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Click here or scroll down to respond to this candidateCandidate's Name
Street Address EMAIL AVAILABLE PHONE NUMBER AVAILABLESUMMARY OF QUALIFICATIONS 10+ years of experience in office administration 30+ years of experience in customer service/sales, 5+ Claims and billing Computer literate with experience using Microsoft Windows, QuickBooks, Quicken, Peachtree, Micros, Kronos, MARSHA, BriteWare, Sabre, and several other applications Patient Advocate Bilingual English and SpanishEDUCATIONTexas State Technical College, Harlingen, TexasGeneral Office Certification, May 1987Mercedes Independent School District, Mercedes TexasHigh School Diploma, May 1983EXPERIENCEVDART, Alpharetta, Georgia Jun. 2021 Mar. 2022Bilingual Customer Care Representative Agent Managed inbound and outbound calls to assist claimants with application and portal maintenance Documented client interactions and reviewed data to ensure accuracy, adhering to confidentiality rules Handled customer service inquires by telephone, internet or written correspondence through the portal Utilized resources to assist customers in understanding components of the program productsUnited Postal Service, Fort Worth, Texas Oct. 2019 Dec. 2019Sorter/Processors and Processing Prepared incoming and outgoing mail for distribution, and examined, sorted, and routed mail Loaded, operated, and adjusted and repaired mail processing, sorting, and canceling machinery Kept records of shipments, pouches, and sacks related to mail handling within the postal serviceHumana Pharmacy, Irving, Texas Nov. 2018 Oct. 2019Customer ServiceBilingual Concierge Representative Managed inbound and outbound calls to help members place and track prescription orders Documented and reviewed data related to patient interactions to ensure accuracy of services provided Provided targeted services based on a holistic view of the member, benefits, health informationStericycle, Inc., North Richland Hills, Texas Jul. 2017 May 2018Senior Patient Experience Advocate Core Advocate, assisting hospitals with scheduling, tours, online services and physician referrals Provided to support to members seeking information regarding health insurance benefits and eligibility Educated members based upon their unique needs and understanding of the plans, tools and resourcesEvolent Health, Bedford, Texas Dec. 2016 Jul. 2017Bilingual Customer Service Representative Responded to inquiries about health insurance benefits, eligibility and claims by members and others Communicated tactfully and empathetically with members, providers and brokers to address their needs Engaged, consulted and educated members to help guide the members along a clear path to health careAetna Health Insurance, Arlington, Texas Apr. 2014 May 2016Health Concierge Representative Assisted members of the Teacher Retirement Services with claims inquiries and claims resubmissions Explained available options to members, while making referrals to in-network providers and facilities Provided personalized services based on a holistic view of the member, benefits, health information Utilized resources to assist customers in understanding claims, accumulators, usage and balancesTexas Health Resources Credit Union, Arlington, Texas Nov. 2013 Mar. 2014Branch Manager Conducted deposits and other monetary transactions, while assisting members with account services Recruited new members, as well as maintained responsibility for opening and closing branch locationTarrant County Bar Referral Service, Fort Worth, Texas May 2011 Jul. 2012Legal Referral Services Administrator Answered referral service call line then matched callers to available attorneys with the needed expertise Assisted with social events and committee meetings in conjunction with the local Bar AssociationDFW Marriott North, Irving, Texas Jul. 2008 Jun. 2012Front Desk/Concierge Services Representative Assisted guests with lodging accommodations, transportation, and concierge room service requests Managed assignments and blocked rooms for preferred-guest programs via various virtual applicationsCo-Op Financial Services, Fort Worth, Texas Nov. 2010 Oct. 2011Outbound Bilingual Agent Worked on outbound projects, while assisting Spanish-speaking clients with bilingual customer service Contacted clients with new promotions and made payment arrangements when appropriateHotels.com, Arlington, Texas Apr. 2006 Feb. 2008Bilingual Customer Care Representative/Sales Agent Managed the Sabre Support Help Desk, working with AS400 and Peoplesoft systems Assisted clients with reservations, accommodations, and exchanges of airline e-tickets and vouchersREFERENCES AVAILABLE UPON REQUEST |
