VANESSA SAGASTUME
montclair
Summary
Health Advisor experienced handling high volume of calls in fast-paced call center environments. Well-versed in answering questions, researching problems, and resolving discrepancies. Detail-oriented and personable with exceptional work ethic and passion for service.
Overview
10
10
years of professional experience
Work History
CUSTOMER SERVICE
kaiser permanente
10.2022 - Current
- Inbound calls answering member questions regarding benefits, copayments, premium payments (Aci,Slp), web support, submitting complaints, application status, Medicare-Medi-cal, research and solving member concerns, eligibility questions, answering providers, brokers questions
- Expedited insurance authorizations, ensuring prompt access to necessary medical services for patients.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
CUSTOMER SERVICE
jacuzzi
05.2019 - 02.2021
- Inbound calls answering customer questions regarding shipment, assisting members with placing new orders for spas and bathtub parts, checking KBM system, multitasking from teams to Outlook using salesforce system
CASHIER
marshall
06.2016 - 02.2019
- Greeted customers entering store and responded promptly to customer needs.
- Welcomed customers and helped determine their needs.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
CUSTOMER SERVICE
walmart
06.2014 - 04.2016
- Greeted customers entering store and responded promptly to customer needs.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Education
HIGH SCHOOL DIPLOMA -
mojave river academy
Colton, CA06.2014
Skills
- Spanish native
- Call center
- Multitasking
- Medical terminology
- Typing 40mph
- Call center metrics
- Claims Processing Knowledge
- Insurance Verification
- Medical coding knowledge
- HIPAA Compliance
- Medical terminology understanding
- ICD-10-PCS coding
- Insurance Billing and Coding
Timeline
CUSTOMER SERVICE
kaiser permanente
10.2022 - Current
CUSTOMER SERVICE
jacuzzi
05.2019 - 02.2021
CASHIER
marshall
06.2016 - 02.2019
CUSTOMER SERVICE
walmart
06.2014 - 04.2016
HIGH SCHOOL DIPLOMA -
mojave river academy
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