Customer Service Representative

Patricia Scruggs

Church Clerk - Christ Center Unity Church

Schenectady, NY 12307

************@*****.*** - 518-***-****

A full-time position in Customer Service with a growing company. WORK EXPERIENCE

Church Clerk

Christ Center Unity Church - Schenectady, NY - 2010-02 - Present

• Volunteer position as administrative assistant and coordinator of Camp Krew, a summer camp for children.

• Performed clerical duties such as copying, filing, mail, answering phones and scheduling appointments. Customer Service Representative

CHPHP - Albany, NY - 2016-02 - 2016-08

• Served in the pharmaceutical utilization management area.

• Called members to inform them of their prescription approval.

• Faxed information to providers regarding pre authorizations and called upon approval. Customer Service Representative

Xerox - Menands, NY - 2015-11 - 2016-02

• Responded to telephone inquiries and complaints using standard scripts and procedures.

• Gathered information, researched/resolved inquiries and logged customer calls.

• Communicated appropriate options for resolution in a timely manner.

• Informed customers about services available and assessed customer needs. Customer Service Representative

Maximus - Albany, NY - 2015-04 - 2015-10

• Provided assistance to consumers seeking health care coverage (Medicaid, FHP, CHIP).

• Processed applications for health care coverage, renew Medicaid and manage care plans.

• Escalated calls or issues to appropriate staff and resolve issues accurately and efficiently as needed.

• Entered appropriate data and information into applicable systems (Marketplace and Medicaid based). Member Services Representative

MVP - Schenectady, NY - 2014-10 - 2015-02

• Received calls to verify members are on file, verified network providers and checked member's eligibility.

• Transferred calls to appropriate extension for sales or benefits.

• Gave out additional information to brokers, Medicare members and pharmacists.

• Input information on member service forms into the system. Customer Service Representative

United Health Care Insurance - Albany, NY - 2000-07 - 2010-02

• Verified insurance coverage computed patient benefits and compiled itemized bills.

• Provided excellent customer service by addressing questions and resolved issues in a timely manner.

• Contacted insurance companies to verify coverage and obtained information regarding extent of benefits. Data Entry Clerk

NYS Tax and Finance Office - Albany, NY - 1998 - 1999

• Computed state taxes on sales transactions and articles produced.

• Executed daily operations of tax returns answered questions and reviewed for completeness. Claims Processor and Examiner

Empire Blue Cross/Blue Shield - Albany, NY - 1988 - 1997 Performed data entry and coding; entered with source documents, verified accuracy and detected errors. EDUCATION

Certification

Stratford Institute - Albany, NY

1985

Diploma

Mont Pleasant High School - Schenectady, NY

1983

Contact this candidate