Jessica Reyla Morales

About Jessica

Customer Service Associate – Healthcare Appointment Coordination Assisted healthcare plan members in locating appropriate medical, dental, and mental health providers based on their specific needs, preferences, and eligibility criteria. Conducted outbound calls to physician offices, dental clinics, and behavioral health providers to verify appointment availability and provider acceptance of members' healthcare plans. Confirmed whether providers were in-network or out-of-network and identified referral requirements when applicable. Gathered and documented appointment details, provider information, referral requirements, and availability in the company's CRM system. Coordinated healthcare appointments by presenting members with multiple provider options and available schedules to support informed decision-making. Maintained accurate and detailed records of all interactions, appointment requests, and provider responses. Provided exceptional customer service by addressing members' healthcare access needs and ensuring timely appointment coordination. Collaborated with healthcare providers' administrative staff and office personnel to facilitate efficient scheduling and continuity of care. Ensured compliance with company policies, healthcare regulations, and data privacy standards while handling sensitive member information.

Skills

Experience

• Customer Service Associate – Healthcare Appointment Coordination Assisted healthcare plan members in locating appropriate medical, dental, and mental health providers based on their specific needs, preferences, and eligibility criteria.
• Conducted outbound calls to physician offices, dental clinics, and behavioral health providers to verify appointment availability and provider acceptance of members' healthcare plans.
• Confirmed whether providers were in-network or out-of-network and identified referral requirements when applicable.
• Gathered and documented appointment details, provider information, referral requirements, and availability in the company's CRM system.
• Coordinated healthcare appointments by presenting members with multiple provider options and available schedules to support informed decision-making.
• Maintained accurate and detailed records of all interactions, appointment requests, and provider responses.
• Provided exceptional customer service by addressing members' healthcare access needs and ensuring timely appointment coordination.
• Collaborated with healthcare providers' administrative staff and office personnel to facilitate efficient scheduling and continuity of care.
• Ensured compliance with company policies, healthcare regulations, and data privacy standards while handling sensitive member information.
• HR/Admin Clerk Managed employee timekeeping, attendance records, and payroll-related documentation to ensure accurate and timely processing.
• Maintained employee records, updated databases, and handled data entry tasks with high attention to detail.
• Coordinated employee onboarding activities, including account creation, email setup, and personnel record updates.
• Prepared reports, monitored attendance, tracked leave requests, and maintained payroll-related records.
• Responded to employee inquiries and provided administrative support through email, messaging platforms, and phone communication.
• Scheduled and coordinated employee work shifts, monitored staffing requirements, and communicated schedule updates.
• Managed office supplies inventory, processed requests, and monitored distribution of company assets and uniforms.
• Assisted with payroll administration, allowance processing, separation pay documentation, and employee account monitoring.
• Prepared weekly and monthly reports, maintained accurate documentation, and ensured timely submission of administrative requirements.
• Performed general administrative duties, including record keeping, document management, filing, and coordination with internal departments.