Customer Service Representative
Resume:
*/**/**, *:** PM RESUME
RUBEN RODRIGUEZ
Phone: 210-***-****
Alt Phone: 210-***-****
Email: ad0m4p@r.postjobfree.com
Objective
Seeking a position with a company where I can be most effective in using my past personal and employment experiences and provide quality workmanship
Ability Summary
Able to work well in a group or individually with or with out supervision able to empathize with customers and fellow employees in regards to their needs and concerns. Experience in Medical Collection.
Employment History
05/2022 - 12/2022 Customer Service Specialist, Customer Service Representatives Astound Broard Band, San Marcos, TX
Duties consisted of following; Tech support fort cable, Internet & Telephone. Assisted customers with billing questions, payments and payment arrangements. Assisted customers on adding services. What would they benefit the most from at same time keeping cos down on customer. Scheduling tech visit to customers domicile submitted complaints on behalf of customer. 12/2021 - 04/2022 Customer Service Representative (CSR), Healthcare Support Workers, All Other Arco / Evolent Health Blue Cross / Blue Shield, Livonia, MI Customer service representative for Medical insurance.Incoming calls from members for the State of Washington and Alaska. Assist members with questions on medical coverage. Reviewing benefits on office, specialist, hospitals, home care, medical equipment (DME). Explaining OOP maxim, Deductible Maximums Co-Insurance and what the member has paid towards benefits at the time they ask. Assisting members with monthly premium payments. Working with Provider office on Pre- Authorizations, Claims and Appeals. Working as a liaison between members and provider office/ hospital on claims that were rejected. Working with cost of procedure / cpt codes for members and providers. Documenting in detail on all calls.
10/2021 - 12/2021 Job seeker, Customer Service Representatives Seeking Employment, San Antonio, TX
After my mother passed I spent my time situating her estate. Burial, bills, etc.By October, I started preparing my resume for employment. Through the month of November, I had a few interviews. November 15, 2021, I had my 3rd interview with Arco/ Evolent health to start training on December 13, 2021 for Blue Cross / Blue shield for customer service Representative fo health care for Washington State and Alaska.
07/2021 - 10/2021 Care giver, Personal Care Aides
Consuelo Rodriguez, San Antonio, TX
Care provider for Mother after release from hospital . Diagnosed with cancer / surgery/ chemo therapy. 05/2020 - 07/2021 Care giver
Consuelo Rodriguez, San Antonio, TX
Mother admitted to hospital.
04/2021 - 05/2021 Representative
3/29/23, 4:41 PM RESUME
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Consuelo Rodriguez, San Antonio, TX
Covid / Care giver for mother 04/2021 - 05/2021 Care giver 09/2020 - 04/2021 Customer Service Respresenative, Customer Service Representatives Florida Blue/ Blue Cross Blue Shield, San Antonio, TX Medical Insurance:
Discuss/ explain insurance design with members: Coverage (Doctors, Hospitals, Urgent Care, Equipment, Procedure) Look up and review CPT codes for an estimate of cost. Review premiums, tax credits, process premium payments, refunds, set up auto payments on behalf of members. Assist members with their member portals. Review invoices with members. Send out insurance cards. Reviewing claims, appeals and pre- authorizations with members and providers. Further information upon request
11/2019 - 04/2020 Customer Service Rep, Customer Service Representatives CVS Carmark Alamo Downs, San Antonio, TX
Assisting CVS Care-Mark members with following: Pharmaceutical Insurance Design - What medication is covered or no longer covered (name brand / generic) Explain the changes of members policy as of the new year enrollment. Medication price estimate (an ideal of the cost of medication for member) Assist members in searching for discounts/ manufacture coupons.cover. Mail order medication - Processing prescription request on behalf of member.
10/2017 - 12/2017 Customer Service Rep, Customer Service Representatives Qualfon, SAN ANTONIO, TX
Processing insurance payments. Answering questions in regards to clients insurance premiums on home, recreational vehicles and personal vehicles. Assisting in adding or removing home, recreational vehicles and personal vehicles to insurance.Verification of insurance. 08/2008 - 06/2017 Legal Assistant, Legal Secretaries and Administrative Assistants The Law Office of Ross A. Rodriguez, SAN ANTONIO, TX Open and closing of client cases. Preparation of client case documents. Filing client case documents with Bexar county courts and courts in other counties / states. E filing Federal case filing. Preparation of Attorney Surety Bonds - Supervision of defendants when released from detention centers. Working with defendant while on bond (Court dates pre-trial monitoring). Meeting with clients and family when necessary. Case research (family, criminal, probate, real) 05/1994 - 05/2008 Operator Supervisor / Acting IT, Customer Service Representatives Speed-E'z Physicians Exchange, San Antonio, TX
Medical Service Call Center
Operator Supervisor (Supervision of call center staff, any and all complaints / concerns Doctors, Hospitals, Nursing Homes & Out-Patients).
Inbound calls: Medical Offices, screening all out -patient after hour calls, Hospital Emergency Room calls, All In-Patient Hospital calls & Doctor calls. Setting Emergency Surgical cases between Doctor's And Hospital Emergency Rooms. TELEPHONY COMMUNICATIONS: Analog phone systems. Installation of operator phone stations from right side of 66-block to the termination point (surface mount block) via four wire cord. Trouble shooting static, no dail tone with the use of a telephone butt set tool on right side of 66 block to determine if issue is on the company side or the Telco side (left side of 66 block). Building phone line cords with use of RJ 11, 12 & 45 with use of a crimping tool.
IT / COMMUNICATION: Responsible of maintaining and repair of Servers, PC's Systems. Replacing mother boards, hard drives, fans, extracting all information from one hard drive to new hard drive. Maintaining all servers. DP Server, SQL Server, Communication Server (4 modems), Digital Switch Server and 3 T 1's. Nightly back up's, Repair to all system servers. Replacement of mother boards, patch's, network card, modem cards, circuit boards on DP. Transferring of incoming call's and out going calls to one T and configuring for bi-directional when a T goes out. On site and remote. Installation of a network patch panel, Wiring CAT 5/ 6cables to termination point (RJ 45 wall mount) Building Patch cable with RJ-45 with use of a crimping tool
Further information upon request.
Education History
3/29/23, 4:41 PM RESUME
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High School Diploma
High School Diploma
Thomas Jefferson High School, San Antonio, TX
01/1999 Digital Switch
Vocational School Certificate
Star Tel, Austin, TX
Introduction and Operation of the companies digital switch phone system. How to instal, to repair and to program on site phone system.
Detailed References
Carolyn Pena, Office Manager / Friend
Law Office
Megan Roberts, Friend
Hulu
San Antonio, TX
Jo Ann Brown, Former Employer/ Friend
Speed-E'z Physicians Exchange
San Antonio, TX
Ross Rodriguez, Attorney
Law Office
325 S. Flores
San Antonio, TX
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