Service Representative Customer

Tammy Blakes

Indianola, MS *****

*************@*****.***

+1-662-***-****

• Strong dedication to helping customers resolve issues and cultivating a positive image of the company. Excel in both team and alone environments. Ability to listen attentively, solve problems quickly and efficiently, and create high-quality professional relationship with all callers. Work Experience

Member Service Representative

ReqRoute,Inc - Remote

June 2022 to August 2023

• Assist members by providing accurate answers to questions regarding the Health Plan in a timely and courteous manner.

• Document every call interaction with all actions taken during calls.

• Advice and educate provider practice in appropriate HEDIS measures, and HEDIS ICD-10/CPT coding in accordance with NCQA requirements.

• Keep records of customer interactions, transactions, comments, and complaints.

• Provides education to members regarding care gaps they have when in the providers office for medical appointments.

• Assist to resolve deficiencies impacting plan compliance to meet State and Federal standards for HEDIS. Provider Service Representative

BroadPath Healthcare Solutions - Remote

March 2021 to May 2022

• Conducts face to face education with the member and their family, in the providers office about care gaps identified and barriers to care.

• Establishing and maintaining relationships with assigned healthcare providers through office visits, telephone calls, prompt resolution of issues, and excellent customer service.

• Collaborates with Providers Relations to improve providers performance in areas of Quality, Risk Adjustment, and Operations.

• Schedule doctor appointments for members with care gaps to access needed preventative care services and close gaps in care in the providers office.

• Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements.

Office Manager

Lynn Insurance Agency - Indianola, MS

September 2018 to February 2021

• Maintains office services by organizing office operations and procedures, preparing payroll, controlling correspondence, designing filing systems, reviewing and approving supply requisitions, and assigning and monitoring clerical functions.

• Scheduling meetings and appointments, making office supplies arrangements, greeting visitors and providing general administrative support to the employees.

• Make office supplies and arrangements.

Customer Care Representative

Asurion - Nashville, TN

November 2012 to July 2017

• Professionally handle incoming requests from customers and ensure that issues are resolved both promptly and accurately.

• Provide solutions that fit individualized situations and prioritize the customers needs at each step of the process.

• Work with customers who have complaints, orders, or require information about products/services purchased.

• Document every call interaction with all actions taken during calls. Receptionist/Administrative Assistant

The Salvation Army - Greenville, MS

February 2003 to October 2011

• Schedule appointments, assist Corp Officers with their daily tasks

• Input daily count in computer systems during holiday season.

• Make orders for Organization. Assist in social services appointments. Education

High school diploma

Gentry High School - Indianola, MS

August 1997 to May 1999

B.S.B.A. in Business Administration

MS Valley State University

M.B.A. in Masters Business Administration

Stràyer University

Masters in Healthcare Administration in Healthcare Walden University

Skills

• Help desk

• Filing

• Authentication

• Medical scheduling (4 years)

• Adobe Photoshop

• Telemarketing

• Accounts Payable

• Risk analysis

• Guest services

• Remote Access Software

• Microsoft Windows Server

• Customer Service Representative (10+ years)

• Troubleshooting

• Google Docs

• Network Firewalls

• CRM software

• Fair Housing regulations

• Customer support (5 years)

• Customer Support (10+ years)

• Medical receptionist (3 years)

• Linux

• Medical terminology (2 years)

• Operating Systems

• ILLUSTRATION (Less than 1 year)

• WAN

• Sales (7 years)

• Adobe Illustrator (10+ years)

• Phone etiquette (10+ years)

• Customer Service (10+ years)

• Medical billing (5 years)

• Database management

• Live chat (3 years)

• Upselling (3 years)

• English

• Confidentiality (10+ years)

• Data entry (6 years)

• Analysis skills

• Fraud (4 years)

• English

• VPN (4 years)

• iOS

• Active Directory

• Social listening

• Typing (10+ years)

• Medical Records (5 years)

• Databases

• Expert SKILLS

• Workers' Compensation

• Windows (10+ years)

• Medical Coding

• Citrix

• DNS

• CPT Coding

• Problem management

• Microsoft Office (10+ years)

• Illustrator (Less than 1 year)

• HIPAA (10+ years)

• Negotiation

• Desktop Support

• Medical Billing

• VPN

• Direct sales (3 years)

• Network Engineering

• Work authorization (4 years)

• VMWare

• ICD-10 (7 years)

• EMR systems (3 years)

• Customer Care (10+ years)

• Technical support

• Inside sales (3 years)

• Credit Analysis

• Microsoft Excel (3 years)

• Data analytics

• Epic

• Call Center (6 years)

• Computer Networking

• ICD-9

• System Administration

• Student

• Clinic

• Insurance Verification

• Banking

• Communication skills (10+ years)

• Load & Unload (3 years)

• Data collection (5 years)

• Customer Service Representative

• Proficient in Microsoft Office and Adobe Illustrator

• Network Support

• Hospital experience

• Technology sales (3 years)

• Software Troubleshooting

• Microsoft Powerpoint

• Conflict management

• Epic (3 years)

• Microsoft Exchange

• Pharmacy technician experience (3 years)

• Driving

• English

• Mac OS

• Medical documentation

• LAN

• Financial Services

• Personal Care Assistant

• Clerical experience (6 years) (6 years)

• Customer service

• Typing

Contact this candidate