| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE San Antonio, TX [LinkedIn]WORK EXPERIENCECentene CorporationHealthcare Customer Service Representative (Remote) January 2023 July 2024 Resolved member and provider inquiries through phone, live chat, and email, ensuring satisfaction. Resolved 35+ escalations daily, addressing complex technical issues through multiple channels using Zendesk while adhering to HIPAA regulations. Provided guidance on healthcare benefits, eligibility, and enrollment processes to Medicare and Medicaid beneficiaries. Coordinated with healthcare providers to facilitate prior authorizations, referrals, and appointments, ensuring seamless access to services. IBEX GlobalCustomer Advocate 1 (Remote)July 2021 December 2022 Dispatched drivers and optimized routes to meet daily transportation requirements efficiently. Processed complex insurance claims, collaborating with internal teams to ensure accurate billing and reimbursement. Handled complaints, presented solutions within set timeframes, and followed up to ensure resolution. Managed 40+ inbound/outbound calls daily, using Zendesk to address inquiries and follow up as needed.Carenet HealthcareBenefit Enrollment Specialist (San Antonio, TX)March 2020 March 2021 Reached out to patients to schedule preventative health screenings and assess healthcare appointment needs. Assisted members with eligibility inquiries, verifying coverage, and resolving benefit-related questions. Contacted Medicare Advantage and Medicaid members to offer and schedule healthcare evaluations, explaining available services clearly. Office AllyClient Support Specialist I (San Antonio, TX)March 2019 January 2020 Provided technical support on a variety of issues, from billing to internet/phone support, handling 40+ inbound calls daily. Assisted members with coverage inquiries and coordinated healthcare provider services, including prior authorizations and referrals. Escalated customer inquiries to appropriate departments and ensured resolution through follow-up.EDUCATIONHigh School DiplomaTom C. Clark High School, San Antonio, TXGraduated 2017SKILLS Customer Service, Problem-Solving, Communication, Team Collaboration, Critical Thinking Google Sheets, Google Slides, Google Forms, Microsoft Office (Word, Excel), Zendesk, Slack, Zoom, Google Meet |
