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Customer Service Representative

Location:
New Orleans, LA, 70118
Posted:
September 13, 2010

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Resume:

MICHELLE F. MARTIN

**** *. ********* ***.

New Orleans, LA 70118

504-***-****

abk78g@r.postjobfree.com

OBJECTIVE: A challenging position with excellent career and growth

potential utilizing a strong background in health care

management, customer service, verbal communication, and

administrative skills.

EDUCATION: Bachelor of Science in Business Management 04/09/2008 3.52 GPA

Master of Business Administration 02/24/2010 3.28 GPA

CAREER May 2009 - Present

SUMMARY: Pharmacy Department Supervisor . Peoples Health, Metairie, LA

. Responsible for daily operation of pharmacy department

call center, work flow, problem resolution, and

scheduling.

. Resolve escalated calls from members, providers, and

vendors.

. Responsible for maintaining Medicare call center

guidelines and compliance regulations.

. Create daily, weekly, monthly and quarterly reports for

the department director and senior staff members.

December 2006 - May 2009

Trainer / Auditor, Member Services . Peoples Health,

Metairie, LA

. Responsible for training new and current employee on

benefits, systems and great customer service.

. Coach, guide and direct call center representatives.

. Conducted weekly random audits on all call center

personnel and analyzed data pertaining to determine

department error rates.

. Responsible for maintaining continual education to staff

members on changing policies with in the healthcare

organization and Medicare.

. Coordinate development of a 25-day compressive training

program for call center representatives and ongoing

training.

September 2003 - December 2006

Member Services Representative . Peoples Health, Metairie,

LA

. Support strategic decisions thru detailed management

information and direction.

. Ensured that all providers and / or member issues are

handled efficiently and effectively.

. Completed special assignments in an accurate and

efficient manner.

. Point of contact person for member service

representatives for any and all job related information

or issues.

November 2001 - August 2003

Customer Service Representative . Ochsner Health Plan,

Metairie, LA

. Assisted members and providers with claims and billing

issues to assure satisfactory resolution.

. Assisted members with issues related to doctors, DME

vendors, and pharmacy concerns.

. Responded to customer's request for account analysis,

plan design change, benefit questions and

clarifications.

. Completed various assignments such as special reports,

research provider and member claims issues in a truly

and accurate member.

December 1998 - November 2001

New Orleans Police Department, New Orleans, LA

. Responsible for accepting emergency calls and responding

accordingly.

. Job entailed capturing as much information from callers

to relate to police unit to assure safety for all

parties involved.

. Dispatched police units to accidents and crime scenes in

a timely manner.

. Testified in court on calls taken for some criminal

cases.

SPECIAL

INTEREST: Strong sense of personal commitment and motivation, talent for

verbal communication and interacting with the public.

Strong computer applications background: Micro Soft Word,

Windows, Excel, Works, Cisco, Rx approver, Outlook and

Telephone doctor, with an interest to learn more.

REFERENCES: References available upon request.



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