Customer Service Representative
Resume:
Rayshuna Stafford
Phones: 360-***-****
385-***-**** cell
719-***-**** cell
E-mail: ad1lq1@r.postjobfree.com
Summary:
Rayshuna is dedicated and customer service-oriented individual with defined skills in providing exceptional services in healthcare settings. A pleasant person who has an inherent ability to get along with people owing to a helpful attitude.
Highlights
Qualified to accurately obtain and process patient demographic, medical and insurance information
First-hand experience in communicating with patients, hospital staff and visitors in a polite and helpful manner, as reflected in the facility’s policies and practices
Especially talented in independently prioritizing healthcare customer service work flow including work queue management and insurance verifications
Track record of effectively monitoring department work queues and providing correlating feedback
Proficient regarding HIPAA and Protected Health Information requirements and procedures
Education:
Hogan High School [1998] with aggregate of 80 from Hogan High School
Skills:
Receptionist
Customer Service Representative
Proficient with Microsoft Office and Window 8
Experienced in an office setting performing administrative support functions, such as faxing, scanning, processing mail, emailing, and ordering supplies.
Communication and customer service experience
Multi-task and work independently
Strong organizational communication
Experienced in Medicaid, Medicare Projects Healthcare experienced
Conflict resolution, Self-motivated, Compassionate and Reliable
Professional Experience:
DXC Technology / BC Forward- Customer Service Representative Jan 2018 to July 2018
Health First Colorado Project
Responsibilities:
Asist Providers with Medicaid/Medicare Enrollment
Verification of provider’s registration and NPI
Provider Claim process resolution, prior authorization, and readmittance
Communicate and assist Providers in understanding Medicaid/Medicare regulation and procedure changes
Sent proper Forms to Providers and explained implementation of the correct Forms
Instructed Providers on the use of Health First Colorado website
Address Provider’s concerns and questions
All Medical- /Receptionist Nov 2016 to May 2017
Responsibilities:
Answering inbound calls for a mail-order US specialty pharmacy.
Accompany patients into the office to direct them
Send and receive medical bills both to insurance companies and patients themselves
Perform clerical work such as copying faxing emailing etc.
Responsible for placing orders for members and checking insurance benefit.
Handling calls and routing calls to the appropriate departments, answering questions and concerns and checking the status of placed orders.
Gallegos Health Care- Advanced Caregiver Feb 2016 to Jan 2018
Responsibilities:
Providing home health care services to clients in their homes and healthcare facilities.
Assisting with meals, errands, assistance with bathing, feeding, respite care in hospital.
Responsible for memory care and hospice care.
Optum Rx- Customer Service Representative Jul 2016 to Dec 2016
Responsibilities:
Handling answering phones calls and helping to resolve customer questions and problems.
Responsible for placing orders processing prescription orders for the mail order service.
Allegiance Home Health Agency- Caregiver Mar 2016 to Apr 2016
Responsibilities:
Personal Care Provider assisting with the bathing, Meal Preparation, Medications, Errands,
Responsible for caring for MS clients and Cardiac clients in facility’s/ hospital acute long term and short-term facility’s
Tammy’s Senior Home Health Care -8/2000 to 7/2006
Responsibilities:
Assistant to an 24/7 ALS Client, Shopping, Personal Care, Medication, Transfers, Preparation, Feeding, Companionship
Private Live in Care Provider-2/2007 to 11/2010
Cardiac Care, Dressing, Medication
Meal preparations, Transportation, Stand by Assistant, Hospice Care.
References:
Kenneth Walton
Marriott Hotels
Maintenance Manager
Samuel Chaffin
Graham Group US
Project Manager
Carol Miller
North Metro Services
Case Coordinator
Pavla Pribylova ad1lq1@r.postjobfree.com]
Zulema Garza
Well dyne RX
Contact this candidate