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Customer Service Data Entry

Orlando, Florida, United States
January 28, 2018

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John F Nembhard Sr.

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

Kissimmee, Florida 34785



•Extensive experience in successfully creating, implementing, and managing short and long term goals, as well as managing the day to day operations of large-to-medium sized businesses that included sales and consistently improving the overall customer experience

•Experienced in assessing customer needs and developing strategies to meet those needs.

•Accustomed to working under pressure, goal-oriented and self-motivated.

•Effective time-management, communication, team-building and problem-solving skills. Proven track record of successfully implementing regional and divisional goals and objectives

Job Experience:

Accredo/Surescript- Prior Authorization Tech September 2017- Present

•Verify insurance coverage of patients, see if they have other insured assistants.

•Call insurance companies and patients to obtain any and all information needed to complete orders.

•Correct any and all issues on accounts.

•Process orders, update authorizations.

•Complete orders from fax, phone, and emails.

•Comply to Hipaa guidelines.

Cigna Healthspring-Pharmacy Technician November 2015 2016

•Order intake-completing inbound orders via fax or phone calls Cigna HealthSpring members and clinic physicians for therapies requiring prior authorization and investigation Calling/contacting medical offices to complete orders verifying all information

•Ensure orders are completed within compliance regulations set by Medicare

•Provide courteous, consistent, and professional contact end inquiries with physicians, clinical staff, and Cigna HealthSpring members

•Receive and process telephone and fax requests from pharmacies and members related to the status of PA requests

•Initiate calls to physicians when additional information is needed for required processing and adjudication of a PA requests in accordance with federal and department policies and guidelines Review requests create new cases for Medicare Part D

•Support Pharmacists in gathering additional information to support the decision making exceptions for requests

F&R Construction SVCs -Administrative/Customer Service Director August 2011 November 2015

•Performed data entry tasks to include order entry, bookkeeping, inventory, and shipping and receiving manifests

•Developed and designed construction sales and promotional materials including print and internet ads

•Developed and managed sates goats by implementing incentives, projects, and step goals in order to meet quarterly and yearly benchmarks

•Maintained the phone-board, incoming calls, and customer requests

•Recorded meeting minutes to include assigned tasks, timelines, expectations, subsequently follow up discussions, and establishing short and long term goals when necessary Assist the Vice President with daily planning of various inquires, inquisitions

•Employee management to include providing incentives, ensuring morale and productivity

•Provide exemplary service to client base in order to ensure high customer satisfaction

Center for Vein Restoration-Database Manager July 2011 August 2011

•Informed and communicated with existing clientele and new subscribes regarding general services including inquires, inquisitions and promotions of various products and services

•Created and maintained successful relationships and partnerships with clients for the organization by providing outstanding customer service via phone and through email communications

•Provided skilled support for special projects and other duties as assigned

•Responded and solve customer inquiries in an expedient manner

•Promoted and sold various value-added/ancillary products and services

•Followed up and communicated with specific teams and departments for escalated and resolutions of more high priority and complex inquisitions and problems

New Hampshire Pharmacy and Medical Supplies-Customer-Service/Fitter October 2002 March 2011

•Communicated directly with customers in an expedient fashion via telephone, electronically or in person to handle and resolve complaints as well as with inquires and inquisitions

•Obtained and evaluated all relevant information to handle product and service inquires and issues

•Researched, obtained, and provided pricing and delivery information to middle and upper management in a prompt and accurate manner

•Performed and verified new and existing client accounts which included processing orders, maintaining various forms, applications, and requests, as well as organized workflows to meet customer set timeframes

•Recorded, filed, and archived details of inquires

•Fielded comments and complaints as well as details of actions take and necessary follow up tests

•Manual labor to include fitting compression stockings and various braces, and equipment assembly

•Educated clients on use and functionality of medical equipment


Howard University School of Fine Arts, 1982 1984

Career Technical Institute, 2015-2016 (A+ Certification)


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