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Customer Service

Dallas, TX, 75228
October 11, 2018

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

Dallas, TX 75228


Objective: Customer Service Representative with over 10 years of experience in handling inbound/outbound calls from members, doctors and giving quality information and accurate solutions. Maintain a high level of professionalism, patience, efficiency, minimize customer dissatisfaction and increase customer loyalty.

The Cole Family

June, 2017 – Present


Care for two toddlers ages 1 and 2

Prepare and serve meals with balance nutrition, ensuring food safety.

Organize fun and educational games read story books that increased children interest in story time plan outdoor activities.

Meet with parent to discuss plans for following week.

United Health Group

Customer Advocate

March, 2017 – May, 2017

Respond to customer service inquires and issues by identifying the assistance the caller needs such as benefits, eligibility and claims.

Help guide and educate customers concerning the benefits of health care topics including managing their health and well-being check-ups and choosing a quality care provider.

Intervene with care providers on behalf of the members to assist with scheduling or connecting members with assistance when needed.

Educate members on the status of previously submitted authorizations.

The Edwards Family


August, 2014 – February 2015

Care for one toddler balance nutrition ensuring food safety.

Monitored behavior of children to ensure their safety.

Organized schedules developed routines of educational activities

My Redeemer Healthcare

May, 2013 – June, 2014


Assist patient with medicine and doctor appointments.

Assists patients by providing personal services dressing, and grooming.

Provide daily house cleaning.

Private Home Healthcare

September, 2011 – May, 2013


Transport patient to doctor's appointments.

Assist with daily living and preparing meals.

Administer patient medication, and assist with hygiene.

Assist with shopping and errands.

Delta Dallas – Health Management System

September, 2010 – May, 2011

Medical Customer Service

Provide high-end customer relation to providers while confirming disallowance letters.

Offer integrated solutions to providers while assisting with refunds before the close date.

Maintain current knowledge, eligibility, guidelines/procedures and update contact information.

Backworx of Dallas / Vatican Rehab

September, 2006 – May, 2010

Medical Biller/ Insurance Verification

Communicates with patients/clients and referral sources both verbally and in writing to ensure questions and concerns are processed correctly.

Verifies Medicare, Medicaid, private insurance coverage information.

Prepare daily billing, review EOB to confirm payments, and request payment on denied claim once it has been resubmitted and resolve any errors on claims or discrepancies.

Schedule patients test, therapy visits coordinate all patient information and process paperwork.

Instructed new file system for medical records by color coding, alpha and numeric.


Remington College 2013

PCI Health Training Center 2006


Patience Communication Attentiveness Time Management Teamwork Positive Attitude

Problem Solving Organization Multitasking

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