SONIA ALEXANDER

Wichita Falls, TX ***** 417-***-**** ad0t3o@r.postjobfree.com

Professional Summary

A Successful diligent Customer Service Specialist that can balance her focus on business result when offering empathy, reliability and enthusiasm for satisfying customers.

Skills

· Customer Complaint Resolution Creative problem solving

· Insurance Knowledge Strategic sales knowledge

· Product Knowledge Administrative support

· Order Entry Shipping Procedures understanding

· Research Proficiency Technical Support

· Billing Resolutions Professional telephone demeanor

· Inbound and Outbound Calling Medical terminology knowledge

Work History

Enrollment Coordinator, 10/2022 to Present

BlueShield of California – Remote/TX

Handling questions, issues and providing detailed information on requirements, processes, …

Collecting information and qualifying candidates for programs, services or courses.

Ensuring that applications are completed correctly and that the required supporting

Data Entry

Account Specialist I, 05/2021 to 08/2022

JP Morgan Chase – Springfield, MO

· Very comfortable communicating with customers in a metrics-driven environment

· Able to navigate multiple technologies while staying engaged with our customers

· Demonstrate resiliency and extreme adaptability in a fast-paced environment

· Take ownership of each customer interaction while treating customers with respect and responding with empathy.

· Document customer account activities thoroughly and concisely.

· Demonstrates personal excellence including punctuality, integrity, and accountability.

· Approach problems logically and with good judgment to ensure the appropriate customer outcome.

Support Coord/Reimb Specialist/General Specialist, 10/2019 – 04/2021

Aerotek Staffing – Overland Park, KS

Support Coordinator

· Answered phone calls in a timely manner to set up patients to receive benefits.

· Signed up new customers, retrieving customer data, presenting relevant product information and cancelling services.

· Maintained confidentiality of patient finances, records and health statuses.

Reimbursement/Specialists –

· Managed multiple tasks and met time-sensitive deadlines.

· Supported various administrative duties by calling different insurance companies to verify insurance claims.

· Tracked pending authorizations to resolve discrepancies and avoid revenue loss.

· Communicated verification and authorization status updates with several Insurance Agencies department to facilitate decision-making for patient admissions and insurance coverage.

General Specialist –

· Delivered exceptional level of service to each customer by empathizing and listening to concerns and answering questions.

· Identified issues, analyzed information and provided internal solutions to problems via companies scripted Prepared Responses.

· Responded to customer requests for services and company information.

· Partnered with supervisor to coach, assist and manage employees.

Sunflower Health Plan – Lenexa, KS

Customer Service Rep/Referral Specialist, 03/2018 to 08/2019

· Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status matters.

· Educate members and/or providers on health plan initiatives

· Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiry.

· Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustment.

· Identify trends related to members and/or providers inquiries that may lead to policy impact quality and performance standards.

· Work with other departments on cross functional tasks and projects.

Referral Specialists – 07/2019 – 10/2019

· Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list.

· Route to appropriate staff when needed.

· Verify eligibility and benefits.

· Answer phone queues and to provide faxes within established standards.

· Data entry entering authorizations into the system.

Education

Peru Central High School – Peru, NY - High School Diploma 1979-1984

Professional Business School Kansas City, MO Diploma 1988

· Math, 10-Key Data Entry, WordStar, Excel, Typing, English

My years of experience have prepared me for this role. I have had years of experience in the medical field from several job opportunities. And now I would like to join your companies field of health expertise and bring a new perspective to your business.

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