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Customer Service Representative

Location:
Rutherfordton, NC
Posted:
April 17, 2017

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Resume:

Tamara Oxendine

*** ********* **** **

Rutherfordton North Carolina 28139

828-***-****

aczuct@r.postjobfree.com

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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