences in Communication Studies -
Cal State University of Northridge
Associates in Communication studies & Liberal Arts -
College of The Canyons
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Jay RigaliJay Rigali
Customer Service Representative at Nationwide Medical Inc.Customer Service Representative at Nationwide Medical Inc.