Experience

Community First Health Plans

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Analyst

  • Jul 2022 - Present

  United States Making sure benefits are set up correctly to ensure claims are paid out properly.

• Member Advocate

  • Jul 2018 - Oct 2023

  San Antonio, Texas, United States



ROMO MEDICAL EQUIPMENT, LLC

• United States

• Billing & Collections

  • May 2017 - Jul 2018

  San Antonio, Texas



MedCare + Solutions

• Customer Service Representative

  • Jun 2016 - Mar 2017

  Laredo, Texas I great the customers that walk in and assist them with any questions they may have. I process the incoming orders and prepare them for delivery. I assist with the billing and coding of all orders as well as posting payments.



Molina Healthcare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Risk Adjustment Specialist

  • Aug 2015 - Apr 2016

  San Antonio, Texas I maintained confidential files and worked with external vendors in assisting with risk adjustment initiatives.

• Sr Rep Enrollment Specialist

  • Feb 2014 - Aug 2015

  San Antonio, Texas I managed the State Mailbox working directly with HHSC to handle member issues such as enrollments and dis-enrollments. I assisted wi the duily and monthly files from the state. I assisted the Enrollments manger with projects that arose regarding enrollment issues. I helped train new employees as needed.

• Member Inquiry Research and Resolution Specialist

  • Jun 2012 - Feb 2014

  Laredo, Texas



Community First Health Plans

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Resolution Specialist

  • Aug 2001 - May 2012

  San Antonio, Texas I started in the Member Services dept helping customers with questions and concerns. I moved up to Community Service Outreach Rep going out into the community to help answer member's questions. Promoted to Resolution Specialist where I addressed member complaints in a timely manner. I also helped train new employees as needed.