Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

ROSA MARTINEZ-MIRELES

150 S Oxford Ave, Los Angeles

Summary

Bilingual Support Professional with 25+ years' experience providing top-notch assistance to Senior Leadership and Teams. Skilled in office management, administrative support, and optimizing processes for increased productivity. Known for handling confidential information with discretion and professionalism.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Health Administration Service Medical Support

Citadel Federal Solutions, LLC
Los Angeles
04.2023 - Current
  • Expedite check-in with efficiency and empathy.
  • Conduct regular audits.
  • Schedule appointments and procedures.
  • Maintain satisfaction rate.

Customer Service Representative

Oregon Health Authority (OHA)
Los Angeles
11.2022 - 12.2022
  • Respond inbound calls.
  • Resolve customer complaints.
  • Maintain customer records.
  • Disseminate information
  • Collaborate with teams.
  • Assist clients.

Specialist Member Engagement

Molina Healthcare
Los Angeles
10.2022 - 11.2022
  • Respond to inquiries.
  • Address member issues.
  • Provide quality service.
  • Analyzing data.
  • Ensure high quality service.

Remote Clinical Admin Coordinator

United Healthcare Group (Healthcare Support Staffing, Inc.)
Los Angeles
09.2021 - 11.2021
  • Provide administrative support.
  • Coordinate clinical activities.
  • Worked collaboratively with teams.
  • Participate in quality insurance process.

Case Care Management Assistant

Health Net Federal Services
Los Angeles
07.2021 - 07.2021
  • Manage healthcare services for military and veteran beneficiaries.
  • Conduct remote assessment.
  • Update beneficiary records.
  • Provide administrative assistance.

Healthcare Patient Support Representative

OPTUM (Aspire Staffing)
Los Angeles
06.2021 - 07.2021
  • Managed patient inquiries.
  • Collaborate with healthcare providers.
  • Resolved patient issues.
  • Maintained patient records.
  • Assist patients in scheduling appointments.

Intake Specialist

Blue Shield of CA
Los Angeles
09.2020 - 04.2021
  • Process medicare enrollment.
  • Handled billing inquiry.
  • Entered member information.
  • Communicate with internal and external teams.
  • Conduct quality checks.

Enrollment Health Advocate

Gracelight Community Health
Los Angeles
01.2020 - 06.2020
  • Process applications.
  • Collaborate with insurance providers.
  • Generate reports.
  • Provide program information.
  • Conduct in-research.

Family Service Enrollment Program Assistant II

Crystal Stairs
Los Angeles
01.2006 - 01.2020
  • Provide administrative support.
  • Provide quality customer service.
  • Review eligibility documentation.
  • Coordinate with external organizations.

Education

Associate of Arts - Psychology/Sociology

Los Angeles City College
Los Angeles, CA
12-2022

Associate of Science - Business Administration/Management

Los Angeles City College
Los Angeles, CA
02-2022

Associate of Arts - Computerized Business Specialist

American Career College
Los Angeles, CA
06-2006

High School Diploma -

Los Angeles Senior High School
Los Angeles, CA
06-1998

Skills

  • Superior Customer Service
  • File Maintenance
  • Streamline Processes
  • Problem-Solving
  • Multitasking
  • Bilingual Proficiency (English & Spanish)
  • CS-Link/Epic
  • Complex Data Entry

Certification

  • Certified Microsoft Specialist, Microsoft Office
  • Certified Enrollment Counselor, Covered California

Timeline

Health Administration Service Medical Support

Citadel Federal Solutions, LLC
04.2023 - Current

Customer Service Representative

Oregon Health Authority (OHA)
11.2022 - 12.2022

Specialist Member Engagement

Molina Healthcare
10.2022 - 11.2022

Remote Clinical Admin Coordinator

United Healthcare Group (Healthcare Support Staffing, Inc.)
09.2021 - 11.2021

Case Care Management Assistant

Health Net Federal Services
07.2021 - 07.2021

Healthcare Patient Support Representative

OPTUM (Aspire Staffing)
06.2021 - 07.2021

Intake Specialist

Blue Shield of CA
09.2020 - 04.2021

Enrollment Health Advocate

Gracelight Community Health
01.2020 - 06.2020

Family Service Enrollment Program Assistant II

Crystal Stairs
01.2006 - 01.2020

Associate of Arts - Psychology/Sociology

Los Angeles City College

Associate of Science - Business Administration/Management

Los Angeles City College

Associate of Arts - Computerized Business Specialist

American Career College

High School Diploma -

Los Angeles Senior High School
ROSA MARTINEZ-MIRELES