Open to opportunities

Joangelys Maldonado

@joangelysmaldonado

Message

Bilingual customer service professional focused on healthcare support and remote roles.

United States

Message

What I'm looking for

I am seeking remote healthcare customer service or provider-support roles where I can use bilingual communication, high-volume call experience, and claims/scheduling expertise to deliver empathetic, detail-oriented support and grow professionally.

I am a dedicated bilingual customer service professional with experience supporting providers, patients, and Medicare/Medicaid members in high-volume healthcare and call center environments. I excel at benefits and eligibility verification, claims and preauthorization support, scheduling, triage, and logistics coordination, and I bring strong Microsoft Office and Google Docs skills plus experience with QuickBooks.

I value empathy, attention to detail, and being coachable; I consistently aim to provide solutions and clear communication to providers and patients. Currently pursuing a B.S. in Business Administration, I seek remote roles where I can apply my healthcare operations experience, high-volume call handling, and bilingual Spanish/English communication to improve client and organizational outcomes.

Experience

Work history, roles, and key accomplishments

Current

Provider Service Representative

Current

Anthem-Elevance

Jul 2022 - Present (3 years 7 months)

Handled 100+ provider calls daily to verify benefits, preauthorizations, and claims payment history, reducing follow-up inquiries and improving provider satisfaction. Managed grievances, appeals, and LiveChat engagements to streamline provider communications.

Claims Processing Provider Relations Live Chat Medical Billing Customer Service

Customer Service Representative

Refocus Eye Health Ophthalmologist Group

Dec 2020 - Feb 2022 (1 year 2 months)

Scheduled and managed patient appointments, triaged ER calls to arrange emergency visits, and verified primary/secondary insurance to ensure correct billing and reduced claim denials.

Scheduling Patient Triaging Insurance Verification Medical Terminology Office Administration Customer Service

Customer Service Representative

Logisticare

May 2017 - May 2019 (2 years)

Booked medical transportation for Medicare and Medicaid members, assigned drivers, confirmed appointments, and maintained member communications to ensure timely pick-ups and positive service experiences.

Scheduling Call Center Operations Reporting Customer Service

Education

Degrees, certifications, and relevant coursework

Goodwin University

Bachelor of Science, Business Administration

Activities and societies: Dean's List: Summer 2024, Spring 2023; coursework in HR Management, Marketing, Budgeting & Planning, Personal Finance & Insurance.

Pursuing a Bachelor of Science in Business Administration with an Associate of Science in Business Administration completed; Dean's List Summer 2024 and Spring 2023, expected graduate April 2025.