Customer Service Representative
Resume:
DENESE FORD
**** ****** *** **. ******, TX *****
*********@*****.***
Fifteen years of experience in administrative, results-oriented, problem solving abilities, work well independently as well as with a team. Strong interpersonal organizational and communication skills.
EXPERIENCE
Cigna Health Spring- Houston, TX 10/2015 to Present
Customer Service Associate
Respond to inquiries from customers and providers regarding authorization and/or referrals for approvals process appeals, grievances, complaints
Viewed customer payment history and input premium payments into computer system
Answered over 50 plus calls per day and resolve complex customer service issues
Provided information to customers by mail, telephone or in person regarding insurance claims/policies other duties as assigned
General Dynamics Technology Call Center - Houston, TX 09/2013– 04/2014
Customer Service Representative
Facilitated over 80 to 150 inbound Customer Service calls per day with resolution
Assisted in completing online applications and coordinating representative appointments
Collected confidential information personal data such as PI (personal information) DOB, SSN, and addresses,
Enrolled customers in health care plans that best fits their needs from HMO, PPO, EPO, and POS, Medicaid Medicare, assisted customers in selecting a physician, resolving members issues
Claims review and processing such as denial and appeals
Implementing the highest level for telephone etiquette of customer care, etc.
ABM Security Services- Houston, TX 05/2013- 09/2013
Security Officer
Responsible for daily operations such as monitor surveillance and all radio communications
Provide protection to visitors, employees and maintain security of premises
Provide assistance for emergency situations, conduct investigations and completed detailed reports performed other duties as assigned.
Providence Ems - Stafford, TX 08/2005– 02/2013
Administrator
Verified insurance eligibility of benefits, update patient essential demographics and input into computer system, schedule and confirm appointments, interpreted physician’s orders, respond to patients inquiries and keep record of patient interactions, analyze patients account and resolve issues
Checked details on documents, reports, forms for accuracy and completeness/legibility
Greet patients, visitors, collected payments from patient and input into computer system
Respond to inquiries from providers and pharmacists regarding patient, answered and directed calls to the appropriate person, communicate with hospital regarding patient discharge and documents, etc.
Property Management Company - Houston, TX 01/2004 – 07/2005
File Clerk/Administrator
Maintained proper filing systems so that information is readily available upon request, scheduled appointments, received and logged routine maintenance calls
Received payments from homeowners, assisted title companies confirm that all payments are current
Send notice of violation letters to homeowners, answered and directed calls to the appropriate person
Verified and input data into computer system to update information other duties as assigned.
Proficient In: MS Word, Excel, Power Point, QuickBooks, MediSoft, Lotus Notes, Outlook.
EDUCATION
Booker T. Washington High School Graduate- Houston, TX
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