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Customer Service Representative

Location:
Loughman, FL, 33896
Posted:
December 26, 2023

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Resume:

MARICRUZ MUNOZ

Davenport, FL ***** Phone#: ***- *00- 5782 ad179e@r.postjobfree.com

WWW.LINKEDIN.COM/IN/MARICRUZ-M-33962251/

Skills Summary

Computer: (proficient in Microsoft Word, Excel, & PowerPoint, type 50-60 wpm), Telephone and Switchboard: (20 ext. & intercom), knowledge of general office procedures: (filing, photocopying, mail & package distributing), strong communication skills, bilingual: (Fluent English & basic Spanish), work well under limited supervision and work well with others. Education

McCann School of Business & Technology, Allentown, PA 2010

• Associate’s Degree in Office Administration-Medical

• GPA (3.82) Dean’s List and Honors Student

Computer Career Center, Brooklyn, NY 2006

• Certificate in Medical Billing & Coding

Work Experience

Centene Corporation, Davenport, FL. Oct. 2022 – Mar. 2023 Customer Service Representative I

• Received & handled incoming calls from the company’s call center from members, physicians, brokers, pharmacies, etc. answered their inquiries while following company’s guidelines and protocols by using company’s phone system and equipmentsVerify Doctor’s License number on the 485/POC/MD Order forms

• Responsible for gathering member’s information and entered them in the company’s data system and processor.

• Checked member’s EOC & Benefits and Eligibilities

• Researched providers for members who participated and who were In Network with their health insurance plans with the company, based on their locations and gave members list of participating physicians to choose from

• Scheduled doctor’s appointments for members if/when requested by the members

• Made outbound calls to confirm members’ preferred phsycicians to switch to, accepted new patients and verified they’re In-Network with the Health Insurance, while member’s on hold/ on the line

• Performed outbound calls to member’s pharmacies if/when there was a discrepancy of any sort

• Added important notes and provided caller’s reference numbers

• Offered surveys for callers to reply to if/when they chose to do so

• Took next calls within 3 seconds

• Stood updated with new changes by reviewing daily articles of the company and took care of the emails correspondenses

• Kept healthy communication between the callers, the People Leader, Team Leads, & IT dept. within the Centene Team via email, phone system, & internal group chat app with the company’s equipments/devices which included laptop, 2 PC monitors, headset with built in mic, etc. 2

United Jewish Council of the East Side Home Attendant Service, New York, NY. Sep. 2020 - Jul. 2022 Medical Order Clerk

• Responsible for gathering, processing, and maintaining patient medical records and reporting patient information for health standards

• Verify Doctor’s License number on the 485/POC/MD Order forms

• Send out Discharge Summaries, Interim Orders, & 485/POC/MD Order forms to clients’ PCPs to sign & date and return to us to continue Home Care services and track the forms; file completed forms in the client’s chart

• Doctor License Verifications and Addendums, file and follow up changes

• Made phone calls to doctors to confirm they’re the client’s current PCP

• Ensure there is a 485/POC/MD Order form for every nurse’s visits

• Cover the Front Desk as needed

• (Contact Tracer); Used the Care Connect system to report Home Attendants who answered the surveys who passed or failed & made phone calls to those who failed to see if it’s due to have tested for COVID-19

• Translate for the nurses (Spanish/English)

• Create welcome packets for new clients

• Participated in physical & virtual meetings (Zoom & Microsoft Team)

• Create interview packets in hiring process for Home Attendants Clickworker Online, New York, NY Oct. 2017 - Sep. 2020 MicroWorker / Freelancer

• Successfully completed over 100 micro jobs/ digital tasks for clients with tasks such as online searches, enter data, correct, complete surveys, categorizing emails, video, and audio analysis, transcribe audio recordings, etc.

• Entrusted to take on assignments from corporate partners tech partners.

• Consistently received praises for near-perfect reviews for performances. Department of Sanitation New York (DSNY), New York, NY Jun. 2011 - Nov. 2016 Clerical Office Administrative Assistant

• Assisted the staff, from the Procurement’s office amongst accounts payable, with training and supervising a small group of 25+ temps to perform general office duties.

• Maintained database and records (Created Progress Reports and recorded information in Microsoft Word, Excel Spreadsheets, and Data Entries). Updated paperwork, maintained documents, and word processing.

• Used the office machines: postage (Pitney Bowes), computers, shredder, fax, copier, and printing machines.

Dr. Jack Dolbin Chiropractic, Pottsville, PA Oct. 2010 - Apr. 2011 Front Office Assistant

• Assisted in Medical Billing by using Medisoft Billing Software.

• Prepped medical charts, organized files, and scheduled appointments for patients and conducted follow up calls.

• Used primary office machines including a credit card machine, to collect co-pays and prepare deposits.

Ikeddi Enterprises, Inc. Brooklyn, NY Sep. 1997 - Jun. 2006 Clerical Office Assistant

• Prepped the supplies needed to deliver to the factories for their finished garments.

• Responsible printing out shipping labels for the packages in the shipping dept.

• Worked with Dell Computer in Microsoft Word and Excel Worksheets by creating reports, typed up letters, and entered information into the database.



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