Customer Service Medical
Resume:
Jolanda Coachman
**** ********** *******, ***.**** Orlando, FL
*****************@*****.***
Summary
Over 10 years in Customer Service
* ***** ** ********** *** Insurance
Capability to toil in a fast-paced, frenzied setting while commendably providing care to clients
Career Overview
Looking to advance my leadership abilities in a role that will utilize my medical background, and an opportunity to use my customer service and investigative skills to successfully manage complex problems & situations involving details
Educational Background
AIU Hoffman Estates, Illinois
Masters Business Administration
F.A.M.U Tallahassee, Florida
B.S. Healthcare Management
Professional Experience
Benefits Representative Orlando, Florida
Optum RX
November 2014-Present
Addresses member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation
Retrieve precise information and document unresolved concerns. Work with teammates, Account Managers and others to solve those issues/Claims processing
Converse efficiently and clearly with members concerning questions about their pharmacy plan coverage, co-pays, deductibles, and other facets of their pharmacy program
Provides available information upon request and escalates issues as appropriate
Shift Lead Orlando, Florida
Walgreens
May 2011-Present
●Delegate tasks to other team members per Store Manager/Assistant Manager
●Motivate associates, foster teamwork and champion change
●Drive sales though activities such as product demonstrations, and suggestion selling in order to maximize the value of each guest visit
●Supervises unloading of all trucks and flow of merchandise to sales floor or storage as appropriate
Financial Counselor Tallahassee, Florida
Capital Regional Medical Center
July 2009-March 2011
●Interviewed all inpatients self-pay patients for insurance, medical assistance, and or hospital charity
●Collected payment and updated patient billing records
●Ensured collection of co-payments, deductibles, out-of-pocket
●Followed up post-release for billing details
Medical Records Specialist
North Florida Sports Medicine
June 2006-April 2008 Tallahassee, Florida
●Managed patient information, medical histories, physician exams, test results, treatments and services provided
●Responded to requests for medical records; processed letters and reports; answered and directed telephone calls
●Photocopied records and documents for billing and/or legal services
●Checked data for accuracy, assign codes for insurance reimbursement
Core Strengths
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HIPPA Certified
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Subject matter qualified
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Goal oriented: results achiever
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Proficiency in Microsoft Office Suite
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Administrative Operations Skills
Accomplishments
Customer Interface
●Loyal relationshipsassume someone’s motives are not honorable.
●Showed empathy and compassion for a outstanding experience
●Built long-term loyal relationships for customers to ensure trust
Monetary Transactions/Instruction
●Handled cash, check, credit and automatic debit card transactions with 100% accuracy
●Utilized modern teaching methods such as e-learning and team learning
Customer Follow-up
●Ensured that customers were satisfied with company products and services by doing purchase follow-up calls
●Established good working relationships with customers/clients/patients
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