Kayla SanchezKS
Open to opportunities

Kayla Sanchez

@kaylasanchez

Experienced bilingual customer service professional with a strong track record.

United States

What I'm looking for

I seek a role that values customer service excellence and offers growth opportunities.

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

P(

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.

TS

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.

ST

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

JS

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

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Kayla Sanchez - Benefits Verification Specialist - CVS Health | Himalayas