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Customer Service Representative

Location:
Kansas City, MO
Posted:
November 03, 2017

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Resume:

Robert Geiggar *** W. **th Ter

Kansas City MO, **114

913-***-****

Professional Objective

To obtain a position in where I can apply my skills and experience in providing customer satisfaction.

Education

B.S. in Sociology Kansas State University, 1998

Work experience

DST Health Solutions

Production Support – Scheduler October 16th 2016 – October 4th 2017

Manually performed running of jobs using several different types of tools and systems (e.g. Autosys and Amysis).

Monitored batch job processing and made sure they ran in a timely manner.

Responsible for developing test automation using and implementing into the QA/QC departmental processes.

Verified that jobs were successfully completed and kept a record of completion for auditing purposes.

Volunteered in working various shifts and participated on call support in making sure assignments were completed for our clients.

Responsible for development and continuous improvement of QA/QC departmental processes including defect tracking (Jira, Remedy) and communication between Project Management and internal business units to the IT development group.

Able to quickly learn new systems and software to accomplish the task at hand.

Argus Health Systems

Client Services – Benefits Analyst March 22nd 2015 – October 8th 2016

Performed moderately complex benefit and deductible administration and data file management functions.

Gathered and translated customers benefit coverage, eligibility and deductible requirements to set up online parameters and produce IT requests.

Verified contents of input and output files to ensure accurate batch file loading, claims processing and reporting.

Coordinated with customers and IT groups to schedule and process customer file jobs to distribute output reports in a timely manner.

Research file and claims processing issues to determine cause and coordinated necessary steps for resolution.

Performed user acceptance testing of eligibility related changes and input files to ensure correct processing of customer data.

Validated system enhancements work as expected prior to implementation within the production environment. Performed tests within production platforms to ensure member records and claims processed appropriately.

Rebate Administration Analyst November 5th 2005 – March 20th 2015

Administered drug rebate contracts for Argus customers to obtain rebate payments from pharmaceutical manufactures and provided support for customers who use Argus rebate administration system to manage their own contracts.

Interpreted rebate contract provisions and amendments (e.g. effective dates, term dates, customer and competitor drug list, performance and payment tiers).

Monitored rebate submission deadlines as defined in the manufacture and customer contracts to ensure timely invoicing and payment. Generated and distributed standard ad hoc reports (e.g. customer rebate status, manufacture invoicing, market share detail and contract performance).

Coordinated with customer requests with internal technical support teams by gathering and providing neccesary information for system enhancements and/or changes (e.g. Cognos 10, MY ARGUS and Rx Focus platforms).

Worked with IT dept in repricing internal and external customer claim files and comparing them to Argus pharmacy network rates in producing the best cost effective measures.

Have some computer experience in working in MS Access data base, Excel, DB Visualizer and some understanding of SQL.

Troubleshoot errors on reports by creating and running queries to resolve disputed invoice and claim amounts.

Customer Service Representative December 12th 2002 - November 1st 2005

Answered inbound and made outbound calls in a fast pace call center environment.

Provided assistance to pharmacy professionals and members regarding eligibility, benefits and insurance information.

Troubleshoot claim processing errors submitted by the pharmacy and provided contracting information regarding the Argus network using various software such as GUI & Sessions (3270).



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