Interested

Monique Flores

Alhambra, CA *****

****************@*****.***

323-***-****

Professional Summary

Experienced medical technology professional with customer service experience. Extensive experience

using state of the art computer programs. Recognized for strategic error resolution and detection in a

team setting. Consistently regarded for accuracy and completion of work. Versatile communication skills

and calm problem solving and critical thinking in high stress customer service environments.

Willing to relocate to: Alhambra, CA - Pasadena, CA - Monterey Park, CA

Work Experience

Child Care Provider

PATHWAYS INC-Los Angeles, CA

March 2022 to Present

· Supervise and monitor the safety of children.

· Prepare and organize meal times and snacks for children.

· Help children keep good hygiene.

· Change the diapers of infants and toddlers.

· Organize activities or implement a curriculum that allows children to learn and explore their interests.

Home Health Provider

HOME INSTEAD-Pasadena, CA

November 2021 to February 2022

· Enabled patients to stay in their homes by monitoring and recording patient condition, providing support

and personal services.

· Supported patients by providing housekeeping and laundry services shopping for food and other house

hold requirements, preparing and serving meals and snacks.

· Assisted patients by providing personal services, such as monitoring vital signs, wound care, bathing

and grooming.

· Maintained a safe, secure and healthy patient environment by following asepsis standards and

procedures.

Customer Claim Representative

CARE 1ST-Monterey Park, CA

June 2015 to December 2015

· Responded to phone calls, emails and other communication from providers, members, and brokers.

· Resolved customer and providers complaints in an efficient manner.

· Helped provide information about claims processing to providers

· Routed incorrect processed claims to appropriate department for corrections and further reviews.

Admistrative Assistant

REGAL MG-West Covina, CAOctober 2014 to January 2015

· Answered phones and email inquiries in a timely matter.

· Assisted members with balanced billing and ensured members that issues will be resolved in a timely

matter

· Helped provide information about claims processing to providers

Customer Care Representative

SYNERMED, INC-Monterey Park, CA

June 2007 to November 2013

· Answered multiple phone lines, monitored queue, proactively identified and resolved customer issues.

· Assisted clients and members with authorization, claims and urgent referrals by emailing UM and Case

management.

· Contacted provider office to request medical records, medical treatments and procedure information.

· Researched DOFR and claim issues before submitting information to auditors for reviews.

Education

ALLIED SCHOLL - Los Angeles, CA

Skills

• Fun and energetic

• Experienced in Data Verification

• Attention to detail

• Proficient with Microsoft

• Excellent interpersonal and communication skills

• Experienced EZ-CAP, EZ-LINK and EZ-EDI

Contact this candidate