Diane Rouzaud
Tucson, AZ ***** Remote Ready *****58*8714 **********@*****.***
Professional Summary
I am a dedicated Remote Customer Service & Enrollment Specialist with 10+ years of experience in healthcare, insurance, and government service. Skilled in high-volume inbound/outbound calls (80+ daily), Recognized for accuracy, compliance, and 100% attendance. Proficient in MS Office, Salesforce, Epic, Market Prominence, and call center systems.
Core Skills
Healthcare Enrollment & Eligibility
High-Volume Customer Service & Call Center Operations
Data Entry (10+ yrs, 50+ WPM, high accuracy)
CRM & EHR Systems: Salesforce, Epic, Market Prominence
MS Office (Word, Excel, Outlook) Google Apps
Conversational Spanish
Professional Experience
CVS/Aetna Remote
Enrollment Coordinator Sept 2024 – Feb 2025
Outbound calls to new Medicare/Medicaid and existing members to verify and update PHI
Resolved discrepancies by coordinating with providers, reducing claim errors.
Achieved and exceeded monthly quality and productivity benchmarks.
Managed inbound agent/broker calls and outbound verification with professionalism.
State of Arizona – Dept. of Economic Security Remote
Eligibility Specialist July 2023 – Dec 2023
Verified claimant eligibility by reviewing documentation, employment history, and wage information.
Conducted interviews with applicants and employers to gather necessary information and resolve discrepancies.
Processed initial claims, continued claims, appeals, and overpayment determinations in a timely manner.
Provided clear explanations of unemployment policies, benefits, and requirements to claimants, while maintaining a high level of customer service.
Accurately documented case notes, decisions, and correspondence in case management systems.
Collaborated with team members and state agencies to ensure consistent application of rules and efficient resolution of claims.
Handled high-volume caseloads with professionalism, confidentiality, and attention to detail.
Pyx Health Remote
Enrollment Specialist Oct 2021 – Apr 2023
Conducted high-volume outbound calls (120+ daily) to recruit new Medicaid and Medicare members and promote adoption of the Pyx Health application.
Educated clients on the app’s benefits and provided step-by-step guidance on installation, navigation, and feature utilization.
Enhanced member engagement by demonstrating app tools that support positive mind/body health and improved access to healthcare resources.
Supported insurance-partnered initiatives to drive awareness and increase utilization of digital health services.
Achieved top-performer recognition for consistently exceeding recruitment goals, enrolling high volumes of Medicaid and Medicare members into the Pyx Health application
State of Arizona – Dept. of Economic Security Tucson, AZ
Eligibility Specialist Sept 2020 – Oct 2021
Heavy data entry and generated reports for analysis in MS Excel and other CRM applications.
Assigned and completed special projects as needed
Banner South Medical Center Tucson, AZ
Support Coordinator/Data Entry Jul 2016 – Sep 2020
Interviewed and on-boarded new plan members via phone, ensuring accurate transcription of responses into the database with 100% compliance to HIPAA standards.
Verified and updated member demographics, improving data integrity and reducing duplicate or inaccurate records.
Guided members to essential services such as transportation, food, and housing resources, enhancing overall member satisfaction and access to care.
Education & Training
Pima Community College Tucson, AZ – AAS, Applied Science (2011) -
Certificate – Health Information Technology (HITECH) Technical Support Specialist
Medical Coding & Billing Training L & S Coding (2018–2019)