Summary
Overview
Work History
Education
Skills
Additional Information
Work Preference
Timeline
Open To Work
Hi, I’m

Tamara Hernandez

Corpus Christi,TX

Summary

Dynamic Patient Care Advocate with Cigna/Accredo/Express Scripts, skilled in claims processing and empathetic client care. Enhanced patient satisfaction through effective problem-solving and streamlined processes, ensuring timely medication access. Proven ability to navigate complex healthcare systems while maintaining HIPAA compliance and fostering strong relationships with diverse patient populations.

Overview

26
years of professional experience

Work History

Cigna/Accredo/Express Scripts

Patient Care Advocate
09.2024 - 10.2025

Job overview

Facilitated medication refill approvals, prior authorization requests, and copay assistance for patients meeting income guidelines.

Ensured problems were solved during initial contact.

Demonstrated strong empathy through attentive listening.

  • Assisted patients in navigating healthcare systems and understanding available resources.
  • Supported patients in completing necessary documentation for insurance claims and medical records.
  • Maintained accurate records of patient interactions and follow-up actions to streamline processes.
  • Developed strong relationships with local pharmacies to expedite prescription refills and prevent gaps in medication therapy.
  • Demonstrated empathy toward diverse patient populations, building trust through compassionate interactions.
  • Enhanced patient satisfaction by addressing concerns and providing clear communication on treatment plans.
  • Resolved problems with communication and billing to foster seamless services.
  • Coordinated referrals to specialists, facilitating seamless continuity of care for patients with complex needs.
  • Maintained confidentiality of patient data and condition to safeguard health information.
  • Monitored ongoing care and proactively corrected problems.
  • Actively participated in ongoing professional development opportunities to stay current on best practices and emerging trends in patient care advocacy.
  • Provided emotional support to patients and families, fostering a positive atmosphere during challenging situations.
  • Engaged with patients to provide critical information.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Helped address client complaints through timely corrective actions and appropriate referrals.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Provided excellent customer service to patients and medical staff.
  • Resolved customer complaints using established follow-up procedures.
  • Verified patient insurance eligibility and entered patient information into system.
  • Stayed calm under pressure to and successfully dealt with difficult situations.

Results Cx

Medicare Customer Service Representative
01.2023 - 09.2024

Job overview

  • Assisted clients with Medicare inquiries, providing clear and accurate information.
  • Resolved issues related to claims and coverage efficiently, ensuring customer satisfaction.
  • Utilized CRM software to track interactions and manage client accounts effectively.
  • Educated customers on enrollment processes and benefits available through Medicare plans.
  • Maintained up-to-date knowledge of Medicare policies to ensure compliance and accuracy in responses.
  • Handled high-volume calls while maintaining professionalism and empathy in customer interactions.
  • Enhanced customer satisfaction by efficiently addressing and resolving Medicare-related inquiries.
  • Provided exceptional support to Medicare beneficiaries, guiding them through coverage options and plan details.
  • Managed a high volume of inbound calls, adeptly navigating multiple systems while maintaining focus on customer needs.
  • Assisted in enrollment processes for new beneficiaries, providing clear guidance through each step for seamless transitions into coverage plans.
  • Maintained strong working knowledge of Medicare regulations, ensuring accurate information dissemination to clients.
  • Supported department goals by consistently meeting or exceeding established metrics related to call quality, timeliness, and accuracy.
  • Improved call center performance by consistently maintaining a high level of professionalism and productivity.
  • Facilitated timely issue resolution, coordinating with diverse departments and healthcare providers as needed.
  • Educated customers on preventative care measures, promoting overall health and wellness among beneficiaries.
  • Reduced call handling time with efficient problem-solving skills and comprehensive knowledge of Medicare policies and procedures.
  • Streamlined claim processing for quicker reimbursements, diligently reviewing submitted documentation.
  • Trained new hires on company protocols, software usage, and effective communication techniques to ensure their success in the role.
  • Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
  • Responded proactively and positively to rapid change.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.

Concentrix /Apple

Sales Advisor Mac Expert
01.2021 - 01.2023

Job overview

  • Engaged customers to identify needs and recommend suitable products.
  • Executed daily sales strategies to achieve store performance goals.
  • Managed inventory levels, ensuring stock availability and organization.
  • Assisted in visual merchandising to enhance customer shopping experience.
  • Resolved customer inquiries and complaints, maintaining satisfaction standards.
  • Analyzed sales trends to inform product promotions and displays effectively.
  • Provided expert product knowledge to customers, leading to informed purchasing decisions and increased satisfaction levels.
  • Increased sales by establishing rapport with customers and identifying their needs.
  • Increased sales by offering advice on purchases and promoting additional products.
  • Handled difficult situations professionally by addressing customer complaints and finding mutually beneficial solutions, preserving long-term relationships.
  • Listened to customer details and offered matching solutions to meet wide range of requirements.
  • Exceeded sales targets consistently through effective product demonstrations and persuasive communication skills.
  • Assisted customers with after-sales support, resolving issues quickly and maintaining high satisfaction levels.
  • Created customized solutions for clients'' unique needs, resulting in enhanced customer loyalty.
  • Coordinated effectively with other departments such as marketing and logistics to ensure seamless operations during busy periods.
  • Contributed to a positive work environment by mentoring junior staff members on best practices in salesmanship, fostering a culture of continuous improvement.
  • Maintained current knowledge of applicable sales and product changes in order to provide best possible service for all customer needs.
  • Managed key accounts, resulting in increased repeat business and higher revenue growth.
  • Demonstrated features, answered questions and offered solutions.
  • Served customers with knowledgeable, friendly support at every stage of shopping and purchasing.
  • Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor.
  • Presented professional image consistent with company's brand values.
  • Stayed current on company offerings and industry trends.
  • Attended monthly sales meetings and quarterly sales trainings.
  • Monitored service after sale and implemented quick and effective problem resolutions.
  • Maintained current knowledge of evolving changes in marketplace.

Orion Realty

Assistant Property Manager
01.2000 - 01.2015

Job overview

  • Coordinated tenant communications and addressed inquiries to enhance resident satisfaction.
  • Assisted in property maintenance scheduling and vendor management to ensure timely repairs.
  • Streamlined lease administration processes, improving document accuracy and turnaround time.
  • Conducted property inspections and identified maintenance needs to uphold community standards.
  • Managed tenant move-in/move-out procedures, ensuring compliance with lease agreements.
  • Supported budget preparation by tracking expenses and identifying cost-saving opportunities.
  • Developed marketing strategies for vacant units, increasing occupancy rates through targeted outreach.
  • Coordinated move-ins and move-outs, ensuring smooth transitions for both tenants and property management team.
  • Followed up on delinquent tenants and coordinated collection procedures.
  • Trained new staff on operational procedures, fostering a collaborative team environment.
  • Handled tenant complaints promptly and appropriately, calling in repairmen, and other support services.
  • Completed final move-out walk-throughs with tenants to identify required repairs.
  • Verified income, assets, and expenses, and completed file tracking sheet for each applicant.
  • Increased tenant satisfaction by promptly addressing maintenance requests and resolving issues efficiently.
  • Resolved conflicts between tenants regarding noise, encroachments, and parking.
  • Kept accurate records of all resident and tenant correspondence.
  • Provided excellent customer service by promptly responding to inquiries and addressing grievances; resulting in increased tenant retention rates.
  • Oversaw monthly collections and maintained high payment rates by building positive relationships with tenants.
  • Processed applications efficiently by conducting thorough background checks and verifying references to select qualified tenants.
  • Trained new hires on company policies, procedures, software applications and industry best practices-leading them towards successful job performance.
  • Showed apartments to potential tenants and answered questions regarding community.
  • Collaborated with legal department on eviction proceedings when necessary; following proper protocols and documentation requirements laid down by law.
  • Attended staff meetings and took extensive notes to share with property manager.
  • Established strong, professional relationships with residents by promoting team collaboration and delivering exemplary service.
  • Served as point-of-contact between residents and building personnel thereby effectively managing daily concerns or inquiries.
  • Processed security deposit refunds.
  • Maintained accurate records of all transactions, ensuring timely reporting to senior management and owners.
  • Inspected common areas for cleanliness and notified maintenance of overflowing trash.
  • Developed strong relationships with vendors, negotiating favorable contracts for cost-effective services.
  • Escalated major issues to property manager for immediate remediation.
  • Implemented new marketing strategies to attract prospective tenants and maintain high occupancy rates.
  • Organized community events to foster positive relationships between tenants and build a sense of community within the property.
  • Responded to messages and inquiries from various parties and used well-developed active listening and open-ended questioning skills to promote quick issue resolution.
  • Enhanced property value by overseeing regular upkeep, repairs, and capital improvement projects.
  • Posted policies and rules in common areas for tenant review.
  • Complied with safe housing requirements and contractual obligations by resolving tenant issues and service needs.
  • Streamlined rent collection process for improved cash flow and reduced delinquencies.
  • Reduced vacancy rates through targeted marketing efforts like hosting open houses and leveraging social media platforms.
  • Prepared detailed reports on property performance metrics for monthly review meetings with senior management team members.
  • Assisted in the preparation of annual budgets, monitoring expenses to ensure financial goals were met.
  • Enhanced tenant satisfaction by efficiently resolving maintenance issues and inquiries in timely manner.
  • Oversaw emergency response procedures, ensuring tenant safety and minimizing property damage during incidents.
  • Improved property appearance and safety with regular inspections and coordinated maintenance efforts.
  • Negotiated contracts with vendors, securing quality services at cost-effective prices for property maintenance.
  • Assisted in preparation of financial reports, providing insights into property performance and revenue trends.

Education

Vogue College of Cosmetology
Corpus Christi, TX

Cosmetology from Cosmetology

Richard King High School
Corpus Christi, TX

High School Diploma from Standard
06.1991

Skills

  • Multitasking
  • Patient care
  • Organizational skills
  • HIPAA compliance
  • Client documentation
  • Documentation
  • Empathy display
  • Process improvements
  • Proficient in Software
  • Healthcare
  • Administrative supervision
  • Clinical quality program standards
  • Compassionate client care
  • Insurance navigation
  • Customer service
  • Problem-solving
  • Friendly and outgoing
  • Multitasking and organization
  • Team collaboration
  • Electronic health records
  • Phone and email etiquette
  • Data entry
  • Insurance verification
  • Conflict resolution
  • Insurance billing
  • Policy understanding
  • Payment processing
  • Eligibility determination
  • Intake assessment
  • Information collection
  • Records maintenance
  • Training coordination
  • Process improvement
  • Work quality evaluation
  • Scheduling diagnostic procedures
  • System updating
  • Call screening
  • Statistical data management
  • CRM software proficiency
  • Sales strategy development
  • Performance tracking
  • Customer relations
  • Research and due diligence
  • Account updates
  • Sales proficiency
  • Inter-department collaboration
  • Client onboarding
  • Problem resolution
  • Customer relationship management

Additional Information

Hippa regulations followed

Empathy

Attentive listening

Resolution to issues

Work Preference

Work Type

Full Time

Location Preference

Remote

Timeline

Patient Care Advocate

Cigna/Accredo/Express Scripts
09.2024 - 10.2025

Medicare Customer Service Representative

Results Cx
01.2023 - 09.2024

Sales Advisor Mac Expert

Concentrix /Apple
01.2021 - 01.2023

Assistant Property Manager

Orion Realty
01.2000 - 01.2015

Vogue College of Cosmetology

Cosmetology from Cosmetology

Richard King High School

High School Diploma from Standard
Tamara Hernandez