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Customer Service Manager

Location:
South San Francisco, CA
Posted:
January 30, 2015

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Resume:

Marcus Roberts

*** ********* ***** ● So. San Francisco, CA 94080

415-***-**** (c) ● acn3pn@r.postjobfree.com

Qualifications Summary

Accomplished professional with more than 10 years corporate and government experience within the non-profit,

educational operations, and document management industries. Detailed-oriented professional with strong leadership

and excellent customer service skills committed to process and quality improvement. Experience in training

development and delivery, motivation and team building/leadership, general project management, negotiation, and

mediations. Proficient in prioritizing and completing tasks in a timely and efficient manner, yet flexible enough to

multitask when necessary. Enjoys learning new programs and processes. Reliable, hardworking, and dedicated team

player who works well under pressure and with minimum supervision.

Education

Bachelors of Arts, African American Studies, University of California at Los Angeles, CA, 2012

Associates of Arts, Intercultural Communications, Foothill College, Los Altos Hills, CA, 2010

Skills Summary

Document Management Special Event Planning

• •

Sales Management Group and Individualized Training

• •

Excellent Communication Skills Fundraising

• •

Educational Program Development Effective problem solving and Outstanding

• •

Customer Service

Team Building

Sales Force

Relevant Professional Experience

Case Manager Pro Unlimited at Genentech/ 2014 to Present

Roche,

San Francisco, CA

Provide consistent customer focused reimbursement support to patients, distributors, and physician offices,

resulting in expansion of customer referrals in the territory, both new and conversion referrals.

Provide customers with education and assistance to navigate easily through the reimbursement process and

on-line portal.

Regularly identify barriers to patient access to treatment and continually identify and recommend program

efficiencies to Leadership and external groups such as Field Managed Care and Sales.

Establish strong relationships with Field Partners, MD offices, pharmacy partners and fellow coworkers.

Conduct medical benefits, coverage and payer research/investigations to ensure appropriate resources,

compliance with payer appeal and policies that pertains to general medical benefit practices within

compliance timelines.

Manage all steps, timing and outcomes during appeal process. Including completing written

communications to patients and other external parties on appeal progress in a metric-driven environment.

Efficient use, entry and navigation of the Case Management System (Sales-force) and reviewing all

necessary documents in document viewer, patient level or previous case.

Report adverse events and document it in the Case Management System.

Understanding of payers and rules: private vs. public, major medical vs. prescription benefit management,

Medicare, Medicaid and Tricare, etc.

1

Relevant Professional Experience

Special Education San Francisco Unified School 2012 to Present

Paraprofessional District (SFUSD), San Francisco,

CA

Facilitate small group collaboration with students to increase fine motor skills, communication skills as

well as conduct instructional exercises allocated by the teacher.

Track and monitor student progress using SFUSD database system.

Process educational documents for transfer and incoming students.

Assist special needs students from diverse backgrounds to support their individualized education plans

(I.E.P).

Support instructors with developing action plans as well as preparations for creating interactive lessons that

foster learning.

Program Worker/Assistant The First Tee of San Francisco, 2004 to 2013

Program Manager San Francisco, CA

Partnered with the City and County of San Francisco and First Tee Board members to oversee the

maintenance and upkeep of the Golden Gate Golf Course.

Instrumental in the development and planning of yearly budgets and program cost analysis.

Recognized for establishing new strategies and plans for increasing parent and student interest in the

program.

Planned outreach strategies to recruit coaches and students.

Increased student interest and participation over 3 years by 40%.

Accountable for tracking all participants in the First Tee National database.

Developed program curriculum to improve at-risk youth high school retention rates.

Responsible for oversight of The First Tee Golf and Life Skills Program development for youth in-school.

Mentored youth ages 7-18 and provided life skills and golf training.

Organized community outreach services targeting at-risk youth in San Francisco Unified School District.

Developed and implemented weekly lesson plans that included setting goals and objectives.

Supervised groups of 10-20 students during community-based events.

Exercised behavioral strategies to maintain group order.

Developed a strategic plan to organize and implement structure for the first minority Girls Only Group

targeting at-risk teenagers.

Assistant Special Project Ralph J. Bunche Center for

Coordinator/Administrative African American Studies, Los 2011 to 2012

Assistant Angeles, CA

Developed applicant forms and brochures for various units by researching and updating information as

needed.

Edited conference, lecture, and seminar materials.

Assisted with planning guest lectures visits and accommodations.

Responsible for generating monthly reports and budgets for the Bunche Center.

Attended weekly construction meetings; prepared, distributed and obtained approval of team meeting

minutes.

Extensive knowledge of web-based documents control system utilized to post and log all projects for

committees review and approval for project budgets.

Assisted the document management specialist with program policy and procedure development.

Supported office manager and other development team members in achieving both quantitative and

qualitative targets.

Maintained database for Bunche Center special events by performing queries and generating reports.

Provided oversight and coordinated guest lecturers and event setup in compliance with University

requirements.

2

Financial Aid Document

Management/Administrative University of California Los 2010 to 2011

Assistant Angeles, Los Angeles, CA

Responsible for staying abreast of current regulations and maintaining compliance with federal regulations

pertaining to Financial Aid Guidelines.

Managed database systems in compliance with University protocol.

Organized and scanned classified documents in accordance with FASFA regulations.

Conducted research projects to assist department leadership in identifying fraudulent documents and errors

within student documentation.

Supported manager with daily preparation of reports and utilized database to log, upload, and track

documents.

Processed student financial aid applications and other FASFA documents.

Responsible for uploading electronic student documentation to the University and Federal Student Aid

Offices.

Collaborated with colleagues and other personnel to organize the University’s fall 2010 Financial Aid Fair.

Cordillera Mental Health Center, 2001 to 2003

Residential Counselor

San Francisco, CA

Managed a caseload of 15-25 clients.

Provided support, referrals and advocacy for mental health conditions such as drug and alcohol abuse,

mood disorders, depression, and psychosis disorder.

Responsible for scheduling client medical appointments.

Used active listening and other counseling skill sets to establish rapport, assess client emotional state and

communication style, as well as to determine the unique needs of clients.

Prepared nightly client interaction summary reports.

Document Management and File San Francisco Public Defender 2000 to 2001

Clerk Office, San Francisco, CA

Utilized court database system to update and process legal files.

Uploaded data to the case management information system.

Created and maintained records and information in the database.

Prepared documents and organized materials for trial.

Worked with court staff to coordinate dockets, hearing dates, and execution of documents.

Provided legal note taking for various attorneys.

Scheduled meetings for several attorneys.

Shipping and Receiving Stewart Chevrolet, San Francisco, 1999 to 2001

CA

Coordinated with distribution suppliers and maintained all shipping and receiving activities to ensure

sufficient stock of inventory.

Responsible for logging and tracking system of automotive parts in company database.

Organized and maintained parts inventory.

Assisted with managing phone orders and delivering parts to customers.

Completed ad hoc duties assigned with attention to time constraints.

3

Training

Genentech/ Roche

Billing and Coding

Coverage and Payment

Reporting Adverse Events

Benefit Investigations and Prior Authorizations

Sales Force

Product Quality Control 1 & 2

Information Security

• Sales Force

The First Tee of San Francisco

First Tee National Training Phase 1 – June 2006

• First Tee National Training Phase 2 – June 2007

Ralph J. Bunche Center for African American Studies

Bunche Center Database System Document and Archive Management – August-December 2011

UCLA Internal Database Systems and Compliance Training – August 2010

Professional Achievements and Affiliations

ARMA International, Professional Member, September 2014

UCLA Black Student Association, Chief Officer, June 2012

Awarded the Ralph J. Bunche Center Adderall Scholarship for demonstrating outstanding academic

achievement in research, September 2011

4



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