Bilingual Customer Service Representative
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Experienced and dependable customer service professional with 10+ years of success in high-volume call centers, healthcare support, and fraud investigation. Poven ability to resolve complex claims, support pharmacy operations, and deliver outstanding service in fast-paced call center. Bilingual communicator with a strong commitment to quality, compliance and team development. Ready to contribute to customer focused organizations that value excellence and innovation.
Most recently at TekSystems-MedImpact, I assisted pharmacies with prescription claims and helped members navigate their pharmacy benefits—submitting formulary exception requests with precision and compassion. At VDART, I conducted fraud investigations that led to a 15% reduction in fraudulent activity, while providing bilingual support and mentoring teammates in a fast-paced, compliance-driven environment.
I earned an Associate Degree in Medical Billing and Coding from Ultimate Medical Academy, gaining expertise in healthcare terminology, HIPAA rules, and electronic records. Whether managing confidential claims, assisting with COVID-19 test inquiries, or resolving complex policy questions over secure platforms, I consistently deliver quality customer care while upholding industry standards.
