Summary
Overview
Work History
Education
Skills
References
Summary Of Experience
Languages
Timeline
Generic

Rosalinda Rios

Chula Vista,CA

Summary

A dedicated hardworking Customer service expert who identifies customer needs and delivers effective solutions to problems. Committed to providing high-quality customer care to create a positive experience. Personable and professional under pressure with motivated energetic nature.

Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.

Overview

20
20
years of professional experience

Work History

Call center specialist

UCSD
02.2022 - Current
  • Interview patients via telephone to obtain demographic and financial information necessary to secure patient accounts
  • Verify insurance eligibility for outpatient services on all Third-Party Payers by utilizing various automated eligibility systems
  • Operate Epic system to gain and input information; in addition, responsible for clearly and effectively relaying medical messages to patient/clinic staff
  • Advises patients of clinic deposit requirements based upon UCSD Medical Group Financial Policy
  • Other related duties as assigned
  • Medical terminology
  • Knowledge in ICD-10, CPT Codes
  • Customer focused mindset
  • Detail-oriented, organized, and possesses excellent written and verbal communication skills

Pharmacy Technician

OptumRX
05.2013 - Current
  • Interpret physicians' prescriptions, create order, access/inputs/retrieve prescription information, verify reimbursement eligibility, and set up delivery with providers and/or patients
  • Research and/or resolve prior authorization requests, medical billing, claim rejections, assistance programs for any or all of the following: unit doses, specialty pharmaceuticals and infusible medications
  • Identify potential issues that interfere with workflow; serve as resources for process improvements
  • Manage projects as needed
  • Work within multiple computer systems simultaneously while responding to questions or provide specific medication details/clinical information
  • Work in a fast paced, high volume environment where our members are counting on us to deliver these important, sometimes life-saving medications in an accurate and efficient manner

Administration/Billing/pharmacy Tech

Southern California Pharmacy
09.2011 - 04.2013
  • Work closely with pharmacist & use medication input software to safely and accurately dispense medication
  • Assist pharmacist with labeling
  • Counting, filling, of medication
  • Handle payments and cash register
  • Create and maintain patient profile
  • Verify insurance information, handle rejected and PA claims
  • Package and mail medication
  • Communicate and call doctor's office for needed information
  • Answers telephones, route callers, take messages and provide routine information to patients or staff
  • Assists pharmacists as directed
  • Efficiently answer multi-line phone system and process high volume of order requests from nurses, doctors, and members
  • Compounding medications
  • Billing
  • Admin duties

Rental Sales Agent

Avis Rent a Car
06.2004 - 06.2010
  • Assisted in working the customer service desk and obtaining ongoing client relations
  • Provided a personalized and exceptional rental experience to all customers by successfully promoting and selling company products and services
  • Effectively communicated with customers, responding to all customer inquiries and concerns in a professional and friendly manner both on the telephone and in person
  • Administrative duties
  • Ability to get to the root of a problem and utilize resources to provide appropriate solutions as well as addressing issues and complaints in a timely manner
  • Analyze location's performance and understanding of goal setting
  • Coordinate communications related to counter sales initiatives, products and processes
  • Ability to organize and express ideas and information clearly, accurately and effectively through verbal and written means
  • Lead and participate in various meetings and conference calls with a wide range of participants
  • Excellent administrative and organizational skills utilizing MS Office Suite of Products including Outlook, Word, Excel and Power Point
  • Able to build trust and rapport with others to deliver results and interact positively and professionally with all levels internally and externally

Education

Associate Degree - AA liberal arts science allied health

SWC

High School - General

Chula Vista

Skills

  • Medical terminology
  • ICD-10
  • Customer focused mindset
  • Detail-oriented
  • Organized
  • Excellent written communication skills
  • Excellent verbal communication skills
  • Billing
  • Admin duties
  • Problem-solving
  • Resource utilization
  • Performance analysis
  • Goal setting
  • Communication coordination
  • Effective communication
  • Administrative skills
  • Organizational skills
  • MS Office Suite
  • Documentation and reporting
  • Resolving issues
  • Customer service
  • Problem-solving skills
  • Script adherence
  • Call center operations
  • Providing customer support

References

Personal and professional references available by request.

Summary Of Experience

A dedicated hardworking Customer service expert who identifies customer needs and delivers effective solutions to problems. Committed to providing high-quality customer care to create a positive experience. Personable and professional under pressure with motivated energetic nature.

Languages

Spanish
Professional Working

Timeline

Call center specialist

UCSD
02.2022 - Current

Pharmacy Technician

OptumRX
05.2013 - Current

Administration/Billing/pharmacy Tech

Southern California Pharmacy
09.2011 - 04.2013

Rental Sales Agent

Avis Rent a Car
06.2004 - 06.2010

Associate Degree - AA liberal arts science allied health

SWC

High School - General

Chula Vista

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Rosalinda Rios