Customer Service Data Entry
Resume:
Nicole Johnson
Colonial Heights, VA
*************@*****.***
Objective:
Looking for a career that will allow me to use the Customer Service skills I've gained to assist others and further develop my Skills.
Skills:
• Dynamic customer service professional experienced in both call-center settings.
• Excelled in listening to customer’s needs and articulating options
• Providing customers with available solutions.
• Hardworking, energetic and reliable
• Recognized for assuming additional responsibilities.
• Keyboarding, Microsoft Office including Word and excel.
• 60+ WPM
• Technical Support and performance measures.
• Knowledge of Medical Terminology.
• Filing, Scanning and Copying
Work Experience:
8/2016-1/2017
Part D Medicare CSR Magellan Healthcare Glen Allen, VA
Duties:
• Determines appropriateness for medications.
• Communicates decisions to physicians, medical management staff, pharmacists and members.
• Researches, resolves and documents prior authorization outcomes in pharmacy system, with members
Client inquiries and grievances and provides verbal or written results to client, prescriber and provider.
• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary to Physicians, physician, medical management staff, pharmacists and members.
• Escalates requests to Pharmacist when request requires extensive clinical review or denial.
• Enrolled Medicare Beneficiaries in Part D plans.
• Processed payments through Cyber source and Wells Fargo system.
• Provided general information and faxed documentation to physicians and members.
6/2013-3/2016
Customer Service Rep General Dynamics Inc. Chester, VA
Duties:
• Serves as customer service Representative enrolling eligible members in ACA, Medicare and Medicaid programs.
• Provides callers with information on premiums and copay's.
• Provide knowledgeable responses to news media inquiries.
• Research Claims for Medicare beneficiary.
• Provided information for community resources.
• Enrolling consumers into general health care.
• Accepts inbound calls to determine whether consumers are eligible for a Marketplace or Medicaid programs.
• Verified personal information.
• Handles incoming calls from policyholders and caseworkers.
• Provided responses to inquiries regarding incorrect information on issues with health insurance policies.
• Adhere to Privacy Act and Health Insurance laws.
• Provide knowledgeable responses to Medicare beneficiaries in regards to claims/coverage questions.
• Maintain a current understanding of the processing/procedures to respond to numerous phone inquiries.
• Report problems that occur and assist with the resolution.
• Utilize databases & written materials to look up and provide information to telephone inquiries.
• Maintain appropriate documentation.
• Aggressively worked during open enrollment period to ensure maximum enrollment of candidates prior to program
Deadline.
4/2015-8/2015
Eligibility Specialist Xerox Healthcare Services Richmond, VA
Duties:
• Processed Applicant Applications to see if they would qualify for a Medicaid covered group
• Verified personal Information and documents
• Sent out document verification letters
• Used several verifiable systems (vacms, oracle, spider, mmis)
• Made outbound calls and received inbound calls
• Calculated Household income
11/2012-01/2013
Customer Service Tech Teletech@Home Chesterfield, VA
Duties:
• Answered incoming calls
• Assisted customers with product support issues
• Updated customer information
• Verified personal information
4/2008-2/2012
Data Entry Operator NY Blood CTR Queens, NY
Duties:
• Entered blood results into the computer
• Entered medical codes & verified codes
• Answered incoming & outgoing calls
• Verified personal information
• filed, Copied and faxed papers
2/2007-12/2007
Customer Service Rep Apex Temps New York, NY
Duties:
• Answered incoming calls
• Entered inventory orders
• Verified personal information
• Copied and faxed papers
5/2006-8/2007
Data Entry Processing Source One Temps Queens, NY
Duties:
• Entered school information
• Entered students medical records & verified codes
• Answered incoming & outgoing calls
• Verified personal information
3/2005-10/2006
Payment Processor Volt Services New York, NY
Duties:
• Entered payment information
• Verified payment amount and type
• Answered incoming calls
• sorted mail, copied, filed & faxed papers
1/2004-12/2005
Reservationist First Transit Inc. New York, NY
Duties:
• Booked traveling trips for access-a-ride clients
• Answered incoming & outgoing calls
• Verified personal information
• Assisted customers
2/2001-9/2002
Data Entry Clerk MDS Labs Poughkeepsie, NY
Duties:
• Entered medical forms & lab results
• Entered patients Insurance Information
• Verified information
10/2000-5/2001
Data Entry Operator Fleet Processing Center Kingston, NY
Duties:
• Prepared taxpayer’s information & forms
• Faxed, Copied, Printed & filed papers
• Verified information
Education & training:
2004-2004 Career Blazers New York, NY
1992-1994 CTI computer New York, NY
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