Customer Service Representative
Resume:
Tamara Oxendine
Rutherfordton North Carolina 28139
******.********@*****.***
PROFESSIONAL EXPERIENCE:
Ameridial, Spindale, NC
Position: Customer Service Agent, October 3, 2016 – March 30, 2017
* Answer incoming phone calls
* Assist members with claims related questions
* Assist providers with claims related questions
* Quote health, hospital, and dental benefits to provider
* Search procedure codes for approval for specific procedures (i.e.will procedure be paid)
* Order health related information for members as needed
* Work with providers to determine denial cause of claims
* Give other claim related information as requested
* Assist members with transactions involving providers
Harris Home Care, Forest City, NC
Position: Scheduling Coordinator, March 10, 2014 – September 30, 2016
* Schedule CNA/In Home aides with clients
* Answer company phones as needed
* Update plan of care for current clients/create new plan of care for new clients as needed
* Assist manager/RN with daily filing/other duties as needed
Ameridial, Spindale, NC
Position: Customer Service Agent, EmblemHealth, May 31,2013-March 7, 2014
* Answer incoming phone calls
* Assist members with claims related questions
* Assist providers with claims related questions
* Quote health, hospital, and dental benefits to provider
* Search procedure codes for approval for specific procedures (i.e.will procedure be paid)
* Order health related information for members as needed
* Work with providers to determine denial cause of claims
* Give other claim related information as requested
Ameridial, Spindale, North Carolina
Position: Customer Service Representative May 13, 2013 - May 31, 2013
* Answer incoming customer calls
* Assist customers with enrollment in State Health Plan
* Assist customers with other insurance related questions
* Assist customers with changing information on accounts
Broad River Water Authority, Spindale, North Carolina
Position: Business Administrator (December 2000 - June 2012)
* Assist auditors during fiscal year end audit
* Assist CPA during monthly accounting
* Responsible for stamping, entering, and paying invoices as they were received.
* Responsible for processing payroll, paying taxes associated with payroll, and distributing employee contributions to various funds as necessary i.e. 401k, HSA contributions, FSA contributions, etc.
* Receive customer payments, answer phone calls regarding billing and other customer inquiries, provide monthly reports regarding revenue
* Responsible for yearly sales tax report refund request
* Miscellaneous duties as required by supervision
* Human Resources functions including insurance
Duke Energy, Spindale North Carolina
Position: Secretary III, Water Operations (October 1981 - December 2000)
* Dispatch service tech to outages via radio
* Customer service representative-assist with phone calls during outages and also assist with
calls during peak calling times. Also answer customer inquiries/requests and dispatch crew
if needed.
* Process timesheets for payroll
* Assist supervisors of water operations as needed
* Answer phone for water operations during normal business hours
* Accept tap fees from customers
* Process invoices for payment
EDUCATION
Gardner-Webb College
Boiling Springs, North Carolina
Bachelor of Science, August 1987, Business Administration
Isothermal Community College
Spindale North Carolina
Associate of Applied Science, May 1983, Business Administration
ADDITIONAL SKILLS
* Skilled in Excel and Word
* Self-motivated
* Work well with the public
* Empathetic to customers and employees
* Skilled typist
REFERENCES
Amy White, Registered Nurse, Harris Home Care and Rutherford Regional
Medical Center Phone 828-***-****
Beth Head, Finance Office, Tanner Companies Phone 828-***-****
Betty Roper, Supervisor, Ameridial Phone 828-***-****
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