Customer Service Representative

F rank Araj

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

Livonia, M I *8154

734-***-****

*********@*****.***

Objective : To obtain a position in a health care setting utilizing my insurance experience

Overview : A versatile, analytical and hard working customer service representative with a

p ractical approach who always preservers to achieve the best results. Able to quickly

i ndentify the root of any problem and develop an effective caring solution. Skill to collect

and analyze information and t rends, and quickly grasp complex issues. Proven ability to

manage and complete projects to the highest standard with meticulous attention to detail

and, within required guidelines. Recognized for delivering unparalleled customer service

and interdepartmental communication.

Profile of Qualifications

• Call center experience handling large volume of inbound calls

• Knowledge and understanding of medical insurance billing, EOB’s, diagnostic codes

of the ICD-9 language, Center of Medicare and Medicaid Services (CMS)

• Abili ty to obtain prior authorization approval from case managers and medical

d irectors

• Experience with health coverage billing and reimbursement

• Performed contract negotiations regarding reimbursement of health services

• Cleared patient referrals from intake to start of care and reported to all vested

parties including physician offices, drug representatives, and nursing staff

• Extensive history assisting elderly and ailing

• Abili ty to interact with diverse personality types

Professional Experience

Accredo Health Group Senior Clearance

Specialist

Verified patient health coverage to provide home health care

Social Security D isability Consultants Benefits Consultant

Assisted corporate retirees in obtaining appropriate health coverage

AAA Life Customer Service Representative

Call center handling large volume of calls from policy holders and agents regarding life

i nsurance policies

Computer Skills

M icrosoft Word, Excel, PowerPoint, Outlook, Internet Savvy, Web Denis, Karen+, Windows

p rofessional. Type 55 WPM, 10-key calculator and data entry 75ksp, company specific

software and database

Education

Henry Ford Community College B usiness Management

Livonia Franklin H igh General Academics

Licenses

Life, Accident, Health, Property and Casualty

References and Supporting Documentation Fu rnished Upon Request

Contact this candidate