Customer Service Call Center
Resume:
Valorie Whitney-Affandi
Customer Service Expert
Kansas City, MO 64029
***************************@***********.***
I have 18 plus years working in call center environment first point of contact routing calls as per Trained also building request for health care I also work with Medicaid Medicare Aetna Coventry and various other insurance companies I also have experience with durable medical equipment cpt coding detailed noting for follow up. Prior authorization request Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Administrative Clerk II
TTEC - Remote
June 2021 to Present
Work on IRS site in the secured area
Customer Service Representative
CVS Caremark Mail Services Pharmacy - Lees Summit, MO December 2019 to February 2021
call center assist members with refills, plan information, troubleshooting issues by using systems and plan information for the Commercial teams
Caregiver/Companionship
Care by Clark - Independence, MO
January 2018 to January 2019
Provide life skill assistance monitor behaviors administer meds detailed noting companionship Customer Service Representative
JCPenneys - Lenexa, KS
January 2018 to August 2018
Problem solve while assisting keying orders maintain professional dome nor problem solving use schedules for service calls
• Created customer appointments
• Assisted customers in person
• Scheduled reservations for customers
• Maintained up-to-date knowledge of customer accounts
• Provided assistance to clients
• Answered phone and assisted customers with changes Customer Service Representative
Aerotek - Overland Park, KS
April 2017 to December 2017
Call center medicare Advantage give payment info explain details of benefits copays and deductible information
• Maintained up-to-date knowledge of customer accounts
• Scheduled reservations for customers
• Created customer appointments
• Answered phone and assisted customers with changes Customer Service Representative
DST Health Services - Kansas City, MO
April 2016 to February 2017
Call Center inbound explain payment information give deductibles copays detail noting
• Answered phone and assisted clients with changes
• Created customer appointments
• Maintained up-to-date knowledge of customer accounts
• Provided assistance to clients
Customer Service Expert
Carecentrix - Overland Park, KS
May 2014 to August 2016
inbound call center for CIGNA, COVENTRY, BLUE CROSS BLUE SHIELD, HORIZON members with attention to sleep, infusion, DME, home care providers, staffing and follow-up Skills: miti task between 7 to 8 programs simultaneously Customer Service Specialist
H & R Block Services, Inc - Kansas City, MO
March 2012 to February 2014
Lead for inbound call center Escalations team
Seasonal worker
Administrative Assistant
My Three Son's Daycare - Kansas City, MO
January 2007 to May 2011
Complete assignment on appointed schedule interact with kids, and support staff, handle payroll, keep records,
Customer Service Agent
United Health Care - Overland Park, KS
January 2004 to January 2006
Gave prescription coverage information, follow procedures per medication qualification per coverage document. Also help desk for pharmacies, when they have trouble filing scripts. Processed refill requisitions, make changes to records per need. Update information. Took credit card payments, and explained billing.
Education
High school diploma in Design & Applied Arts
Penn Valley Community College
2013 to 2015
Skills
• Pharmacy assistant (5 years)
• Reimburstment specialist (7 years)
• Customer Service (10+ years)
• Call Center (10+ years)
• Billing (10+ years)
• Customer Care
• CSR
• Customer Support
• CPT Coding
• Help Desk
• ICD-10
• Medical Coding
• ICD-9
• Physiology Knowledge
• EMR Systems
• Medical Terminology
• Medical Scheduling
• Medical Records
• Medical Billing
• Insurance Verification
• Active Directory (10+ years)
• Leadership Experience
• Network Support
• Patient Care
• Anatomy Knowledge
• Experience Administering Injections
• Clerical Experience
• HIPAA
• Vital Signs
• System Administration
• Microsoft Windows Server
• Microsoft Excel
• Medical office experience
• Microsoft Word
• DNS
• Epic
• LAN
• Remote Access Software
• VPN
• Shell Scripting
• Disaster Recovery
• Linux
• Technical Support
• Operating Systems
• Citrix
• DHCP
• Underwriting
• Research
• Time management
• Typing
Certifications and Licenses
Driver's License
CPR/First Aid
CNA
Medical terminology certification caregiver through state January 1998 to Present
Property & Casualty License
Additional Information
Skills
miti task between dual screens as400 windows outlook proficent simultaneously*
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