Experienced patient care and call center professional with a strong background in patient intake, eligibility verification, and Medicaid processing. Skilled in insurance benefits, customer service, and call center systems.
Overview
1
1
Language
12
12
years of professional experience
Work History
Patient Care Representative
RCA
Fort Worth, Texas
02.2025 - 08.2026
Updated customer accounts and contact information in call management databases to ensure accurate patient records.
Assisted patients with applications for state or federal programs, facilitating access to necessary healthcare resources. for state or federal programs.
Supported patients in completing disability benefit applications, helping them navigate complex processes for financial assistance. applying for disability benefits.
Followed call center procedures for quality and compliance.
Call Center Representative
Cook Childrens Health Plan
Fort Worth, Texas
06.2022 - 04.2024
Answered inbound customer calls at contact center.
Documented customer concerns in CRM systems to ensure accurate tracking and resolution.
Updated customer accounts, addresses and contact information within call management databases.
Resolved service issues by analyzing account information and policy guidelines to provide effective solutions.
Provided customer support from home
Reviewed CPT codes for prior authorization
Updated primary care provider for members
Clarified Medicaid benefits to members, ensuring understanding and access to necessary services.
Patient Care Coordinator
Monarch Dental
Fort Worth, Texas
09.2020 - 06.2022
Coordinated patient scheduling, recalls, and appointment confirmations for Monarch Dental clinics.
Presented treatment plans and reviewed financial arrangements with patients.
Verified insurance benefits and explained treatment options to dental patients.
Followed up on missed appointments and encouraged return visits.
Customer Service Representative
Cook Childrens Health Plan
Fort Worth, Texas
07.2018 - 08.2020
Answered member calls for Cook Children's Health Plan about benefits and eligibility.
Explained coverage, referrals, and authorizations using health plan policy language.
Verified member information while protecting HIPAA privacy and confidentiality standards.
Documented calls, requests, and case notes in member service systems.
Coordinated with care teams, providers, and departments on member service issues.
Customer Service Representative
Warrantech Corporation
Fort Worth, Texas
03.2017 - 07.2018
Managed high volume of inbound calls in fast-paced call center, delivering efficient customer support
Scheduled service appointments for technicians to address appliance issues promptly
Processed refunds for non-functional appliances, ensuring customer satisfaction
Call Center Supervisor
Silverleaf Resorts
North Richland Hills, Texas
01.2015 - 02.2017
Supervised guest service calls across Silverleaf Resort’s reservation queues to ensure high-quality customer interactions.
Monitored call quality and ensured script adherence during live interactions, providing feedback for staff improvement.
Conducted quality assurance monitoring of calls to maintain service standards and enhance customer satisfaction.
Scheduled staff coverage for peak reservation periods and seasonal demand.
Participated in hiring interviews and selection process for new team members.