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Competencies
Demonstrated experience with Maestro.
Demonstrated experience with Citrix.
Demonstrated experience with eClinicals.
Demonstrated experience with Facets.
Demonstrated experience with MAccess.
Education
Languages
Summary
Professional profile
Experience
Customer Service Representative
Handled high-volume inbound and outbound calls for U.S. healthcare members regarding health insurance benefits, claims, eligibility, coverage, billing, premium payments, and account inquiries.. Scheduled and coordinated medical appointments with healthcare providers based on members' needs, provider availability, and insurance eligibility.. Verified insurance benefits, eligibility, and member information using Maestro, Citrix, Facets, eClinicals, MAccess, and Knowledge Central while maintaining HIPAA compliance and confidentiality.. Reviewed documentation submitted by physicians, hospitals, and pharmacies, documented member interactions accurately, and completed follow-up activities.. Resolved customer concerns professionally while managing multiple systems and delivering accurate, empathetic customer service.
Marketing Intern
Assisted with promotional campaigns, product launches, giveaways, and customer engagement initiatives.. Supported brand positioning and collaborated with the marketing team to execute marketing strategies.. Created marketing materials using Canva and Adobe Creative Cloud.
English-Spanish Interpreter (Volunteer)
Interpreted between healthcare professionals, volunteers, and community members during medical brigades.. Taught basic English to elementary school students.
English-Spanish Interpreter (Volunteer)
Interpreted between healthcare professionals, volunteers, and community members during medical brigades.. Taught basic English to elementary school students.