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Customer Service Representative

Location:
Seattle, WA
Posted:
August 24, 2015

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Resume:

Stephanie Flores

**** ******** **

Huntington Park CA, 90255

323-***-****323-***-****

acrdx7@r.postjobfree.com

OBJECTIVE:

Seeking to obtain a position as a Customer Service Representative in a company where I can optimize my customer service skills to accomplish company goals.

SKILLS AND ABILITIES:

Data Entry (Alpha/Numeric)

Typing

Bilingual: English and Spanish (Read,write, and speak)

Microsoft office (Word, Excel, and Outlook)

QNXT and MHC knowledge

PROFESSIONAL EXPERIENCE:

Altamed Health Services Apr 2015 – May 2015

Member Services Representative Temporary Position

Inbound Calls 100+

Outbound Calls 50+

Modifying authorizations, including extending dates, modifying CPT codes changing provider location.

Assisted with changing primary care physician

LA Care Health Plan Aug 2012 – Dec 2014

Provider Network Data Clerk

Created weekly reports for all provider that were transferred to QNXT

Transferred data from MHC to QNXT

Assisted with opening and closing panels upon provider’s request

Verified that information was up to date

Trained new staff on QNXT

Care 1st Health Plan Feb 2008 – July 2012

Member Services Representative

Assited with changing primary care physician

Called provider’s to obtain prior authorization for medications

Verified member’s demographics and updated any new or missing information

Assited with member’s complaints

Incoming calls 100+

Securitech Security Services April 2004 – Dec 2007

Receptionist II

Personal assistant to the CEO

Reviewed applications and scheduled applicants interview

Collected and mailed correspondence

Reviewed new hire paperwork

EDUCATION:

Bell Gardens Ford Park Adult School Bell Gardens, CA

General Studies Graduated

References available upon request.



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