Robin Hummel
Chula Vista
Summary
Dedicated professional with proven expertise in customer service, data entry, and HIPAA compliance. Committed to providing exceptional service and enhancing team performance through collaboration and innovative problem-solving. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
33
33
years of professional experience
Work History
Autism Services Co-ordinator
Health Net Federal Services LLC
Rancho Cordova
06.2021 - 12.2025
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Identified needs of customers promptly and efficiently.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Assisted with customer requests and answered questions to improve satisfaction.
- Worked with cross-functional teams to achieve goals.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Recognized by management for providing exceptional customer service.
UM/Case Care Management Administrative Assistant
Health Net Federal Services
Rancho Cordova
09.2005 - 06.2021
- Entered data into spreadsheets using Microsoft Excel or other similar programs.
- Data entered pre-authorization requests/notifications for inpatient admissions.
- Placed calls to providers and beneficiaries to obtain additional information as needed while maintaining HIPAA.
- Ensured that authorization requests were completed within contractual timelines, and accurate.
- ICD-9, ICD-10, CPT code, and HCPCS code knowledge.
- HIPPA knowledge.
Call Center Representative
Heal Net Federal Services
San Diego
07.2002 - 09.2006
- Provided exceptional customer service through inbound calls for healthcare inquiries.
- Documented customer interactions accurately in the call center management system.
- Utilized problem-solving skills to address client concerns efficiently and professionally.
- Maintained up-to-date knowledge of healthcare programs and policy changes for accurate support.
- Answered incoming calls and provided highest level of professionalism and knowledgeable service to every customer.
- Maintained high levels of professionalism while interacting with customers via phone or email.
- Answered, screened and processed high volume of calls daily with call management system and web-based communications.
- Updated customer accounts, addresses and contact information within call management databases.
- Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.
- Resolved customer complaints in a timely manner to ensure customer satisfaction.
- Navigated through computer systems to review information and respond appropriately to callers.
- Engaged actively with callers, confirming or clarifying information and diffusing anger.
- Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
- Utilized knowledge base to answer inquiries from customers quickly and effectively.
- Followed standard processes and procedures for proper escalation of unresolved issues to appropriate internal teams.
- Assisted customers with navigating the company's website to locate desired information or items for purchase.
- Adhered strictly to all applicable laws and regulations pertaining to customer privacy rights.
Senior Assistant Manager
Blockbuster Video
Imperial Beach
07.1992 - 07.2002
- Managed daily store operations and customer service initiatives.
- Resolved customer complaints effectively to maintain satisfaction levels.
- Monitored sales trends and adjusted staffing schedules accordingly.
- Conducted performance evaluations to support employee growth.
- Monitored employee attendance to ensure adherence to scheduling guidelines.
- Performed administrative duties such as creating schedules and processing payroll information.
- Ensured compliance with company policies and procedures as well as applicable laws and regulations.
- Resolved customer complaints promptly while ensuring a positive shopping experience.
- Coached team members on best practices for providing exceptional customer service.
- Recruited, interviewed, hired, trained, supervised, evaluated job performance of employees.
- Managed day-to-day operations including opening and closing procedures and cash handling.
- Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Delegated work to staff, setting priorities and goals.
- Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
- Interviewed prospective employees and provided input to HR on hiring decisions.
- Planned and led team meetings to review business results and communicate new and ongoing priorities.
Education
Merchandising Certificate - Fashion Merchandising
Fashion Careers Of California
San Diego, CA06-1987
High School Diploma -
Southwest High School-
San Diego, CA06-1986
Skills
- Customer service
- Accurate data entry
- ICD-10 knowledge
- HIPAA compliance
- Medical terminology knowledge
- MS office/Outlook/TEAMS/Excel
- Multitasking and organization
- Verbal and written communication
Accomplishments
Key Contributor Award 04/22
Timeline
Autism Services Co-ordinator
Health Net Federal Services LLC
06.2021 - 12.2025
UM/Case Care Management Administrative Assistant
Health Net Federal Services
09.2005 - 06.2021
Call Center Representative
Heal Net Federal Services
07.2002 - 09.2006
Senior Assistant Manager
Blockbuster Video
07.1992 - 07.2002
Merchandising Certificate - Fashion Merchandising
Fashion Careers Of California
High School Diploma -
Southwest High School-
Similar Profiles
Robin CookRobin Cook
Enrollment Specialist at Health Net Federal Services LLCEnrollment Specialist at Health Net Federal Services LLC
ARIANA GONZALEZARIANA GONZALEZ
Intake Service Representative II, ROFR Team at Health Net Federal Services LLCIntake Service Representative II, ROFR Team at Health Net Federal Services LLC
Caryn SchroederCaryn Schroeder
Manager, Communications at Health Net Federal Services, LLCManager, Communications at Health Net Federal Services, LLC
Azul DiazAzul Diaz
Ensemble Skater at Disney on IceEnsemble Skater at Disney on Ice
Edgar VillarruelEdgar Villarruel
Systems Engineer at King TechnologiesSystems Engineer at King Technologies