2002
2 Year Course Nursing Assistant
Jose Navarro Polytechnic College
More Info About Me
I am a Customer Service Advocate with 3 years of experience in Healthcare, specializing Provider Services and Member Intake. My responsibilities includes providing accurate eligibility and benefits information of the member, checking status of prior authorization, Initiate GAP request, educate Providers and Members on how to file appeal.
Making sure to provide customer satisfaction.
My Skills and Competencies
Social Media Management
Medical Virtual Assistant
Data Entry
Content Creator
Certificates
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My Experience and Education
2021
-
2025
Optum Global Advantage
(Customer Service Advocate)
1. Answers and manage calls in a professional and courteous manner.
2. Provide accurate information regarding medical benefits of the members to the providers, including prior authorization status, creating prior authorization, creating GAP request, Expediting prior authorization and educate callers on appeals process.
3. Direct calls to the appropriate department.
4. Adhere to HIPAA compliance.
2018
-
2021
CNM Solutions
(Order Placer)
1. Placing food orders for customers by calling restaurants, do callbacks for customers in case food orders are unavailable, giving them options to choose from.
2. Always making sure to follow special instructions on food orders, specially for food allergies.
3. Making sure riders will deliver the food on time
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
Medical Virtual Assistant
Scheduling appointments, handling correspondence, and managing records.