Customer Service Representative
Resume:
Stephanie Flores
Huntington Park CA, 90255
*****************@*****.***
OBJECTIVE:
Seeking to obtain a position as a Customer Service Representative in a company where I can optimize my customer service skills to accomplish company goals.
SKILLS AND ABILITIES:
Data Entry (Alpha/Numeric)
Typing
Bilingual: English and Spanish (Read,write, and speak)
Microsoft office (Word, Excel, and Outlook)
QNXT and MHC knowledge
PROFESSIONAL EXPERIENCE:
Altamed Health Services Apr 2015 – May 2015
Member Services Representative Temporary Position
Inbound Calls 100+
Outbound Calls 50+
Modifying authorizations, including extending dates, modifying CPT codes changing provider location.
Assisted with changing primary care physician
LA Care Health Plan Aug 2012 – Dec 2014
Provider Network Data Clerk
Created weekly reports for all provider that were transferred to QNXT
Transferred data from MHC to QNXT
Assisted with opening and closing panels upon provider’s request
Verified that information was up to date
Trained new staff on QNXT
Care 1st Health Plan Feb 2008 – July 2012
Member Services Representative
Assited with changing primary care physician
Called provider’s to obtain prior authorization for medications
Verified member’s demographics and updated any new or missing information
Assited with member’s complaints
Incoming calls 100+
Securitech Security Services April 2004 – Dec 2007
Receptionist II
Personal assistant to the CEO
Reviewed applications and scheduled applicants interview
Collected and mailed correspondence
Reviewed new hire paperwork
EDUCATION:
Bell Gardens Ford Park Adult School Bell Gardens, CA
General Studies Graduated
References available upon request.
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