Customer Service Data Entry

Kimberly Donaldson

Donna, TX

(Bilingual: Spanish & English)

Summary:

To use the over 20 years of customer service skills I have in call center and face to face to help clients.

Work Experience

Education:

High school diploma

Paw Paw Jr/Sr High School - Paw Paw, MI

Skills:

Typing

Mentoring

English

Communication Skills

Organizational Skills

Conflict Management

Sales

Computer Skills

Time Management

Microsoft Excel

Data Entry

10 Key Data Entry

Research

Upselling

Phone Etiquette

Management

Leadership

Tutoring

Microsoft Word

Medicare

Bilingual

Customer service

Spanish

Computer literacy

Professional Experience:

Centene, Mcallen TX Jul 2023 to Sep 2023

Program Coordinator

Contact members of Superior Health Plan by telephone from assigned list provided to me each day to inform.

Schedule in person and telehealth assessments and in home visit assessment for benefits with insurance plan verified case coordinator schedule and assigned appointments to coordinators.

Texas Health and Human Services Commission - Harlingen, TX (Direct hire) Oct 2022 to Mar 2023

Customer service/ Clerk II

Prepare all mail using mail machine system, check in all incoming mail stamp, scan and email documents received for caseworkers.

Download incoming reports from MCO Superior and Molina using Filezilla TMHP.

Create files for each MCO create work document using Microsoft Office for each MCO separate each MCO create email to send to caseworkers of MCO assignments.

Create specific folder for Molina review client information to assign case to specific worker assigned by Alpha system, vacant cases assigned to zip folder and sent to another SDA office.

Using Excel spreadsheet file ILR report for clients being assigned to list for MCO.

Review MEPD emails received and assign to worker by assigning through Heart system in Tiers and email.

Applications for Medicaid services that are received scan upload and fax to MEPD Department and caseworkers.

Answer any incoming calls from client about case information for application and direct to caseworkers.

Dentaqauest – Texas (Agency: Randstad) Sep 2021 to Oct 2022

Customer Service Representative

Take incoming calls from providers and members for dental benefits.

Help with making appointments, reviewing benefits, claim and authorization status and resolution providing dentists to members change dentist for members web guidance for portals

Verifying ORM for benefits and eligibility.

File and inform of how to file complaints and appeals.

Maximus Call Center - Edinburg, TX Oct 2013 to Sep 2021

Customer Service

Took incoming calls from client of HHSC Texas state benefits including Medicaid,

Medicare Savings Program, Snap, Tanf. Informed clients of case status help submit online applications provide details of information needed and provided to complete case. Filed complaints and appeals for clients referred to other agencies for other state help.

From October 2013 to June2016 I was a mentor for Maximus training new employees for call center provided feedback to new employees and management of new employee progress. Was chosen as one of the mentors to go to San Antonio and help train new employees for new site.

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