SHARON NEWMAN

shmn*l @gmail.com I 702-***-**** I Nor1h Las Vegas. NV 89084

Summary

Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Commincd to maintaining professional relationships to increase profitability and drive business results ln1elligen1. well rounded with outstanding retail expertise. Grasps company initiatives quickly achieving store and personal goals. Swiftly adapts to shifting seasonal needs. demands and priorities. Communicates trends and recommendations to customers. and provides feedback to management. Applies effective teamwork. customer and sales skills simultaneously. Verbal and written communicalion

Connie! Resolution

TrainingandDcvclopmcn1

Time management

Sales proficiency

Customer education

Proficient in MS programs

Wrinen Communication

MSOflice

Computer Skills

AVAYA PHONE

VPN

Flexible and Adaptable

Organization and Time Management

Coaching and mentoring

Operations management

Mathematicaleakulations

Policies and procedures

Staff Management

Skills

Sales and Marketing

Phone time management

Billing Dispute Resolution

Medical Billing and Collections

Claims Processing

Bi ll ing Data Verification

Services Rendered Documentation

Check Inspection and Validation

Financial Documemation

Verbal and Wrinen Communication

Billing and Invoicing

Coding Proficiency

Inquiry Handling

Process Monitoring

Microsoft Office

DispUle Negotiation

Word Processing

10-Key DataEnlry

CRM Software

Experience

Member Scn•ice Representative I Centene - Las Vegas. NV I 08/2023 - Current Answered member questions about products and services Managed customer conflicts and challenging simations by staying calm and accessing internal knowledgebases 10 develop strategic solutions

Soflion

Enhanced member relationships by providing excellent service during each interaction. Helped members resolve account problems and navigate internal systems 10 handle routine needs. Consulted with customers regarding needs and addressed concerns. Presented and explained setvices and products to meet member needs. WellCare insurance

Member services

Medicare line of business

Claims

Payments

Premiums

co pays

Out of pocket maximums

Inquiry into medications

In network providers

Experience

Ml'mhl'r St'rvicc Rcprt'sentath•e I Centene - Las Vegas, NV I 08/2023 - Current Answered member questions about products and services Managed customer confiicts and cha llenging situations by staying calm and accessing internal knowlcdgebases to develop strategic solu1ions.

Softion

Enhanced member relationships by providing excellent service during lu.ich interaction. Helped members resolve account problems and navigate internal systems to handle routine needs Consulted with customers regarding needs and addressed concerns Presented ond exploined services ond produc1s to meet member needs. WellCare insurance

Memhers.ervices

Medicarelineofbusiness

Claims

Payments

Premiums

copays

Out of pocket maximums

Inquiry into medications

In network providers

Cus1omu St'n"icl' Rcprcscntath·l' I Molina Heiilthcarc Las Vegas. NV I 05/2022 - 06/2023 Submitted claims lo insurance companies and researched and resolved denials and explanations of benefit rejections. Answered customcr invoice questions and resolved issues discovered during invoicing and collection process Investigated and resolved issues to nrnin1ain billing accuracy. Contacted insurance providers to verify insurance informution ond ob1uin billing authoriza.tion. Processed ond sen1 invoices, adjustments and credit memos to customers Managed numerous client accounts to track and collect money owed Researched and resolved billing inconsistencies and errors through individual and collaborative analysis Reviewed vendor documentation to comply with payment guidelines Submitted claims 10 insurance companies.

Answered customer questions to maintain high satisfaction levels. Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding Entered procedure codes, diagnosis codes and patient infonnation into billing software to facilitate invoicing and account management.

Performed insuranceverification,pre-cenificationand pre-authoriza1ion. Checked claims coding for accurncy with ICD-10 standards. Developed strong professional rapport with vendors and clients. Accurately input procedure codes. diagnosis codes and patient infomrntion into billing software lo generate up-to-dale invoices

Verified accuracy ofinfomiation and resolved discrepancies with vendors before entering invoices for payment. Call Ctn rer Customer Serviet' Spt'cialisl I Alorica - Las Vegas, NV I 03/2020 03/2022 Met or exceeded call speed, accuracy and volume benchmarks on consistent basis. Managed high-volume of inbound and outbound customer calls Documented customer correspondence in CRM to track requests, problems and solutions. Helped clients navigate online systems within established frameworks to obtain services. Consulted with customers regarding needs and address.ed concerns Processed customer account changes with proprietary software. CustomerSt'n•ice Associate I Cos1 Plus World Market. Inc Las Vegas, NV I 08/2016- 12/2019 Helped large volume of customers every day with positive attitude and focus on customer satisfaction. Informed customers about special promotions and provided detailed in fonnat ion for various products. Collaborated with store management and program leadership to suggest actionable improvements and corrective action plans.

Executesexcellenl sales !loormerchandisingand sell ing. Resolved concerns with products or services to help with retention and drive sales Collected customer feedback and made process changes to exceed customer satisfaction goals Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving Improved customer satisfaction ratings by addressing issues and fostering timely resolution Demonstrated items to customers and created customer awareness, interest and sales. Developed and actualized customer service initiatives to decrease wait times Cultivated customer loyalty, promoted repeat business and improved sales. Offered advice and assistance to customers, paying attention to special needs or wants Offered advice and assistance to customers. paying attention to special needs or wants. Assisted customers with setting appointments. special order requests. and arranging merchandise pick-up. Responded to customer reques1s for products. services and company infonnation. Provided infomrntion regarding charge accounts and loyalty programs Call Center Customer Sen •ice Representative I Check City Las Vegas, NV I 08/2014- 03/2016 Delivered fast. friendly and knowledgeable service for routine questions and service complainis Managed customer expectations by clarifying needs. identifying options and recommending products and services. Maintained s1rong call cormol and quickly worked through scripts to address problems. Documcntcd customer correspondence in CRM to track requests. problems and solutions. Asked probing questions 10 determine service nel--dS and accurately input infom1ation into electronic systems. Pursued networking opportunities to advance cl ient relations skills and enhance customer satisfaction Helped clients navigate online systems within established frameworks to obtain services. Answered. screened and processed high volume of calls daily with call management sys1em and web-based Assisted 200+ callers per week in fast-paced environment. Assistant Store Manager I Dollar Tree Stores - Las Vegas NV I 03/2005 - 09n0l3 Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities. Coached sales associates in product specifications. sales incentives and selling techniques. significantly increasing customer satisfaction ratings.

Applied performance data 10 evaluate and impro\'e operations. target current business conditions and forecast needs Met or surpassed business targets regularly through employee engagement and forward-thinking planning. SupeNised and evaluated staff. enahliug them to improve skills, achieve daily objectives and attain advancement Maintained positive customer relationships by responding quickly to customer service inquiries Promoted professional growth and facilitated talent development of each associate to drive performance excellence Reduced company expenditures and met budget targets by closely monitoring. tracking and controlling expenses Conducted weekly staff meetings to motivate staff members. address concerns and questions. plan improvements, and evaluateprogress1owardgoals.

Provided weekly work schedules to employees to accommodate business demands and vacation requests Responded to customer concerns. working with manager to significantly raise customer satisfaction ratings. Verified inventory counts remained within monthly 1olerance levels and compiled financial data in compliance with budget. Reconciled daily sales transactions to balance and log day-to-day revenue Analyzed and interpreted store trends to facilirnce planning. Processed payments for credit and debit cards and returned proper change for cash transactions. Interviewed. hired and trained staff associates and equipped to comply with company policies and procedures.

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Approved regular payroll submissions for employees. Education and Training

College ofSouthem Nevada I Las Vegas. NV I Expected in 05/2025 MaSlers In International Economics: Business Logistic Academyof HairDesign I Las Vegas.NV I 06/2016

Licensed Nail Tcchnirian : Cosmetology

Accomplishments

Maximi zed profits by reducing expenses. renegotiating contracts and streamlining operations Used Microsoft Excel to develop inventory tracking spreadsheets.

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