Customer Service Representative
Resume:
Beatriz Ruiz Ossa
Experienced Business Administrator and Construction Field Supervisor /Customer Service Specialist in the fields of Healthcare and Open enrollment supervision. Miami, FL 33161
*******************@*****.***
Professional Summary
Experienced Office Administrator /Experienced Medical Assistant /Customer Service Representative. Bilingual/Data Entry/Call Center experience 10 yrs plus/ CMS Knowledge, Serviced several Staffing Agencies as Temp Agent.
/Medical Super Billing/Medical Assistant and Pulmonary functions knowledge as well as Workmans Compensation processing.
Medicaid-Medicare Pt's A,B,C and D. / Pharmaceutical knowledge. Construction & Demolition Experience. /Accounting and Payroll and Logistics/Expierence in reviewing reports for audits for Healthcare plans and construction companies . Field Supervior Technician with Experience for roofing demolition and onfield construction workers. Trained in Homeland Securities and Firearms with knowledge of Field stripping. North Miami, FL 33161
Authorized to work in the US for any employer
Authorized to work in the US for any employer
Work Experience
Bilingual Customer Service Representative
Miami Dade County Housing Authority-North Miami, FL June 2025 to June 2025
Temp assisatant for the MDCHA /Assisting with full navigation of understanding, applications, resources and general Customer Service to the community of Miami Dade County with low income Section 6 Housing applications, Bilingual.
Bilingual Legal Intake Specialist
Bush and Bush Law Group-Dallas, TX
January 2025 to April 2025
Probing potential clients that are seeking Legal representation from Bush and Bush Law Group for there Motor and Commercial vehicle accidents,sexual assault,employment harassment,Medical malpractice, Child and Elderly Negligence, Nursing home abuse. With the knowledge of codes and detailed information on Police reports,Vehicle Insurances. Answered 100 Inbound and (varied) outbound calls . Always implementing empathy,compassion and due diligence towards the potential clients situation, with accuracy.
Had to leave due to knee surgery.
Bilingual Customer Service Representative
CoverVA-Richmond, VA
April 2024 to December 2024
Bilingual CSR assist consumers with applications for Medicaid Enrollment,billing and claims. General Navigation
with the CVCC Virginia Medicaid portal.
CSA - Customer Service Associate
Wellcare/Centene-Miami, FL
March 2023 to December 2023
Associate for Medicaid -Medicare
Team Lead Supervisor with expierence with Open enrollment Pt's A,B,C and D as well(Dual enrollment) Formulary's assistance in Care gaps, scheduling appointments for members if necessary or requested.Online chat assistance/ Inbound calls 80 calls plus/Outbound calls to PCP, Pharmacies if requested by member's for Prescriptions, (warm transfers)Trained in Medicaid/ Medicare research,
Trained in Systems = OMNI search for members/ Portico trained to navigate for Benefits Services/Trucare Cloud for co-pay, coinsurance,appointments etc. Data entry, Contract Over .
Bilingual CSR - Customer Service Representative
HGS Healthcare/Sagility/Prime Therapeutics-Remote
February 2022 to December 2022
Assisting Providers/Pharmacy Technician's/Team Lead Supervisor with Open enrollment experience / Eligibility Benefits and Verification Specialist and all in tailed with Pharmaceutical Industry with Prescriptions rejects,PA, reversals,overrides,appeals, adjudications, quotes and all that entails Formularies. .Inbound /Outbound calls 80 plus calls . Online chat assistance. Client Services, Pyramid Staffing Assignment.
Great company to work for.
Assignment ended and seeking higher pay.
CSR - Customer Service Representative Manager
ForContact DolceandGabbana USA and Mexico / Adecco Staffing-Miami, FL May 2022 to July 2022
( Night Shift ) Inbound/Outbound calls.Supported customer's via online emailing and Online Chat assistance /processing Refunds, Tracking Packages, Assistance with Boutiques internationally, Ticketing, Outbound and Inbound calls and
Customer Support.
Note - Had to leave due to obtaining Covid-19.
Legal Intake Specialist
MAP Communications-Tampa, FL
June 2020 to January 2022
Assisted with new case intakes, probing new clients for the Attorneys, assisting calls for Judges. Administration, Paralegal, Opposing Counsel,, Law Enforcement, Insurance Company, Claims for Auto Accident Adjusters,ticketing, Q&A'S and Customer Support/ 80 plus calls Inbound and outbound if necessary.
Field Service Technician & Assistant / Front Desk / Payroll Assistant Universal Placement Solutions-Miami-Dade County, FL January 2017 to November 2019
Assisted Field Supervisor with daily tasks for employees,hours,project locations . Supervised hours and payroll for employees and Logistics. Asisted supervisor with recruitment of juvenile ex-convicts with employment and re-integration to society for a positive outcome and success. Assisted in the placement of potential employment for job applicants in the fields of Demolition and major construction jobs.
Kelly Staffing /Customer Service Representative
Florida Department of Economic Opportunity-Miami, FL January 2019 to July 2019
Employment claims,Q&A'S Assistant, Pin resetting,Assisting applications,Ticketing. On- Assignment.
Front Desk Supervisor. Office Assistant . Front Desk/Super Billing/Assistant to Dr. Allaf
Dr. Waddah Allaf-Miami, FL
January 2015 to January 2017
Assisted Dr. Alla and Office Manager. in general office and patient care services ./Medical assistant to Head Medical assistant for Doctor Allaf.
• Incharge of answering phones and sending medical messages to major South Florida Hospitals through Match MD to Dr. Allaf and Colleagues if necessary.
• Assisted with Vitals, Oximetry's, Pulmonary Function Test
• In charge of submitting request for authorizations for Sleep Studies, CPAPS,Overnight Sleep Studies.
• In-charge of Super Billing, Billing for Pulmonary Functions and Allergy Test/ Assisted with supervision of patients Open enrollment if necessary.
• Assisted with consultations with Dr. Allaf and Office manager at Memorial West in Pembroke Pines,Fl . Microsoft Office Profientcy Certified
Sullivan and Coglliano Technical School-Miami, FL
January 2015 to December 2016
The studies in all Microsoft systems for the use in Business Administration in the department of Communications skills/Attention to detail problem solving /Technology,Written,Supervising, Database Management, Delagation, Team working and Customer Service skills. Health Agent/Tax Prep
Florida Health Agency-Miami, FL
January 2012 to December 2015
• Assisted with Florida Health Open enrollment applications.
• (Obama Care)
• Assisted with Health Insurance application translations
• Performed general office duties
• Answered multiple phone line system
Administrative Assistant/ Project Coordinator
Coastal of Miami Demolition-Miami, FL
January 2007 to December 2011
• Read blueprints and estimated projects
• Entered bids for major construction jobs in the State of Florida
• Supervised all projects, payments and discrepancies for company
• Supervised office quality control
Onsite Forman/Office Assistant
Built Rite Construction and Roofing-Miami, FL
January 2005 to December 2007
• Assisted in all office duties
• Assisted with all onsite inventory for construction projects
• Supervisor for all onsite projects
Office Administrator/Personal Assistant to CEO
Special Operations Group-Woodbridge, VA
January 2001 to December 2005
• Assisted CEO with all International travel arrangements, meetings and dictations/ Trained in Homeland Securites and Firearms with Field Stripping Knowledge.
• Managed front desk operations
• Supervised all general office duties
Education
Associate Degree in Business Administration
Miami Dade College-Miami, FL
Skills
• Medical coding (7 years)
• Google Suite
• Attention to detail
• Utilization review
• Organizational skills (10+ years)
• Order entry
• Communication skills (10+ years)
• Service technician experience
• Microsoft Powerpoint
• General ledger reconciliation
• Multilingual (10+ years)
• Professional Translator
• Front desk
• Customer service
• Computer skills (10+ years)
• Time management
• Journal entries
• Computer operation
• Data entry
• DME
• Microsoft Access (10+ years)
• General ledger accounting
• Customer relationship management
• Typing
• Clerical experience
• Personal injury law
• English (10+ years)
• Analysis skills
• Payroll
• Project coordination
• SharePoint
• Financial report writing
• Microsoft Word
• Balance sheet reconciliation
• Documentation review
• Human resources
• Accounting software
• Special operations (10+ years)
• Bilingual (10+ years)
• Budgeting
• Technical support
• Microsoft Dynamics GP
• Hospitality
• Accounts payable
• Medicare
• Call center
• Accounting
• Telemarketing
• Negotiation
• Live chat (7 years)
• Windows
• HIPAA
• Computer skills
• Spanish
• Field service (10+ years)
• Construction (10+ years)
• QuickBooks (10+ years)
• Accounts receivable (10+ years)
• Microsoft Outlook
• Supervising experience (10+ years)
• Translation
• Mac OS
• Tax experience
• Law office
• Legal administrative experience
• Writing skills
• Managed care
• Phone etiquette
• Customer service (10+ years)
• Vital signs
• Customer support
• Office experience
• IVR
• Leadership
• Google Docs
• Document management
• Office management
• Legal drafting
• Quality assurance
• Account reconciliation
• Quality control
• Working with people with disabilities
• Communication skills
• Research
• Conflict management
• CRM software
• Customer service (10+ years)
• Microsoft Office
• Relationship management
• Construction Management
• Travel planning
• Medical office experience (8 years)
• Help desk
• Proofreading
• Bookkeeping (10+ years)
• Roofing (10+ years)
• Medical terminology (8 years)
• Microsoft Excel (10+ years)
• Administrative experience (10+ years)
• Blueprint reading (10+ years)
• Filing (10+ years)
Certifications and Licenses
Driver's License
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