Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
Génesis González Figueroa
Open To Work

Génesis González Figueroa

Elevance Health - Carelon
San Juan

Work Preference

Desired Job Title

Customer Service Represantative ILaboratory Assistant

Work Type

Full Time

Location Preference

HybridOn-Site

Location:

San Juan, PR

Open to relocation:

No

Important To Me

Career advancementWork-life balancePersonal development programsHealthcare benefitsPaid time offPaid sick leave401k match

Summary

Dedicated healthcare professional passionate about serving others through science and medicine. Experienced in collaborating with healthcare providers, medical facilities, and health plan members while coordinating prior authorization requests, verifying CPT code requirements, reviewing provider network eligibility, and supporting medical documentation processes within a large commercial health plan. Previous laboratory experience strengthened technical skills in specimen processing, laboratory workflow, quality standards, and collaboration with Medical Technologists in a fast-paced clinical environment.

4
years of professional experience

Work History

Customer Service Represantative I

8 Months
Elevance Health - Carelon | San Juan, Puerto Rico | 12.2025 - Current
  • Process medical prior authorizations for Anthem Commercial members.
  • Assist providers, healthcare facilities, and members with authorization requirements.
  • Verify CPT code authorization requirements and authorization status.
  • Work with Carelon RX and Carelon Medical Benefits Management to better assist members and providers.
  • HIPAA validation for all members, providers and healthcare facilities.
  • Send authorization approval/denial documentation.
  • Maintained training courses and lectures through the year.
  • Provided accurate information on healthcare services and benefits to enhance customer understanding.
  • Collaborated with team members to streamline processes for improved service delivery.
  • Adapted quickly to new tools and systems, enhancing response times and efficiency.
  • Documented customer interactions in detail to maintain accurate records and follow-up actions.
  • Participated in training sessions to improve product knowledge and service techniques consistently.
  • Managed over 40 incoming calls per day.

Laboratory Assistant

3 Years 3 Months
HealthCare Professional Solutions (Pavia Santurce & Hato Rey) | San Juan, Puerto Rico | 01.2023 - 04.2026
  • Operated and maintained laboratory equipment, troubleshooting issues to minimize downtime and enhance productivity.
  • Assisted in preparing samples for analysis, maintaining accuracy and consistency throughout processes.
  • Received and processed more than 500 samples per day from the entire hospital and clinical laboratory.
  • Received and processed specific samples to prepare and send to the reference lab.
  • Received and prepared specific samples to send to Hato Rey Pathology Lab.
  • Answered calls from doctors and nurses about patients' samples.
  • Worked directly with Medical Technologists.
  • Ensured that the area, equipment and machines are clean and disinfected.
  • Trained new staff on sample processes and safety standards, fostering a culture of compliance and excellence.
  • Handled hazardous materials responsibly following proper waste disposal procedures to minimize environmental impact.
  • Oversaw items in inventory and reordered before supplies diminished.

Education

Bachelor of Science - Biomedical Sciences

Interamerican University Metro Campus | San Juan, Puerto Rico | 07-2025
  • Completed University-level Coursework: Minor's Degree in Biopsychology.
  • Member of Biomedical Association, 2019 to 2020
  • Volunteer for San Jorge Hospital, 2019 to 2020

High School Diploma

School And Novitiate Santa María Del Camino | Carolina | 07-2019
  • Treasurer, Student Council, 2018 to 2019
  • Goal Keeper for Eagles, 2016 to 2019
  • Middle Blocker for Eagles, 2016 to 2018

Skills

Call management
Microsoft Outlook
Data collection
Specimen processing
Specimen handling
Laboratory techniques
Pipetting techniques
Analytical thinking
Issue resolution
De-escalation techniques
Staff training
Fully Bilingual

Timeline

Customer Service Represantative I
Elevance Health - Carelon
12.2025 - Current
Laboratory Assistant
HealthCare Professional Solutions (Pavia Santurce & Hato Rey)
01.2023 - 04.2026
Interamerican University Metro Campus
Bachelor of Science from Biomedical Sciences
School And Novitiate Santa María Del Camino
High School Diploma

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Génesis González Figueroa