Customer Service Member Representative
Resume:
Vanessa Quezada
Le Grand CA, 95333
OBJECTIVE: To obtain a job within my chosen field that will challenge me and allow me to use my education, skills and past experiences in a way that is mutually beneficial to both myself and my employer and allow for future growth and advancement.
EDUCATION:
08/08-05/19 MERCED COMMUNITY COLLEGE, MERCED, CA (Graduated: May 2019 Degree- AA Social and Behavioral Sciences)
08/01-06/05 LE GRAND HIGH SCHOOL, LE GRAND, CA (General Education: High School Diploma)
EXPERIENCE:
ON-SITE OPERATIONS SUPPORT ANALYST
GETIXHEALTH (REVENUE CYCLE MANAGEMENT FOR HEALTHCARE)
10/19- PRESENT
MERCED, CA 95340
SUPERVISOR- REBECCA DIVAS
Handle patient walk-ins ( assist patients with questions regarding their bills.)
Collect payments and set up payment arrangements.
Obtain insurance information for billing.
Update insurance eligibility and coverage benefits on assigned accounts.
Offer charity care programs (Financial Assistance)
Gather all relevant information required to process financial assistance requests. Document all communication and follow up in the EMR.
Communicate financial coverage status and applicable financial decisions with patient.
Work inventory reports (follow up on insurance payments/ denials, appeals) Follow all policies and procedures for business office/patient accounting department.
Assist on special projects assigned, such as research missing payments, death certificates, and bankrupticies.
Documenting accurate and appropriate notes on correspondence systems as needed.
Answer incoming calls from patients, referring physicians/ hospitals and other sources related to self-pay financial questions.
DISPATCHER I
MERCED COUNTY SHERIFFS OFFICE
7/19-9/19
MERCED, CA 95340
SUPERVISOR- MELISSA WARNKE
Operate a multi-line telephone console system, alerting system, and TDD system for the deaf and hearing-impaired.
Translate information to the appropriate codes.
Determine and assign the level of priority of the call and enter the data into a computer-aided dispatch system for radio dispatch purposes.
Perform emergency medical dispatch and crisis intervention services.
Ask vital questions and provide pre-arrival instructions for emergency medical calls.
Monitor and operate a radio console and computer equipment. Receive and respond to a variety of emergency and non-emergency services and complaints.
Ask questions to interpret, analyze and anticipate the caller’s situation as to resolve problems, provide information, dispatch emergency services, or refer callers to other agencies.
Dispatch and coordinate the responses of public safety agencies. Identify appropriate number and type of equipment or apparatus to dispatch.
Enters and modifies information into local, state and national computer databases. Monitor and respond to a variety of technical systems and alarms.
PATIENT ACCESS REPRESENTATIVE
10/16-07/19 GOLDEN VALLEY HEALTH CENTERS
MERCED, CA 95341
(209) 383- 1848
SUPERVISOR- CLAUDIA TERRAZAS
Provides quality customer service on every call.
Probes for proper routing of call; completes call routing to ensure customer reaches intended destination in accordance with policies and procedures.
Responsible for achieving or exceeding established performance standards.
Responsible for scheduling appointments in accordance with written protocols, supports PCP continuity in appointment scheduling and scheduling of preventive health appointments.
Answers phone and communicates with patients/customers as outlined in policies and procedure. Probes for all required patient/customer information including demographic, language and appointment needs.
Responsible for the registration of new and established patients and updating all demographic information in the practice management system.
Pre-screens for ability to meet financial obligations of visit and checks for eligibility to appropriate special funded programs.
Communicates financial requirements to patient/customer such as co-pay. Takes concise messages and distributes them appropriately to health centers in a timely manner.
Verify insurance eligibility as allowed.
Responsible for patient/customer follow-up to include upcoming appointments, rescheduled appointments and resolution of patient/customer inquiries. Participates in quality improvement projects.
CALL MEMBER REPRESENTATIVE (PATELCO CREDIT UNION)
ULTIMATE STAFFING
4/16-8/16
PLEASANTON, CA 94588
BRANCH MANAGER- IRENE RANISESKE
Promptly answer all incoming calls in a polite manner; determine nature of caller’s business and personally assist the caller within the guidelines set by the department after properly authenticating.
Determine membership eligibility, quotes savings rates and open new accounts by telephone and mail.
Follow up on incomplete documentation to clarify and resolve any outstanding items.
Assist members with more difficult transactions, problems and or questions requiring research and resolution.
Perform file maintenance and follow up procedures to include online data changes.
Actively cross-sell products and services to members, and track in accordance with credit union rules and procedures.
Assist members with opening new accounts. Assist members with general questions regarding on-line products and services.
Assist members with basic loan product information.
Assist members with basic IRA product information. Follow established policies and procedures.
Balance department totals at close of business as assigned by management. Prepare member correspondence, subject to Supervisor approval.
Adhere to all compliance requirements and complete required compliance training.
Participate in AML/BSA compliance training as assigned.
Adhere to credit union AML/BSA policy and procedures including CTR rules and form preparation, identify and refer suspicious activity to the Compliance Department, perform OFAC comparisons, and properly identify individuals in accordance with Branch Operations procedures.
CUSTOMER SERVICE SPECIALIST
11/08- 12/16, JCPENNEY
MERCED, CA 95340
Customer Service & Sales – Greets and assists customers while providing excellent customer service.
Checkout Standards – Completes checkout processes including returns and re-ticketing.
General Operations – Assists with Omnichannel efforts as needed.
Assists with recovery, put backs and fitting room maintenance as needed.
Participates in annual inventory processes.
Performance Standards – Supports company shrink and safety initiatives. Meets established performance standards for the role on a consistent basis, including (but not limited to) the company’s iCAP program, product and service sales, customer service, profit, productivity, and attendance.
Assists with the signing and merchandising standards at all checkouts while stocking and merchandising Impulse Fixtures and replenishment.
Provide great customer service; cooperate and build positive, inclusive relationships with customers. Provide excellent customer service to each and every customer.
Process payments, returns, and online orders.
SUMMARY OF QUALIFICATIONS
8 years of experience providing customer service in a retail company.
Communication- Ability to listen attentively, encourage, negotiate, communicate, and advice effectively.
Adaptability- Quickly acclimate to different environments and are open to new processes and technologies.
Time Management- Able to meet deadlines and get the most of out the workday.
Problem Solving- Ability to take logical and analytical approach to solving problems and resolving issues.
Teamwork- Ability to manage and delegate to others and take on responsibility.
REFERENCES:
Vanessa Cruz Aragon
Substitute Teacher (Merced City School District)
123 S N Street
Merced, CA 95341
Cell: 209-***-****
Email:aducwl@r.postjobfree.com
Byanca Guzman
Referral Specialist
Anthem Blue Cross
Remote
Cell: 209-***-****
Nancy Segarra
Eligibility Screener(EPALS)
GetixHealth
Merced.CA 95340
Cell: 209-***-****
Email:aducwl@r.postjobfree.com
Contact this candidate