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Customer Service Representative

Location:
United States
Posted:
April 29, 2014

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Resume:

Quin L McGinn *** Christiana Street

920-***-**** Green Bay, Wisconsin 54303

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

OBJECTIVE / PROFESSIONAL SUMMARY

To obtain long term employment with growth potential with a company where I

can contribute my knowledge, strengths and positive attitude

WORK EXPERIENCE

9/2013 to Kelly Services

3/2014 Customer Care Professional 1

Properly authenticate callers

Utilize resources to appropriately transfer calls

Update address and phone numbers

Use active listening skills

10/2012 to Clarity Care

12/2012 Customer Service Representative

Receive referral calls requesting supportive and

skilled home care services

Schedule skilled nurse staff to assess potential

clients in need of skilled care services

Insurance verification of Medicare Medicad Private

Insurance

Clerical duties including copying, scanning documents,

secure email, faxing, printing and filing

6/2011 to United Heatlh Group

2/2012 Health Advisor

Resolve questions related to benefits, claims,

eligibility

Research complex issues with multiple computer

databases

Create commitments, follow through until completed

Ability to navigate through multiple websites

Exercise good listening skills, outbound phone calls to

facilities on behalf of the patients

11/2010 to Baxter Bio-life Plasma

6/2011 Plasma Center Technician

Comply with Federal State Local and company specific

regulations related to quality of product employee and

donor safety

Perform finger stick, test blood sample and record

other donor measures to include hematocrit, total

protein and weight

Take and record donor pulse, blood pressure,

temperature measures and monitor electronic donor

questionnaire system

Operate maintain and perform trouble-shooting of

plasmapheresis machines within scope of training

4/2005 to Humana Inc.

5/2009 Customer Care Representative

Inbound phone calls, Customer Service

Provide guidance on transactions inquires and

complaints

Educate customers on Humana's products as well as

vendors

Provide information related to medical benefits claims

pharmacy benefits and eligibility

Utilize good listening skills accuracy dependability

SKILLS

Customer Service Representative in both Medical and Business Industry

Excel Word Lotus Notes CAS Outlook PowerPoint Microsoft Forward Health

system

Multiple phone lines Office machines sixty wpm web navigation

Medical Insurance coding claims HIPPA and Privacy Act



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