Rebeca Zavala
Summary
Knowledgeable and dedicated customer service professional with extensive experience in Health Care Industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses. Dynamic Medical Assistant and Bilingual Customer Service Representative with demonstrated experience servicing policyholders and claimants in insurance industry. Displays in-depth knowledge of claims and appraisals, excellent communication skills and excels in team environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Humana Customer Service Representative
Humana
Remote , TX
06.2022 - Current
- Investigated and resolved customer inquiries and complaints quickly.
- Members' grievances
- Pre-authorizations for uncovered services, such as dental procedures, transportation, vision and medical services.
- Verbal appeals
- Claims for rendered services
- Medicare Part C services
- Plan inquires
- Benefits
Administrative Assistant
Catholic Diocese Of Fort Worth TX
Granbury , TX
09.2018 - 08.2022
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Executed record filing system to improve document organization and management.
- Management of religious education budget.
- Management of the bussines agenda.
- Assistant of business finances.
- Member of the Parish Council.
Medical Transportation Representative
One Call
Remote , TX
09.2021 - 03.2022
- Provided timely transportation of diverse clients to healthcare facilities.
- Pre-authorizations of non covered services by Medicaid of the State of Texas.
- Billing Inquires.
- Claims of Reimbursements.
- Travel request from members.
Medical Assistant
Kagan Jugan And Associates
Lehigh Acres, FL
04.2015 - 04.2018
- Sanitized, restocked and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Called and faxed pharmacies to submit prescriptions and refills.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Taught patients about medications, procedures and care plan instructions.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Prepared patients for X-rays, suture removal and dressing changes.
- Pre-authorizations for MRI's, CT scans
- Referrals.
Education
Medical Billing And Coding - Health Sciences
Rasmussen College
Online 02.2023
Skills
- Responding to Difficult Customers
- Customer Service and Assistance
- Data Entry and Maintenance
- Interpretation and Translation Services
- Issue and Complaint Resolution
- Call Documentation
- Financial Transactions
- Data Integrity
- HIPAA trained
- EMR systems management
- Insurance Verification
- Medical Billing
- Anatomy knowledge
Certification
Medical Assistant Certification
Languages
Spanish
English
Timeline
Humana Customer Service Representative
Humana
06.2022 - Current
Medical Transportation Representative
One Call
09.2021 - 03.2022
Administrative Assistant
Catholic Diocese Of Fort Worth TX
09.2018 - 08.2022
Medical Assistant
Kagan Jugan And Associates
04.2015 - 04.2018
Medical Billing And Coding - Health Sciences
Rasmussen College
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