Veronica Montoya
@veronicamontoya
Customer service specialist with 5+ years in Medicare support, HIPAA-compliant and results-driven.
What I'm looking for
I am an exceptionally motivated customer service specialist with over five years of experience providing high-quality Medicare and benefits support in fast-paced, remote call-center environments. I pride myself on building positive relationships, going the extra mile for customers, and maintaining meticulous documentation while remaining HIPAA-compliant.
I have extensive experience handling inbound and outbound calls, managing sensitive PHI using systems such as ONE and MMIS, and placing large volumes of outbound calls with efficiency and empathy. I routinely guide customers through application processes, verify eligibility, and provide referrals to resources and insurance agents as needed.
My strengths include outstanding communication, problem-solving, multi-tasking, strong organizational skills, and proficiency with Microsoft Office, Outlook, IVR systems, and remote call-center tools. I perform well independently and as part of a team, and I focus on delivering consistent, measurable customer outcomes.
Experience
Work history, roles, and key accomplishments
Customer Service Representative
PHTECH
May 2023 - Dec 2024 (1 year 7 months)
Handled inbound Medicaid, SNAP and Cash Assistance inquiries, maintained HIPAA compliance, and documented each interaction while placing over 10,000 outbound calls to support enrollment and case status resolution.
Agent Representative
Cigna
Oct 2022 - Nov 2022 (1 month)
Provided Medicare and Medicare Part C eligibility, quotes and enrollment assistance on inbound calls, verified agent status, and documented interactions while maintaining HIPAA compliance.
Customer Service Representative
Apr 2016 - Jun 2021 (5 years 2 months)
Answered inquiries on Medicare secondary payer claims, assisted with billing and payments by phone, supported attorneys with lien information, and maintained HIPAA-compliant documentation.
Behavior Management Specialist
La Frontera New Mexico
Nov 2012 - Dec 2014 (2 years 1 month)
Conducted clinical assessments, developed service plans, and coordinated with families and schools to teach clients age-appropriate prosocial behaviors and maintain behavioral goals.
Education
Degrees, certifications, and relevant coursework
Veronica hasn't added their education
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