Customer Service Medical

Kristen Foy

**** ** * ******

Pompano Beach FL. *3069

Cell: 954-***-****

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

Professional Summary:

Certified phlebotomist with over 2 years of experience and office staff experience. Medical terminology knowledge. Insurance and billing capability.

Patient and Empathetic Agent with extensive background in conflict resolution.

Over 4 years of customer service experience.

Skills:

• Quick learner

• Able to perform/check authorization and claim status

• Medical Terminology knowledge

• Quality service/Dependable

• Ability to verify insurance, procedure/diagnosis coding

• collect copayment, set appointments, verify pcp

Work History:

-Wellcare- North lauderdale fl 12/2012-present

• check authorizations, claims, COB, EOB, eligibility for drs/ insurance companies.

• Search/assign PCP to members

• Handle high call volume calls

• File appeals and grievance

• Fax over authorization/ customer forms

• Work with multiple LOB/HMO's

-Customer Service Representative, 07/2012 to 2/2013

Teleperformance- North Lauderdale, FL

• Answered an average of 35 calls per day by addressing customer inquiries, solving

problems and providing new product information.

• Described product to customers and accurately explained details and care of

merchandise.

• Scored in top 10% of employees in successful resolution of issues.

• Troubleshoot different make/model of mobile devices, process warranty exchanges,

new orders and replacements of devices and accessories if necessary.

-Insurance Fronter, 04/2011 to 07/2012

Secured Health & Life- Sunrise, FL

• Qualified customers for health, dental, and/or life insurance.

• Directed calls to appropriate individuals and departments once approved.

• Set up and explained new membership contracts.

• Asked open-ended questions to assist customers’ needs and type of quote to provide.

Education:

4/2010-5/2011 -internship (boca Raton, FL)

•Politely assisted customers via telephone.

•paperwork, claims, medical records filing.

•assist with vitals, blood work, patient relation in office

Sanford Brown Institute, 04-2009 to 02/2010. Cypress Creek, FL

• Medical Assistance Certificate.

Phlebotomy License.(Certification number:20-0202Y10)

CPR license.

EKG license

Coconut Creek High School, 2007

• High School Diploma

Contact this candidate