Renee Nuñez
Rancho Cordova,CA
Summary
Seeking a challenging position with a growing company that will allow for the further utilization of existing skills and the acquisition of new abilities and growth. Strong background in customer interactions and service solutions, with a focus on conflict resolution, communication, and problem-solving to ensure customer satisfaction and loyalty. Effective team collaborator, adaptable to changing needs and consistently focused on achieving results through efficient and empathetic service. Well-known for meeting customer and organizational goals with reliability and a proactive approach.
Overview
22
22
years of professional experience
Work History
Autism Service Coordinator II
Health Net Federal Services LLC / Centene
05.2017 - 12.2024
- Served as a primary point of contact for clients, addressing inquiries, providing updates, and ensuring overall satisfaction with services rendered.
- Managed a high volume of client requests, ensuring timely and effective service delivery.
- Maintained accurate records of all service activities, facilitating smooth communication between clients and providers.
- Resolved customer complaints and issues to drive satisfaction and loyalty.
- Established strong relationships with clients through regular follow-ups, keeping them informed about progress updates regarding their ECHO registration status or other concerns raised.
- Processed all Exceptional Family Member Program (EFMP) documentation to complete ECHO registration
- Knowledgeable on EFMP enrollment processing for all branch of services under TRICARE
- Maintained accurate records and full compliance with government regulations and agency guidelines
- Played a key role in the successful onboarding of new hires, cross-training on the Extended Care Health Option (ECHO) program, offering mentorship and guidance as needed.
- Developed training materials for the Extended Care Health Option to assist associates in the Autism Care Demonstration (ACD) department, according to strict company guidelines and policy and procedures.
- Met or exceeded enrollment and audit goals consistently in office or while working remotely
- Evaluated existing systems for potential areas of improvement, leading to increased performance levels.
Enrollment Customer Service Rep. III
Health Net Federal Services LLC / Centene
09.2011 - 05.2017
- Processing enrollment, portability, disenrollments and pcm change request applications (TYA, BWE, DTW, Prime and Development queues)
- Assist with Modifying Policies in P&P’s for TRICARE Young Adult (TYA)
- Research complex enrollment issues and priority cases while utilizing the ALGS system, for development or other communication with beneficiary relative to enrollment
- Work financial reports or individual cases including refunds and system corrections. Assisted in Prime return checks
- Assist in ROAC, intake and input ICD9 codes
- Research fees, payment posting and assist in records management
- Working reports and performing research relative to completing enrollment tasks and correcting enrollment records
- Met customer call guidelines for service levels, handle time and productivity.
- Letter writing to meet contractual requirements while working in a high production environment with specific standards for timeliness and accuracy
- Validate patient and medical provider demographic information
- Sought ways to improve performance procedures
- Provided training and coaching to new hires, contributing to their successful integration into the team.
- Maintained detailed records of customer interactions and transactions, ensuring accurate documentation and follow-up.
Office Administrator / Administrative Assistant
Judith A. Steele / First Allied Securities
01.2007 - 09.2011
- Provide administrative support for President/Financial Consultant such as organizing schedules for meetings and conferences
- Assisting in daily support for Consultant and or clients
- Updated client database on One for All system
- Maintained electronic and paper filing systems for easy retrieval of information.
- Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
- Open and process applications for Ira’s, Roth’s, 401K’s, Individual, PAM, Rollovers, Transfers and other various accounts
- Act as liaison with direct accounts and clients
- Solve operational problems, such as issues with statements, deposits, checks and credit transactions
- Clerical duties consist but are not limited scheduling appointments, filing, building spreadsheets, working with Microsoft Word, Excel and Outlook, Order office supplies, faxing documents
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Assisting financial consult with managing his/her time by handling routine client inquiries
Loan Officer Assistant/Administrative Assistant
Wells Fargo Home Mortgage / Platinum 1st Mortgage
01.2003 - 01.2007
- Responsible for performing clerical and customer service related task such as setting up new customer files with application data, ordering credit reports, faxing documents, making copies, maintain and update Loan Officer's customer database, send thank-you notes, return calls, answer multi-lined phone, take initial calls for pre-qualifications and review data with Loan Officer
- Coordinated with loan officers to optimize the pre-approval process, resulting in a smoother overall experience for clients.
- Order third party services such as appraisals, title insurance, flood letters, credit reports, FHA/ VA case numbers and other services to close loan transactions
- Support all new hires with loans, administrative services, development functions, packaging files, and Quality Validating applications
- Assisted in reducing application errors, carefully verifying applicant information against required documentation.
Education
Health Information Management & Coding -
Bryan College
Gold River, CA01.2011
High School -
Pacific High School
North Highlands, CA01.2001
Skills
- Proficient in high-stress environments
- Analytical problem-solving
- De-escalation techniques
- Proficient in Microsoft Excel, Word and Outlook
- Clear and concise verbal communication
- Proficient in follow-up communications
- Workforce training
- HIPAA compliance knowledge
- Thorough documentation practices
- Effective audit performance management
- Skilled at prioritizing simultaneous responsibilities
- Ability to adjust to changing priorities
Timeline
Autism Service Coordinator II
Health Net Federal Services LLC / Centene
05.2017 - 12.2024
Enrollment Customer Service Rep. III
Health Net Federal Services LLC / Centene
09.2011 - 05.2017
Office Administrator / Administrative Assistant
Judith A. Steele / First Allied Securities
01.2007 - 09.2011
Loan Officer Assistant/Administrative Assistant
Wells Fargo Home Mortgage / Platinum 1st Mortgage
01.2003 - 01.2007
High School -
Pacific High School
Health Information Management & Coding -
Bryan College
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