Jazmine Tapia
Signal Hill
Summary
Seeking a challenging and rewarding position that values quality performance and responsible work habits, in which I can apply my detailed past experience. I am a self-motivated individual with strong work ethics who adapts easily to change and requires minimal direction in achieving the objectives outlined.
Overview
13
13
years of professional experience
Work History
Cashier
Jack in the Box
Signal Hill, CA
08.2012 - 11.2015
- Implemented strategies to uphold a strong corporate reputation while optimizing workflow processes.
- Experienced in handling exchanges and returns
- Collaborated with management to implement strategic changes enhancing customer satisfaction.
Premium Payments Team and MP Member Services (All States)
Molina Healthcare
Long Beach, CA
01.2015 - 01.2020
- Assisting members and providers with any inquiries including but not limited to verifying member’s eligibility for providers, checking on claims status for providers, assisting members with payments, mailing out ID cards.
- Ability to assist with account reinstatements, payments and refund requests.
- Ability to take on escalated calls and assure customer satisfaction.
- Able to assist members with PA requests and coverage info.
- Assisted with escalations team from Jan. 2015 – Mar. 2018, gained knowledge in resolving account discrepancies, resolving urgent escalated issues, submitting issues through Escalations SharePoint
- Ability to interact with 3rd party vendors such as brokers, state marketplace, and providers in order to resolve account discrepancies in a timely manner.
- Ability to submit escalated bridge requests for highly urgent matters.
- Ability to read and understand invoices and claims.
Member and Provider services
SCAN Health Plan
Long Beach, CA
07.2020 - 01.2021
- Assisting members and providers with benefit inquiries, claims, eligibility, payments, PCP changes, RX related questions.
- Ability to process premium payments and issue refund requests using US Bank application.
- Ability to assist providers and Medical Groups with verifying eligibility and benefits for members.
- Ability to assist with plan changes and enrollment applications.
- Ability to assist with dental enrollment and disenrollment requests.
- Pharmacy trained
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Proved successful working within tight deadlines and a fast-paced environment.
CSR
Lincare
Los Alamitos, CA
02.2021 - 11.2021
- Facilitated respiratory care treatment and medication administration for patients.
- Facilitated INR testing coordination with external services and managed home medical supply logistics.
- Determined health conditions of patients to confirm qualification for oxygen treatment.
- Processed authorizations and claims
- Engaged with respiratory therapists and physician offices to support patient health requirements and confirm delivery of essential equipment and quality service.
- Resolved customer inquiries through effective communication and problem-solving techniques.
- Trained new staff on customer service protocols and best practices for efficiency.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Photography Editor
Jazmine Tapia Photography LLC
Long Beach, CA
04.2016 - Current
- Captured high-quality images for diverse client needs, ensuring customer satisfaction and brand consistency.
- Collaborated with clients to conceptualize and execute creative photography projects.
- Utilized advanced editing software to enhance images, improving overall visual quality and appeal.
- Established efficient workflows for photo shoots, reducing setup time and increasing productivity.
Education
High School Diploma - phlebotomy
AUMT
Carson, CAHigh school diploma -
Millikan High School
Long Beach, CA01.2014
Skills
- HIPAA compliance expertise
- Self-motivated and proactive with strong attention to detail
- Bilingual in English and Spanish
- Skilled in BOA payment system
- Skilled in data analysis using BI tools
- Proficient skills with using the systems Excel, Microsoft Word, QNXT and CRM, AS400
- Proficient skills with using SharePoint
Timeline
CSR
Lincare
02.2021 - 11.2021
Member and Provider services
SCAN Health Plan
07.2020 - 01.2021
Photography Editor
Jazmine Tapia Photography LLC
04.2016 - Current
Premium Payments Team and MP Member Services (All States)
Molina Healthcare
01.2015 - 01.2020
Cashier
Jack in the Box
08.2012 - 11.2015
High School Diploma - phlebotomy
AUMT
High school diploma -
Millikan High School