Customer Service Representative
Resume:
Phone 919-***-****
E-mail ***********@*****.***
Clayton, NC 27520
Candi H. Sanders
Objective To find an interesting position with a growing company that is focused on growth and success.
Work experience 07/2013- Present CSC
Customer Service Representative
• Gained and applied knowledge of the NCTracks web portal for providers.
• Assist providers with registrations, payments, claim denials, prior approvals.
• Handled inbound calls in a call center environment in a timely manner.
• Assist with email correspondence to providers that have issues with NCTracks provider
portal.
02/2013- 05/2013 Cigna Insurance
HEDIS Administrative Assistant
Contact health care professionals to request the medical records of patient’s that were seen
in their office during 2012, and abstract the necessary information needed to comply
with HEDIS measures to comply with NCQA accreditation.
06/2012- 09/2012 RTI International Raleigh, NC
Data Collection Specialist
Receive and abstract medical information from CMS-1500 forms, medical records, and EOB
statements provided by providers relating to the cost of care that patients receive from
providers.
The primary purpose of the Medical Provider Component is to collect detailed charge and
payment data from hospitals, physicians, home health care providers, and pharmacies to
supplement information received from Household Component respondents on their
health care expenses. The billing data collected includes whether a visit was capitated,
charges for each procedure (CPT4) for office-based and outpatient department visits,
and amounts for each source of payment. Diagnosis codes for medical visits and stays
and NDC codes for prescription drugs are also collected. While the Medical Provider
Component was not designed to make stand-alone national estimates, the detailed
information on payments, procedure codes, and diagnostic codes support a variety of
analyses not possible with the Household Component data alone.
10/2011-06/2012 Notifymd Raleigh, NC
Patient Account Representative
Answer urgent and non-urgent phone calls from patients and take messages to relay to
healthcare clients. Must take detailed, critical, pertinent and relevant patient information
to help expedite the providers response time to the patient.
Make outbound telephone calls by contacting patients for a variety of patient out-reach
efforts such as scheduling an appointment, wellness programs, satisfaction surveys,
overdue mammograms, and immunization compliance.
Enter patient information into customized computer system for client records.
May be called upon to provide detailed information to clients regarding a call with a patient.
02/2011-05/2011 Hospira Inc. Clayton, NC
Production Line Operator
Worked on a production line, bottling medications and preparing them to be shipped to
various pharmaceutical companies.
Also assured that equipment is operating properly, reports and or/corrects malfunctions and
may assist others in complex set up/repair operations.
Complete a variety of accountability reports, pull samples for identification, testing and may
perform routing product/process functional tests on line.
01/2006- 08/2010 The News & Observer Raleigh, NC (Delivery hours were 3am-6am)
Contractor
Was responsible for the delivery of the local morning newspaper.
Was responsible for making sure that all customers’ accounts are paid up to date. Billing
customers.
Was in charge of stopping and starting subscriptions upon request.
08/2009-10/2009 ACS ( Voluntarily quit due to high risk pregnancy)
Customer Service Representative
Was responsible for gaining knowledge about Medicare Part D.
Answered calls from customers regarding their current insurance coverage.
Answered questions about what medications would be covered during the next calendar year,
and whether or not there were generics available.
12/2004- 12/2005 Advanced Health Resources Raleigh, NC
Mentor
Assisted individuals with physical or mental disabilities to accomplish goals set forth by the
state or legal guardian.
04/2002-03/2005 The News & Observer Raleigh, NC
Customer Service Representative
Assisted customers with daily delivery of the local newspaper.
Assisted customers with posting payments properly.
Dispatched trucks out to carriers that have called in shortages.
06/2001-04/2002 Sunnybrook Alzheimer’s Center Raleigh, NC
Certified Nursing Assistant
Performed duties in care of patients in nursing homes under the direction of nursing and medical staff.
Answered signal lights, bells, and intercom systems to determine patients’ needs.
Recorded temperature, blood pressure, pulse and respiration rates, food and fluid intake and output, as
directed.
11/2000-05/2001 Holiday Inn Hotel and Suites Cary, NC
Night Auditor
Verified and balanced entries and records of financial transactions reported by various hotel
departments during the day, using adding, bookkeeping and calculating machines.
Greeted registered and assigned rooms to night guests.
Kept records of room availability and guests’ accounts.
Computed bills, collected payments and made changes for guests.
10/1999-09/2000 American Kennel Club Cary, NC
Customer Service Representative
Applied knowledge of dog registrations and assisted customers with completing the registration process
for dog shows.
Assisted customers with completing registrations to get dogs registered for Westminster Dog Shows.
09/1998-08/1999 Learning as We Grow Childcare Raleigh, NC
Toddler Teacher
Prepared outline of material to be covered and submitted it for approval.
Selected and assembled materials to be used, such as pieces of pottery or samples of plant life.
Instructed children in activities designed to promote social, physical and intellectual growth.
09/1997-06/1998 Food Lion Raleigh, NC
Office Assistant
Kept records of financial transactions for establishment, using calculators and computer.
Verified details of business transactions recorded on sales slips, invoices, receipts, check stubs, and
computer printouts.
Analyzed office operations and procedures, such as typing, bookkeeping, preparation of payrolls, flow
of correspondence, filing and the requisition of supplies.
Coordinated front-office activities.
Education Wake Technical Community College 1995-1997
Business Administration; Early Childhood Education
Virginia College 2010- 2012
Medical Office Administration
Kaplan University 2013- currently pursuing
Medical Office Management
References Available upon request
Contact this candidate