Rita Bedari
San Diego,USA
Summary
Experienced customer service professional with over two decades of experience in high-volume support environments. Skilled in resolving billing and eligibility issues, managing accounts, and delivering clear, empathetic communication. Passionate about transitioning expertise into healthcare customer care, applying proven problem-solving and member support skills to improve member experiences, while continuing to grow knowledge in healthcare services.
Overview
25
25
years of professional experience
Work History
Customer Care Specialist
Medimpact
San Diego, CA
09.2025 - Current
- Manage 75–100 inbound calls daily from physicians, members, and pharmacies, delivering accurate information and empathetic support in a high-volume environment.
- Educate members, providers, and pharmacies on pharmacy benefit coverage, eligibility, and prior authorization requirements, ensuring clarity and compliance.
- Research complex claims and benefit issues using internal databases, delivering accurate solutions, and reducing repeat inquiries.
- Apply conflict resolution and de-escalation skills to handle difficult situations while maintaining professionalism and customer trust.
- Document all customer interactions for compliance and audits, demonstrating precision and accountability in a regulated healthcare setting.
- Track case trends and recurring issues, communicating insights to leadership to support training and workflow improvements.
- Leverage strong communication and active listening skills to build rapport and foster customer loyalty, consistently meeting service quality standards.
Customer Service & Operations Assistant
Turlock Motors Inc.
Turlock, CA
06.2022 - 04.2025
- Delivered compassionate, solutions-focused support across phone, email, and in-person channels, building trust and resolving complex inquiries — transferable to patient and member advocacy.
- Resolved billing and service issues with accuracy and urgency, demonstrating skills directly applicable to healthcare benefit verification and claims support.
- Documented all customer interactions in CRM systems, ensuring compliance, accurate records, and seamless follow-up — mirroring healthcare EHR/EMR documentation standards.
- Processed payments and reconciled accounts in CRM/ERP systems with accuracy exceeding 90%, demonstrating reliability and attention to detail, essential for healthcare claims and eligibility support.
- Troubleshot account and contract issues by researching histories and providing clear resolutions, reflecting strong problem-solving and case management abilities.
- Balanced multiple requests simultaneously in high-volume settings while maintaining composure, a critical skill for patient care coordination.
- Performed high-accuracy data entry and optimized workflows, strengthening organizational efficiency and record integrity.
- Collaborated with team members to foster a positive environment, enhancing morale and productivity—a strength in interdisciplinary healthcare teams.
Senior Customer Service Representative
AT&T Inc.
San Diego
02.2001 - 03.2022
- Managed high volumes of customer inquiries across multiple platforms, delivering accurate, empathetic support — experience directly transferable to healthcare member services.
- Resolved complex billing discrepancies and processed adjustments, demonstrating precision and problem-solving applicable to benefit verification and claims resolution.
- Coordinated account follow-ups and negotiated payment arrangements, supporting financial accessibility, and customer retention.
- Documented customer interactions and account changes in CRM systems, ensuring compliance and continuity—skills aligned with EHR/EMR documentation standards.
- Guided clients through service applications and eligibility verification, showcasing attention to detail and support for accurate approvals.
- Identified customer needs and recommended service enhancements, boosting satisfaction — transferable to patient advocacy and care plan coordination.
- Delivered exceptional service through active listening and tailored communication, fostering trust and improving outcomes — core competencies in healthcare support roles.
Education
ASSOCIATE OF ARTS -
Modesto Junior College
Modesto, CaliforniaSkills
- Healthcare benefit navigation
- Benefit verification
- HIPAA-compliant communication
- Medical terminology comprehension
- Claims and eligibility support
- Prior authorization coordination
- Member advocacy and cost savings
- High-volume call handling
- CRM and ERP management (Salesforce, MedAccess, PBM platforms)
- Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- Billing and payment resolution
- Application and data entry processing
Awards & Honors
- Top Balance Performance Award: Earned 15+ times at AT&T for exceeding service quality, customer satisfaction, and sales metrics in a high-volume call center.
- Summit Award: Awarded to the top 1% of AT&T performers for excellence in first-call resolution and customer loyalty.
- Diamond Service Award: 4-time recipient for exceptional service delivery and effective conflict resolution.
Timeline
Customer Care Specialist
Medimpact
09.2025 - Current
Customer Service & Operations Assistant
Turlock Motors Inc.
06.2022 - 04.2025
Senior Customer Service Representative
AT&T Inc.
02.2001 - 03.2022
ASSOCIATE OF ARTS -
Modesto Junior College