Call Center Customer Service
Resume:
EVELYN FIGUEROA
Evelyn Figueroa
**** **********, *********, ** *****
**********@*******.***
Summary
• Bilingual English/Spanish with the ability to translate
• Customer service professional with experience in Call Center, Manufacturing Company and Medical Office atmosphere. Work History and Experience
01/23/2023 – Current
Michigan Kidney Consultants
Front Desk Medical Receptionist
Registering and checking in patients for their visit, making necessary changes as needed, answer phones for questions, scheduling or forward messages to appropriate personnel and other duties as needed. 03/02/2019 – 10/23/2022 - Honor Community Healthcare network (OIHN) Billing Specialist I
Responsible for maintaining the Que for specific Center, making corrections to claims and processing before billing insurances in a timely manner, processing & posting payments as received from Patient or Insurances. Making deposits for the Centers. Knowledgeable in Next gen EMR, Claim Remedi, verifying & updating Insurances.
12/05/2016 – 03/01/2019 – Oakland Integrated Health Care Network (OIHN) Bilingual Front Office Receptionist
• Responsible for scheduling, verifying Insurance prior to appointments,checking in patients,answering phones, forwarding messages to appropriate personnel and following until completed, assisting patients with translation when needed in Spanish and other duties as needed.
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04/2016 – 09/2016 – Oakland Primary Health Services Bilingual Registration Clerk
• Responsible for registering, verifying Insurance and assisting patients with translation when needed.
03/2015 – 04/2016 – Molina Healthcare of Michigan
Bilingual Customer Service Representative for Medicaid & Market Place Members
• Responsible for explaining individual specific Health Plans, making Demographic changes, PCP changes and providing ID cards, assigning to other departments as needed. EVELYN FIGUEROA
6/2013 – 12/2013
Bilingual Customer Care / Inbound call center
• Responsible for customer’s questions and concerns about their Volkswagen vehicle information.
• Make initial evaluation for resolution or refer to appropriate departments. 11/09 – 5/2013 Mac Arthur Corporation
Bilingual Receptionist / Customer Support
• Responsible for answering multiline phone at a Label Manufacturing Company
• Welcome visitors in English or Spanish and announce them to appropriate personnel
• Enter data for several departments
• Serve as the Safety Coordinator Assistant
• Enter and verify data for direct and indirect orders
• Assist with translation in Spanish
• Type and gather documents together for work instructions for several departments
5/07 – 11/09 North American Bancard
Inbound Call Center Representative / Bilingual
• Responsible for customers’ questions and concerns about credit card processing information
• Make initial evaluation for resolution or refer to appropriate departments and process sales for equipment when necessary
7/06 – 4/07 Humana Insurance
Inbound Call center Representative
• Handled intake of incoming calls from Medicare and/or Medicaid patients
• Responsible for resolving issues dealing with billing and enrollment, pharmacy issues, claims, and benefits
• Addressed concerns from patients, often under stressful situations, including providing information or directing to appropriate source
• Maintained computerized call log
11/00 – 04/06 RGIS Inventory Specialist
Audtec / Troubleshooter
• Started position in Control Center as primary contact for field representatives of large data entry and inventory programs developer
• Responsible for troubleshooting problems with computer programs for field representatives, make initial evaluation for resolution or refer to appropriate departments
• Provided courteous, friendly and timely management of all calls
• Trained on Dorstar CSR telephone system
• Served as primary contact for Spanish-speaking representatives worldwide
• Provided assistance and training to new personnel EVELYN FIGUEROA
• Started new position within the same company as an IPM associate in September 2003
• Responsible for testing new programs and keeping weekly data updated for inventories being conducted within the Southern Division 1/00 – 11/00 La Isla Restaurant
Owner / Manager
• Part-owner, manager and assistant cook of a successful take-out restaurant specializing in Puerto Rican cuisine serving clienteles in the grater Pontiac, MI area
12/91 – 1/00 Foamade Industries
Setup Operator
• Started as General Laborer and promoted to Setup Operator
• As a setup operator, supervised team of helpers responsible for daily operations of 16 machines utilized for making foam parts for large auto manufacturers
• Responsible for meeting production deadlines
• Performed quality control for products, trained assistants/helpers, and prepared daily paperwork
Computer Skills
• Microsoft Office (Word, Excel, PowerPoint), Industry specific software Language Skills
• Spanish and English
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