Grace Tun Reyes
Carenet Health
Albemarle
2
Languages
1
Certification
3
years of professional experience
Customer-focused professional with a strong background in service delivery and conflict resolution. Experienced in managing patient inquiries and healthcare information systems, ensuring high levels of satisfaction. Committed to enhancing customer experiences and seeking growth in customer service or remote support roles.
Work History
Bilingual Healthcare CSR
3 Months- Assisted patients with inquiries regarding healthcare services and medication adherence for members
- Met customer call guidelines for service levels, handle time and productivity.
- Developed highly empathetic client relationships and earned a reputation for exceeding service standard goals.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Assisted patients with inquiries regarding healthcare services and insurance options.
- Educated clients on healthcare processes and available resources for optimal service utilization.
- Resolved customer issues efficiently, ensuring satisfaction and retention.
Health Insurance Specialist
8 Months- Delivered virtual customer support to members regarding enrollment, eligibility, renewals, and benefits for state and federally funded health insurance programs.
- Managed high-volume inbound and outbound calls, ensuring professionalism, empathy, and HIPAA compliance.
- Processed applications, verified documentation, and updated member records accurately within CRM and state systems.
- Coordinated with internal departments and state agencies to resolve complex eligibility and coverage issues, enhancing member support.
- Utilized secure systems and VPN access to protect confidential health information.
- Recorded detailed case notes to facilitate accurate follow-up and improve customer experience.
- Worked remotely to provide customer support.
Remote Claims Support Specialist
9 Months- Processed insurance claims and ensured policy details accuracy for effective adjudication.
- Explained claim processes and coverage to policyholders, enhancing understanding and trust.
- Documented claim activity and maintained case notes in internal systems to support efficient case management.
- Documented claim activity and case notes within internal systems.
- Worked remotely to manage claims processing tasks
Retail Associate
9 Months- Greeted and assisted customers, enhancing shopping experience with tailored product recommendations.
- Greeted and assisted customers while providing product recommendations.
- Maintained organized and clean store environment, contributing to efficient customer navigation and satisfaction.
- Assisted with merchandising and product displays, optimizing product visibility and appeal.
Education
High School - STEM
Associate's degree - Graphic Design
- Previously in school part-time obtaining Graphic Design Associate's degree (changed major to nursing and moved schools later on)
- Vice President of Minority Student Leadership Academy at RCCC (2024)
Associate Degree in Nursing (ADN) - Nursing
- 4.0 GPA
Skills
Client education
Patient education
Microsoft Office
Verbal communication
HIPAA compliance
Critical thinking
Data Entry & Case Documentation
Insurance billing
Data entry
Call center experience
Teamwork
Conflict Resolution
Document validation
Time Management
Multitasking in Fast-Paced Environments
Attention to Detail
Empathy and patience
Strong interpersonal skills
Team Collaboration
Relationship building
Referral coordination
Customer support
Multitasking organization
Active Listening Skills
Flexible schedule
Money handling
Phone etiquette
Building relationships
Eligibility assessment
Patient education
Financial Documentation
Certification
HIPAA Knowledge Certification - Maximus
Merit Award - Coach Booker
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Bilingual Healthcare CSR
Carenet Health
04.2026 - CurrentRead More
Health Insurance Specialist
Maximus
06.2025 - 02.2026Read More
Remote Claims Support Specialist
Allstate
05.2024 - 02.2025Read More
Retail Associate
Pop Shelf
08.2023 - 05.2024Read More
Central Cabarrus High School
High School from STEM
Read More
Rowan Cabarrus Community College
Associate's degree from Graphic Design
Read More
Stanly Community College
Associate Degree in Nursing (ADN) from Nursing
Read More