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Customer Service Representative

San Antonio, Texas, United States
October 12, 2016

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**** ******* ** *** *** San Antonio, TX 78229 210-***-****


Seeking employment in a professional work environment.


*/**** ** *******

Specimen Collector, Authorization and Document Specialist Unified Laboratory Services

Collected urine samples from patients

Answered phones, scheduled appointments, responded to website emails, initiated prior authorizations, verified prescriptions for pharmacist and completed FMLA requests.

Obtained clinical information by contacting appropriate personnel.

5/2013 to 4/2016

Clinical Management Associate, AETNA

Initiated and verified prior authorizations for medical providers.

Provided clinical information to the nursing team for review.

Assisted other teams within the prior authorization department.

8/2008 to 4/2013

Customer Service Insurance Specialist, KCI

Verified health insurance benefits and eligibility.

Obtained completed clinical information for the sales team.

Secured prior authorization for medical equipment (wound vacs and hospital beds).

6/2006 to 7/2007

Inbound Customer Service Representative, United Healthcare

Reviewed benefits and eligibility for members and providers.

Provided accurate and appropriate claims information in response to member inquiries.

Properly directed inbound calls in phone queues to improve call flow.

2/2001 to 12/2004

Policy Service Customer Service Specialist, USAA

Addressed and resolved member inquires in a timely and accurate fashion.

Reviewed coverage criteria for auto and property policies.

Cross selled products based on member’s needs.



Medical Office Specialist, Everest Institute


Diploma, John Jay

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