Customer Service Sales Representative

Morgan Peterson

P.O. Box *****

Houston, Tx *****

832-***-**** (cell)

******.**********@*****.***.***

OBJECTIVE:

To obtain a position that will allow me to utilize my leadership

skills and to add value to a customer-centric team.

EXPERIENCE:

OptumHealth 09/06- present Senior Customer Service Representative

Houston, TX harassing

. Manage customer service team as acting supervisor when needed

. Provide expertise and customer service support to members, providers

and customers inquiring about mental health and Substance abuse

claims.

. Conduct new hire training and refresher courses

. Assist with various operational projects

. Research and resolve claims processing issues (i.e. correct CPT, ICD-9

and revenue coding, payments and etc and communicate resolution to

appropriate party.

. Collaborating with peers and upper management to maximize department

performance.

. I generate the daily summary reports then send them out to the team

via email, update adherence reports on excel.

. Evaluate and monitor team's monthly productivity

. Prepare agenda for team meetings,

. Identify operations issues and participate in developing resolutions.

. Handle Performance Guarantee Accounts,

HCA Shared Services/East Houston Medical Center 10/11-2/12 Financial

Counselor/Registrar/ER

Houston, TX

. Interview incoming patients, his/her relatives, or other responsible

individuals to obtain identifying and biographical information with

insurance and financial information

. Verify all insurance and Ensure charts are completed and accurate

. Calculate and collect patient liable amounts

. Assign I-plans accurately and research Patient Visit History to comply

with the Medicare 72 hour rule

. Abstract patient charts once discharged for the ER and retrieves a

patient Medical Record once they present to ER for treatment

. Practice and adhere to the "Code of Conduct" philosophy and "Mission

and Value Statement"

Eflex Resource Staffing 03/06- 07/06 Sales Representative (Sprintpcs)

Houston, TX

. Handle activations from within different department stores (i.e. Best

buy,

. Sam's club Kiosk, Wal-mart)

. processed credit evaluations over the phone,

. Explain coverage area and rate plans.

. Activated phone plans while maintaining monthly quotas.

Convergys 08/05 - 02/06 Customer Care/ Tech Support Houston, TX

. Handled billing inquiries, check or credit card payments, problem

solving with account information, and price plan information on their

Nextel accounts.

. Handled technical support calls (i.e. creating network tickets, text

messaging problems, cellular and direct connect issues)

Sprint PCS 12/01-07/04 Communication Specialist Houston, TX

. Created and delivered effective presentations to customers resulting

in sales.

. Maintained store appearance.

. Handled various billing disputes in addition to payments and bill

inquiries, assisted in training new hires.

EDUCATION:

Bachelor Degree* in process*- Devry University

Cosmetology License- Barbara Jordan High School for Career

Diploma- Barbara Jordan High School for Careers Houston, TX

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