Customer Service Representative

**** ****** ***** **, ***** Las Vegas Nevada ***** 702-***-**** ac5q0e@r.postjobfree.com

Alshonda Carroll

Objective

Seeking a full time position within the administrative, communication or collections field that will enable me to utilize my skills and experience with room for advancement and growth.

Summary of Qualifications

Strong customer service experience, organizational skills as well as interpersonal skills. Adapts to change easily, very flexible, able to work independently and as a team player. Excellent problem solving and conflict resolution skills. Understand and abide by compliance regulations.

Experience

11-2005 - 10-2017

United Healthcare

Las Vegas, Nevada

Senior Member Services Representative

Respond and resolve on the first call, customer service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, financial spending accounts, correspondence,verbal grievances,and prior authorization.

Intervene with care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialist for assistance when needed.

Answers 75 – 90 calls per day resolving moderate to complex issues.

Schedule and verify appointments in clinical information system.

Verify and update patient demographic and insurance information.

Send and receive tasks to providers offices to assist patient with access to medical care

Receive and process expedited, stat, and at risk referrals.

Contact patients to advise of appointment and referral status.

11-2004 – 11-2005

Law Offices of Frank Sorrentino

Las Vegas, Nevada

Legal Secretary in Bankruptcy Law Office

Duties include maintaining accurate records for bankruptcy and clients.

Answering phones, advising both current and potential clients on their individual cases.

Maintaining correspondence with clients.

08-2002 – 11-2004

Risk Management Alternatives

Las Vegas, Nevada

Collector/Sprint Project

Increased collections revenue, with obtaining bonuses regularly.

Recognition to the internal help desk, escalated unit, and to the transfer unit.

Performed all other customer/collections service duties assigned.

Education

1987 - 1990

Dorothy Johnson High School

Los Angeles, California

Diploma

Skills

Working knowledge of Microsoft Windows Applications, Word, Excel, and typing.

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