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Customer Service Representative

Location:
Austin, TX
Posted:
August 18, 2014

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Resume:

Noris Rivera

*** ********* **. ******, *****, United States 512-***-**** acfge8@r.postjobfree.com

Professional Experience

Healthcare Scouts United States

Customer Service Representative Systems Operations March 2014 - Present

• Confirm Benefits and Eligibility information to Providers for Mental Health Services upon

request

• Take information from Provider for intake process and relay data to Utilization Manager for

Mental Facility at time of call, if UM not available save data in Patient case and send to UM.

• Take in Patient Discharge information from Provider and enter data into system to send off to

Utilization Manager.

Maximus Inc. Austin, United States

Customer Service Representative Enrollment Broker July 2011 - February 2014

• Keep records of customer interactions or transactions, recording details of inquiries, complaints,

or comments, as well as actions taken.

• Check to ensure that appropriate changes were made to resolve customers' problems.

• Take in enrollment information for Medicaid Manage Program (STAR/STAR Plus) via phone

• Keep records of customer interactions or transactions, recording details of inquiries, complaints,

or comments, as well as actions taken.

• Refer unresolved customer grievances to designated departments for further investigation.

Texas Healthsteps Agent July 2011 - February 2014

• Make outbound calls to parents/guardians of minors on Medicaid Program and provide

Healthcare Orientations, as well as assist with Enrollment process into Managed Care Program.

CoreLogic Austin, United States

Customer Service Representative in Tax Department May 2010 - November 2010

• Notify taxpayers of any overpayment or underpayment, and either issue a refund or request

further payment

• Gathered and verified all required customer information for tracking purposes

• Defused volatile customer situations calmly and courteously

• Accurately documented, researched and resolved customer service issues

• Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call

center environment

ChaseSource Austin, United States

Customer Service Representative January 2010 - May 2010

• Outbound calls to targeted population regarding Texas Health Steps Medical Checkup

• Assisting clients (via conference call or Excel spreadsheet if available for particular provider) in

setting up appointments for this particular checkup

Education

Nova College Bayamon, Puerto Rico

Feb 2006-Nov 2006

• Bank Teller

Educational Technical College Bayamon, Puerto Rico

Aug 2003-Nov 2004

• Emergency Medical Technician

Additional Skills

• Experienced in handling high volume of calls.

• Versed in Microsoft Office.

• Rounds out experience being able to read, write, and speak Spanish fluently



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