Kayla Sanchez
@kaylasanchez
Experienced bilingual customer service professional with a strong track record.
United StatesWhat I'm looking for
As a dedicated customer service professional with over three years of experience, I have honed my skills in various roles including Case Manager, Benefits Verification Specialist, and Customer Service Representative. My bilingual capabilities in English and Spanish allow me to effectively communicate with a diverse clientele, ensuring that their needs are met with exceptional service.
Throughout my career, I have demonstrated a strong ability to manage high call volumes while maintaining a focus on performance goals. My experience includes verifying insurance eligibility, processing claims, and coordinating services for clients. I take pride in my attention to detail and my commitment to providing accurate information and support to both clients and internal teams.
I am proficient in the MS Office Suite and have experience with virtual phone systems, which enhances my ability to deliver efficient service. I am passionate about helping others and thrive in fast-paced environments where I can utilize my skills to make a positive impact.
Experience
Work history, roles, and key accomplishments
Benefits Verification Specialist
CVS Health
Apr 2024 - Jul 2024 (3 months)
Made outbound calls to verify patient-specific benefits and documented coverage details. Provided guidance on expediting patient access and triaged cases with missing information.
Case Manager
Cardinal Health
Nov 2023 - Feb 2024 (3 months)
Managed a caseload of clients, ensuring timely resolution of inquiries and maintaining accurate documentation. Processed insurance claims and ensured compliance with regulatory requirements.
Care Management Support Coordinator II
Pyramid Consulting (Centene)
Sep 2023 - Jan 2024 (4 months)
Reviewed member files and conducted outreach to coordinate Durable Medical Equipment needs. Verified member eligibility and collaborated with DME agencies and primary care providers. Responsible for adjudicating various benefits claims while providing superior service.
Customer Service Representative
TTEC (Bank of America)
Apr 2023 - Jul 2023 (3 months)
Assisted clients with account inquiries, fraud reports, and billing disputes. Processed refunds and provided account-related assistance to enhance customer satisfaction.
Benefits Verification Specialist
Teleperformance (Blue Cross Blue Shield)
May 2022 - Mar 2023 (10 months)
Managed over 400 calls daily to verify eligibility and benefits for healthcare providers. Collaborated with management to achieve production goals and KPIs.
Sales Representative
Ready Solar
Mar 2022 - May 2022 (2 months)
Set appointments for clients interested in solar panels, completing a high volume of outbound calls to generate leads and facilitate sales.
Member Service Representative
Senture (Humana Military Tricare)
Jul 2021 - Jan 2022 (6 months)
Verified eligibility for military members and their families, enrolled them in Tricare plans, and assigned primary care managers to ensure proper care.
Education
Degrees, certifications, and relevant coursework
Johnny Economedes High School
High School Diploma, General Education
Obtained a High School Diploma, which provided foundational education and skills necessary for further professional development.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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