Customer Service Representative
Resume:
Javon M. Lowe-Guyton
***** *. ******* ******, *******, Texas 77071
Home: ***-***-
(E)
************@*****.***
Career Overview
Highly enthusiastic customer service representative with 11years client
interface experience. Customer Service Representative - Client Relations -
Data Entry
Customer Service with track record of developing a quality call center
workforce
Customer Service Manager with track record of developing a quality call
center workforce
Core Strengths
? High customer service standards ? Multi-Task Management
. Employee relations specialist
? Service solutions expert ? Time Management
. Call center management experience
? Devoted to data integrity ? Calendaring
. Negotiation
? Strong organizational skills ? Sign Language (ASL)
. Active listening skills
? Courteous demeanor ? Shipping and Receiving
. Energetic work attitude
? Inventory control familiarity ? Strong Organizational Skills
. Telephone inquiries specialist
. Customer service expert
. Invoice processing
. Fashion knowledge
. Opening/closing procedures
. Listening Skills
. Fast Learner
. Strong client relations
Accomplishments
Customer Service
. Researched, calmed and rapidly resolved client conflicts to prevent
loss of key accounts.
Customer Interface
. Greeted customers upon entrance and handled all cash and credit
transactions.
. Assisted customers over the phone regarding store operations, product,
promotions and orders.
Customer Assistance
. Worked with company systems such as Live Support and diligently
completed all assigned tasks, working overtime as needed.
Work Experience
The Act-1 Group
327 West Broadway, P.O. Box 29048, Glendale, CA 91209-9048
Shannon Obrigawitch
05/2014-7/2014
Amerigroup
1st Assignment
Primary duties may include, but are not limited to:
1. Ensures medically appropriate, high quality, cost effective care
through assessing the medical necessity of inpatient admissions, outpatient
services, focused surgical and diagnostic procedures, out of network
services, and appropriateness of treatment setting by utilizing the
applicable medical policy and industry standards, accurately interpreting
benefits and managed care products, and steering members to appropriate
providers, programs or community resources.
2. Applies clinical knowledge to work with facilities and providers for
care coordination.
3. Works with medical directors in interpreting appropriateness of care
and accurate claims payment.
4. May also manage appeals for services denied.
5. Conducts pre-certification, inpatient, retrospective, out of network
and appropriateness of treatment setting reviews to ensure compliance with
applicable criteria, medical policy, and member eligibility, benefits, and
contracts.
6. Ensures member access to medical necessary, quality healthcare in a
cost effective setting according to contract.
7. Consult with clinical reviewers and/or medical directors to ensure
medically appropriate, high quality, cost effective care throughout the
medical management process.
8. Collaborates with providers to assess members needs for early
identification of and proactive planning for discharge planning.
9. Facilitates member care transition through the healthcare continuum and
refers treatment plans/plan of care to clinical reviewers as required and
does not issue non-certifications.
10. Facilitates accreditation by knowing, understanding, correctly
interpreting, and accurately applying accrediting and regulatory
requirements and standards.
11. May participate in or lead intradepartmental teams, projects and
initiatives.
Personnel Consultants
2855 Maggnum Road, Suite B211
Houston, Texas 77092 (713-) 977-8555
Cynthia Budinsky
Branch Supervisor
1st Assignment- MHMRA
Executive Administrative Assistant
02/2014- 04/2014
* Answered Phones
*Filing
* Champaign Projects
Customer Service
April 2013- Present
Dish Network Satellite
1701 Fairway Dr. Alvin TX
. Answering phones /Verified customer service
. Updating Demographics
. Technical support
. Billing
. Verified customer service
Customer Service /Volunteering
April 2005 to December 2011
Family Health Care - Houston, TX
Manager- 832-***-****- Nonie DeBoise
. Answered client questions by meetings their needs.
. Verified that information in the computer system was up-to-date and
accurate.
. Created monthly reports for records, closed terminated records and
completed chart audits.
. Addressed customer service inquiries in a timely and accurate fashion.
. Maintained up-to-date records at all times.
. Properly directed inbound calls in phone queues to improve call flow.
. Built customer loyalty by placing follow-up calls for customers who
reported product issues.
Customer Service Representative /Volunteering
March 2005 to November 2011
Medicare Advantage - Houston, TX
Agent - Tony Scroggins 832-***-****
. Updated Demographics
. Provided Invoices
. Collected customer feedback and made process changes to exceed customer
satisfaction goals.
. Addressed customer service inquiries in a timely and accurate fashion.
. Maintained up-to-date records at all times.
. Ran reports and supplied data to fulfill customer report requirements.
Customer Service Representative
January 2007 to July 2007
Volunteers of America- Houston, TX
Supervisor - Sandra 5602 Lavender St. 713-***-****
. Implemented new processes and systems for improving customer service
satisfaction. Greeted clients entered to ascertain what each customer
wanted and needed.
. Organized and reviewed daily out-logs, also being assistance to staff
and clients. Selected and helped locate all products as well stock
products based on clients requests.
. Answered client's questions by meeting their needs with "Light
counseling ".
Customer Service Representative / Appointment Setter
January 2001 to January 2005
Kelsey- Seybold Clinic
8900 Lakes at 610 Dr.
Houston, Tx 77054
713-***-****)- Norma Alejandro
At Kelsey -Seybold, I was able to direct calls to appropriate individuals
and departments. Maintained positive attitude to make customer's
experiences memorable and pleasant; assisted customers in person and via-
telephone.
. Cross trained and provided back-up for other customer's service
representatives when needed.
. Directed calls to appropriate individuals and departments.
. Maintained positive attitude to make customer's experiences memorable and
pleasant.
. Assisted customers in person and via telephone
. Cross- trained and provided back-up for other customer service
representatives when needed.
. Updated Demographics Set Appointments, Verified Insurance, Updated
Insurance
Educational Background
Grand Canyon 2015
Phoenix, AZ
Human Resources & Clinical Psychology
Bachelors
Robert E. Lee High School 1999
Houston, Texas Harris
General
H.S. Diploma
Contact this candidate