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Customer Service Sales Representative

Ruskin, Florida, United States
To be discussed
February 03, 2018

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Dora Torres

***** ******* *****, *********, ** **578, (813) ***-****,

Excellent customer service provided with exceptional results


Efficient, Organized and Reliable

Consistently exceeds expectations

Ability to multi-task and manage time efficiently

Motivated self-starter with an aptitude for learning skills promptly

Areas of Experience Include the Following:

Interpreting Medicaid and Medicare policies, procedures and compliance

Hospital Software Packages; Invision, SMS software and Practice Partners

Proficient in Microsoft Word, Excel and Internet Navigation

Spanish translation of Connecticut Department of Labor information pamphlets

Certificate of Completion for training for SSI/SSDI /federal programs


Bachelor of Arts and Spanish

Western Connecticut State University

Professional Experience

Customer Sales Representative

Provides services in a professional, diligent, courteous, and timely and efficient manner to customer/patients.

Work with customers to find what they need, making sure its covered by their insurance, and at an affordable amount of copayment.

Customer care Specialist/Pharmacy Tech

Responsible for phone coverage as necessary to support Referral Intake and maintain Customer Service levels

Worked with management on other projects and initiatives as assigned

Review pharmacy bills and subsequently to determine eligibility for processing medications online, focusing on reviewing patient profiles to proactively reduce/eliminate blocked transactions

Patient Account Representative/ Medicare and Medicaid Specialties

Interviewed uninsured or underinsured patients to access their needs for financial assistance and assisted patients with applications for Medicaid/charity programs

Completed applications for state and federal programs

Knowledge of SSI/SSDI disability application process and programs

Worked as liaison between the patients and stated/Federal agencies to secure medical assistance program eligibility.

Registering patients and verifying accurate insurance information is provided

Performed follow-ups with patients during their hospital treatment to explain insurance policies and benefits

Calls placed to Medicare and private insurance to follow up on outstanding balances to ensure the maximum reimbursement

Administrative Support

Verified patient’s demographics, as well as primary care provider information

Contacted Primary care providers and other facilities to confirm patient’s appointments and mode of transportation

Translated for internal associates, vendors, transportation providers, medical providers, adjustors, and patients

Translated for Doctors, Nurses, patients, and co-workers, as needed

Assisting case managers with follow-up procedures for each patient to ensure excellent customer service

Submitting monthly progress reports to the Department of Public Health to ensure that designated targets are achieved on time

Work History

4/2017-Present FirstSource Patient Representative Tampa, FL

6/2016-Present MacDill Pharmacy Sales Representative Tampa, FL

5/2014-04/2016 Assured Rx Customer Care Specialist/Pharmacy Tech

Clearwater, FL

1/2014-05/2014 Firstsource Patient Representative Tampa, FL

11/2012- 11/2013 ChamberlinEdmonds Health Care Representative Tampa, FL

4- 2010-11/2012 Firstsource Patient Representative Tampa, FL 3/2006- 4/ 2010 VDD Cleaning Co. Self Employee Tampa, FL

3/2005-1/2006 Pharmerica Support Specialist Brandon, FL

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