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Customer Service Representative

Location:
Louisville, KY
Salary:
19.50
Posted:
September 28, 2023

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Resume:

Alexis Page

Customer Service Representative

Louisville, Kentucky, United States

+1-502-***-****

adz0sb@r.postjobfree.com

WORK EXPERIENCE

January 2016-November 2016

Customer Service Representative

Carewise Healthcare

United States

• Responded to inbound calls from providers needing pre-certifications for medical procedures inpatient and outpatient

• Approved CAS pre-certs

• Set up cases for medical review with the RN and Medical Directors

• Indexed and identified clinical coming in for review

• Made outbound welcome calls for programs set up with client's insurance for help with managing disease management patients

October 2015-December 2015

Customer Care Representative

Optimum

United States

• Collaborated with billing and eligibility representatives to resolve complex customer service inquiries by serving as a primary customer interface

• Utilized multiple platforms on a daily basis to handle 80-100 inbound calls and 10-15 emails from providers inquiring about claims eligibility and statuses, verification of benefits, and prior authorizations

• Utilized multiple platforms on a daily basis to answer questions pertaining to verification of benefits, prior authorizations, enrollment; verifying insurance benefits and pre- answered questions and offered assistance with the enrollment process, made updates to patient demographical and insurance data, and processed member terminations March 2014-October 2015

Teacher Assistant

Christ the King Learning Center

United States

• Performed daily day care duties with the kids

• Performed clerical duties within the daycare

September 2013-February 2015

Billing and Enrollment Specialist

Humana

United States

• Processed disenrollment working in CCP, CI, Microsoft word and Excel and Communicator

• Consistently modeled and inspired high levels of integrity, lived up to commitments, and took responsibility for the impact of one's actions

• Sought out learning, strived to develop and expand personally, and continuously helped others upgrade their capability to contribute to Humana

• Connected meaningfully with customers to build emotional engagement and customer advocacy

• Simplified complexity and integrates internal efforts to deliver an optimal customer experience

• Met established expectations and takes responsibility for achieving results; encourages others to do the same

• Effectively leveraged resources to create exceptional September 2012-January 2013

Chiropractic Assistant

Precision Chiropractic

United States

• Administrative responsibilities included greeting patients and giving them appropriate medical history and insurance forms to complete, as well as answering phones and scheduling appointments

• Recorded patient's medical and treatment information, and receive payment or health insurance information for billing EDUCATION

-Current

High School Diploma

Southern High School

Louisville, Kentucky, United States

Southern High School, High School Diploma - Louisville, KY SKILLS

Customer Service Customer Service Representative Outbound Calls Medical Review Outpatient Claims Billing Answering Phones Customer Service Oriented Greeting Clerical RN Cardiovascular Inbound and Outbound Certified Compensation Professional CCP Terminations Retail Sales Learning Centers Learning Center Healthcare Scheduling Excel Microsoft Word CERTIFICATIONS

CATS Careers Cardiovascular Tech, Certificate Of Completion CATS Careers Medical Assistance, Certificate Of Completion- New Albany, IN LANGUAGES

English - Intermediate

WORK AUTHORIZATION

I am authorized to work in the following countries:

• United States



Contact this candidate