Summary
Overview
Work History
Education
Skills
Languages
Languages
Timeline
Generic

Vanessa Apodaca

Houston,TX

Summary

Dynamic professional with a proven track record in customer service and problem-solving, honed at Foundever and other leading companies. Skilled in bilingual communication and HIPAA compliance, I excel in enhancing customer satisfaction and streamlining processes. Demonstrated ability to exceed performance metrics by leveraging teamwork and organizational skills.

Overview

17
17
years of professional experience

Work History

Patient Care Advocate (Express Scripts)

Foundever
Remote
08.2024 - Current
  • Conducted regular reviews of pharmacy benefits programs to ensure compliance with applicable laws and regulations.
  • Provided guidance and support to other departments regarding pharmacy benefit issues.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Processed prescription orders using pharmacy software system.
  • Conferred with customers by telephone or in person to provide information about products or services and take orders.
  • Verified patient insurance coverage and eligibility for prescription medications.
  • Adhered to all HIPAA regulations regarding patient privacy and confidentiality.
  • Started prior authorizations for necessary medications.

Customer Service Advocate (Cigna)

Foundever
remote
08.2023 - 07.2024
  • Managed multi-line phone systems, handling inbound calls in both Spanish and English.
  • Handled questions related to member eligibility.
  • Rerouted wrongly handled claims for proper processing.
  • Guided individuals through the process of choosing new medical professionals.
  • Coordinated with third parties to obtain necessary medical authorization statuses for member procedures.
  • Upheld privacy and security requirements for customer information.
  • Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
  • Provided accurate, valid, and complete information to customers in a timely manner.
  • Tracked performance metrics and identified areas needing improvement in order to meet established targets.
  • Communicated with medical professionals to secure necessary CPT and ICD data.

Personal shopper

SHIPT
Houston
09.2018 - 03.2020
  • Managed grocery shopping responsibilities, ensuring customer satisfaction through effective communication.
  • Ensured exceptional customer care by selecting items as meticulously as for personal use.
  • Achieved prompt deliveries, placing orders on porches or within customer homes.
  • Identified customer needs by asking questions and advising on best solutions.
  • Suggested comparable products to replace out-of-stock items.
  • Bagged groceries carefully to keep products in perfect condition, separated fragile products and kept frozen and perishable foods cold or fresh.

Sales associate

Stride Rite
Houston
10.2015 - 12.2015
  • Ensured excellent customer interactions through prompt greetings.
  • Organized stockroom efficiently.
  • Recommended, selected and helped locate or obtain merchandise based on customer needs and desires.
  • Measured customers' feet to recommend the best fit and comfort for various shoe types.
  • Ensured that all merchandise was accurately priced and tagged with labels.
  • Provided product knowledge to customers on different styles of shoes.
  • Handled cash and credit card transactions with accuracy and integrity.

Sales associate

The Limited Clothing Store
Houston
07.2014 - 09.2014
  • Assisted customers with returns and checkout procedures.
  • Served customers efficiently with a friendly demeanor.
  • Kept merchandise in order, enhancing overall store presentation.
  • Cleaned fitting rooms after each customer use.
  • Coordinated with team members to manage high-traffic periods, ensuring a smooth shopping experience for customers.
  • Ticketed items with pricing and markdowns and restocked sales floor according to merchandising plan.
  • Answered phone calls from customers regarding inquiries about products or services offered by the store.

Sales associate

Aaron's
Houston
08.2007 - 11.2007
  • Maintained high levels of customer service with efficient and courteous behavior.
  • Processed customer payments and filed contracts.
  • Provided product information to customers regarding materials, construction and care of furniture pieces.
  • Maintained knowledge of current sales, promotions, and policies regarding payment and exchanges.
  • Maintained accurate records of sales transactions and customer information.
  • Offered financing options to customers, explaining terms and conditions clearly.
  • Coordinated with teammates and clients to schedule deliveries.

Education

High School Diploma -

W.T. Hall Center for Education
Houston
12.2006

Skills

  • Problem solving
  • Time management
  • Computer literacy
  • Customer service
  • Typing Speed: 40 WPM
  • Teamwork
  • Creativity
  • Organizational skills
  • Communication skills
  • Active listening
  • Claims processing
  • Medical terminology
  • Documentation
  • Empathy display
  • HIPAA compliance
  • Insurance verification
  • Order fulfillment
  • Data entry proficiency
  • Bilingual communication

Languages

  • English
  • Spanish

Languages

English
Native/ Bilingual
Spanish
Native/ Bilingual

Timeline

Patient Care Advocate (Express Scripts)

Foundever
08.2024 - Current

Customer Service Advocate (Cigna)

Foundever
08.2023 - 07.2024

Personal shopper

SHIPT
09.2018 - 03.2020

Sales associate

Stride Rite
10.2015 - 12.2015

Sales associate

The Limited Clothing Store
07.2014 - 09.2014

Sales associate

Aaron's
08.2007 - 11.2007

High School Diploma -

W.T. Hall Center for Education

Similar Profiles

CREATE PROFILE
Vanessa Apodaca