ELIANA SEVERO RODRIGUEZ
Hellertown
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Solano Consultants Insurance Group
05.2022 - 11.2024
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Provider Services Representative
Capital BlueCross
09.2020 - 05.2022
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Verified eligibility and compliance with authorization requirements for service providers.
Patient Service Representative
LVHN
11.2018 - 08.2020
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Acted as a reliable point of contact for clients, addressing concerns or questions about their appointments with professionalism and tact.
- Set up appointments with interested customers according to schedule availability.
Education
High School Diploma -
Louis E Dieruff High School
Allentown, PA06-2013
Diploma - Business Administration/Accounting
Lehigh Career & Technical Institute
Schnecksville, PA05-2013
Skills
- Critical thinking
- Problem resolution
- Attention to detail
- Time management
Certification
- Notary Public License - Pennsylvania
- Community Interpreter Certificate - Fluent bilingualism
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Customer Service Representative
Solano Consultants Insurance Group
05.2022 - 11.2024
Provider Services Representative
Capital BlueCross
09.2020 - 05.2022
Patient Service Representative
LVHN
11.2018 - 08.2020
High School Diploma -
Louis E Dieruff High School
Diploma - Business Administration/Accounting
Lehigh Career & Technical Institute
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