Manager Customer Service
Resume:
Jeffery Gray
Plano, Texas 75094
CAREER SUMMARY
An accomplished and professional customer service representative with over thirty years of experience. Energetic and detailed with exceptional organizational skills. Reliable, well organized and committed to supporting superior internal and external customer relations. Posse’s excellent communications skills and works effectively on teams as well independently. Highly motivated with excellent systematic problem solving abilities. PROFESSIONAL EXPERIENCE
SONEXUS HEALTH, Lewisviile, TX 7/12-
Reimbursement Coordinator
To investigate insurance information including Prior Authorizations and working closely with Physicians offices to facilitate appeals process if required. Perform accurate and efficient prescription adjudication claims in a timely manner in accordance with all applicable laws, regulations and company policies.
Effectively research and resolve prescription processing rejections to ensure patients receive medications within established patient standards. Notify patients, physicians, practitioners, and or clinical of any financial responsibility of services provided as applicable.
Clearly and concisely document all actions taken on each order to ensure all other pharmacy teammates know the current status of each order. Maintain accurate and current information for tracking and quality assurance purposes. CAREMARK, Irving, TX 2/02- 7/12
Benefits Verification Representative
To recommend and prepare client specific plan coverage based on the current Caremark policies. Performs detailed historical research to provide answers to client-based drug questions to ensure correct drug benefit coverage. Responsible for maintaining the adjudication benefit application. Analyzes all plan data for completeness and accuracy of contents. Maintains plan data an internal distribution of such information.
Ability to manage time effectively to coordinate all job functions to ensure timely responses.
Analytical and problem solving skills.
Proficient in use of PC, on-line files and databases. Strong communication skills, both written and oral. Patient Service Representative/Pharmacy Technician Proactively call fifty or more customers to schedule prescription mail orders. Effectively collaborated with physician’s offices to coordinate mail shipments. Efficiently troubleshoot prescription and insurance issues. Developed in-depth knowledge in customer feedback and response issues.
Initiate and Complete monthly/weekly reports that reduced cost abundantly. Promoted to part-time trainer, which involved travel within two years of hire. Recognized as a dedicated and highly effective asset to the company. NATIONAL RESTAURANT ASSOCIATION, Chicago, IL 2/01-2/02 Assistant Office Manager
Responsible for managing inventory of materials needed for the functionality of the office on a daily basis.
Organized Daily Mailing for Five Hundred External Customers. Effectively negotiated pricing with vendors.
Processed daily mail shipments to five hundred of our external customers. NEAL GERBER & EISENBERG, Chicago, IL 12/96-10-00
Help Desk Analyst
Provided technical support to more then two hundred internal customers. Managed password resetting.
Assisted in the daily back-ups.
Installed hardware and software for the HP printers. Imaged computers using Ghost and Antivirus software. Monitored hub and switch traffic using HP Top Tools 4.1 Created user names and passwords using terminal services. ARCHER MANAGEMENT SERVICE, Chicago, IL 11/99-6/00
Manager
Managed employees for the daily functions of the mailrooms for high profile companies in the Chicago land area.
Created and managed responsibilities for employees. Managed pay role and vacation schedules.
Organized efficient copy jobs on a daily basis.
Acted as a liaison for the office manager.
UNITED STATES ARMY 2/84-2/87
Served as the company office manager for the Captain and First Sergent. Received a Honorable Discharge.
EDUCATION/TRAINING
Austin High School, Chicago, IL
MCSE Windows 2000, Aquarius Institute, Chicago, IL SKILLS
Proficient in Microsoft standard software.
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