Customer Service Team Member
Resume:
Jasmine Rivas
****************@*****.***
Skills
Proficient in writing and speaking Spanish
Fast learner
Customer Service
Organizational skills
Communication skills
Computer Skills
Time Management
CPR Certified
Experience
January 2023 - May 2023
High Resolution/Radiology Associates of Albuquerque- Clinic Floater
● Registered patients,scheduled patients
● Assisted in taking patients back to their appointments
● Filled in for other staff members
March 2021 - December 2022
Presbyterian Health Services- Patient Access II
● Obtained/confirmed demographic and financial information.
● Provided exceptional patient experience for patients and patient families by using CARES, and AIDET.
● Ensures accounts are financially cleared at time of service through account review. to alleviate patient concerns over hospital financial matters
● Educates patients for whom they speak regarding insurance benefits and liabilities. February 2020 - March 2021
Presbyterian Health Services- Claims Analyst
● Processed and adjusted inpatient and outpatient medical claims according to departmental quality and production standards.
● Pended claims as directed by departmental policies and procedures, follows up for resolution, and processes pended claims immediately following a benefit/payment determination.
2
● Identified patterns in resubmitted and adjusted claims. Identified errors and inconsistencies that require revisions to claim guidelines or system modifications
● Ability to process claims requiring special handling, (i.e. Case Management, Transplants, Negotiations and processes coordination of benefits (COB) as required.
● Used online policies and procedures to ensure accurate and consistent processing of claims.
● Performed follow ups and took all necessary actions required to resolve all errors and findings assessed by the Internal Audit department. October 2018 - October 2019
Blue Cross and Blue Shield of NewMexico-Customer Advocate
● Advocate for providers and members
● Paid out claims or adjusted health insurance claims
● Analyze members or providers issues, determine causes and initiate corrective actions.
● Receive, research, and process information from member or provider to determine needs/wants and ensure customer questions have been addressed
● Assisted members in assessing tools and decision-making around complex health issues, e.g. coordinate effective medical management
● Provided appropriate amount of information in a timely manner and confirm customer understands information
● Provided information and assistance to members with filing and pursuing a grievance or appeal
● Complied with HIPAA
● February 2018 - October 2018
Onyx Supportive Living - Support Staff
● Transport Clients
● Clean and make food for clients
● Provide a safe environment
October 2017 - February 2018
Alorica - Phone Operator
● Customer Service
● Booked Reservations
● Great Leader
● Offered reward programs
September 2016 - October 2017
Precious Moments Learning Center - Floater
● Work as a team member to meet the needs of the children classroom and center as a whole
● Clean and arrange classroom environment in accordance to program goals
● Daily assignments may include coverage for other staff during breaks and planning time, clean toys and educational materials, clean common areas such as bathrooms, kitchen, break room and outdoor play areas, remove garbage, inventory supplies, organize art and supplies cabinets
May 2016 - September 2016
Jack In The Box - Crew Member
● Focused on providing excellent customer service to guests
● Worked in a fast-paced and high energy environment
● Worked as a team
3
● Handled money
March 2016 - June 2016
Hotel Albuquerque Old Town- Catering Serve
● Hosted events
● Served party in a friendly and positive manner
● Assist with set-up and breakdown of tables, linens, chairs, etc, for full service of banquet events.
● Polish flatware and glassware to remove all visible water spots and ensure cleanliness
● Maintain knowledge of policy and procedures
● Follow health and safety practices at all times
November 2015 - March 2016
Hollister - Seasonal Sales Associate
● Serves customers by helping them select products.
● Drives sales through engagement of customers, suggestive selling, and sharing product knowledge.
● Greets and receives customers in a welcoming manner.
● Handled money
January 2015 - December 2015
Sonic - Car Hopper
● Ensuring that all restaurant menu items meet operational standards
● Greeting all guests in a polite and friendly manner
● Making orders quickly and efficiently for restaurant guests
● Serving our guests in a timely manner
Education
August 2012 - May 2016
Freedom High School - High School Diploma
Refrences
Available Upon Request.
Contact this candidate