Customer Service Call Center

Jessica Ruiz **** Castle Prince San Antonio, Texas 78218 602-***-****

Career Summary

*Highly motivated and knowledgeable professional with over 14 years of experience in the clerical and customer service field. Specific knowledge as a trained Military & Veteran representative with CAC clearance and a Medical/ Medicare/Medicaid/ Commercial Customer Service Agent, with 7 years as an Intake Coordinator with United Health Group. Licensed Insurance Agent with 1+ year Medicare and Life Insurance sales experience

Technical Skills

*Proficiencies: Microsoft Operating System; Microsoft Office Products: Word, Excel, Outlook.

Internal experience with I-Cue HSR, CareOne, and Rightfax, MyGuide, and Sharepoint systems *Language Skills: Fluent in English/ Spanish.

Professional Experience

QuoteManage LLC

San Antonio, TX

Medicare Insurance Advisor. 06/2023-05/2025

Complete enrollments over the phone in call center environment

Answer calls from customers who have questions on all Medicare health related inquiries

Make outbound sales calls from a variety of sales campaigns

Meet Sales and productivity goals on a daily, weekly and monthly basis

RemX Contractor

McKesson Specialty

Phoenix, Arizona

Operation Support Lead. 10/2020- 2/2021

Assist in onboarding of 400+ employees for the client

Delegating with Supervisor

Coordinating with Quality team, Workforce management team, and the CLIENTS.

Assisting team of 30 agents for Mckesson’s call center to coordinate and get claims paid and meet prior authorization requirements for each insurance payer

Preferred Homecare

Phoenix, Arizona

Bilingual Patient Service Associate 08/2018 - 05/2019

Respond to telephone inquiries and orders from patient and referral sources

Determines resolution of patient and referral inquiries, questions, or concerns

Completes electronic intake process in billing system, performs verification of insurance and reviews all documentation for accuracy and to qualify patient for services

Contact patient to inform them of patient requirements, collect payment and determines best delivery method

Understands and abides by ACHC Requirements

UnitedHealth Group

Phoenix, AZ

National Intake Coordinator

07/2010 to 05/2018

Respond to incoming provider and patient calls.

Enter notifications, provide status of existing notifications and determining if notification is required.

Provide excellent customer service to both providers and facilities.

Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.

Backup to the Team Leader role as VITL & SME managing escalated calls.. as well as managing the Intake AZ case escalations.

Consistently acquire new skills and ideas to help our Dept.

Trained in E&I, M&R, Tricare updating and creating Notifications

Education

International Institute of the Americas. Phoenix. Arizona

Jessica Ruiz 5723 Soothing Water, San Antonio, Texas 78244 602-***-****

GED 2004

Languages

English

Spanish

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