Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mariah Montejano

Sacramento,CA

Summary

Dedicated Member & Provider Service Representative with 6 years of experience in healthcare support. Proven leadership skills from team lead roles, with a passion for delivering exceptional service in fast-paced environments. Adept at problem-solving, multi-tasking, and building trust with both members and providers.

Overview

11
11
years of professional experience

Work History

Member Service Representative

TDB Communication | Kelly Services
Sacramento, CA
02.2021 - Current
  • Assist beneficiaries with billing inquiries, eligibility, prior authorizations, and coverage.
  • Guide providers with claims, appeals, and CPT codes.
  • Conduct outbound follow-ups, ensuring accurate insurance billing.

Lead Member Service Representative

Covered California
Sacramento, CA
01.2019 - 01.2021
  • Enrolled members in insurance plans, verified eligibility, and resolved escalations.
  • Supported staff with manual verifications and premium billing questions.
  • Handled complex inquiries, ensuring smooth member experiences.
  • Led training initiatives for new representatives, enhancing service delivery and customer satisfaction.
  • Streamlined member enrollment processes, reducing wait times and improving operational efficiency.

SLS Trainee Lead |

On My Own LLC
Sacramento, CA
08.2015 - 03.2016
  • Managed healthcare coordination for multiple clients, including finances, scheduling, and medication management.
  • Organized care plans, ensuring each recipient received personalized support.

Education

• State CNA Certification - State CNA Certification

Mary Seacole Nursing Academy
Sacramento, CA
2018

High School Diploma -

Sacramento Academic & Vocational Academy
Sacramento, CA
05.2016

Skills

  • Leadership & Team Coordination
  • Healthcare Billing & Eligibility
  • Effective Communication
  • Strategic Problem-Solving
  • Organization & Time Management

Timeline

Member Service Representative

TDB Communication | Kelly Services
02.2021 - Current

Lead Member Service Representative

Covered California
01.2019 - 01.2021

SLS Trainee Lead |

On My Own LLC
08.2015 - 03.2016

• State CNA Certification - State CNA Certification

Mary Seacole Nursing Academy

High School Diploma -

Sacramento Academic & Vocational Academy
Mariah Montejano