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Customer Service Call Center

Location:
Temple, TX
Salary:
19.00
Posted:
January 24, 2024

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Resume:

VALERIE TAMEZ

*** ******* ******, #* ******, TX *6502 254-***-**** ad21xl@r.postjobfree.com

PROFESSIONAL PROFILE

Well-rounded, self-directed professional with insurance, retail, healthcare, call center, and customer service experience. Able to provide timely, complete, and accurate data, maintain operations by following policies and procedures, and support administrative functions in conjunction with healthcare team.

Bilingual – Fluent in English and Spanish.

Attention to detail needed to maintain high levels of accuracy.

Work as part of a team and maintain a professional and positive work environment.

Strong time management skills with ability to establish priorities to meet timelines. KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-10-CM HCPCS CPT HIPAA Compliance Medical Terminology Electronic Health Records (EHR) Electronic Medical Records (EMR) Anatomy & Physiology Medicare Medicaid

Referrals Authorizations Claims Explanation of Benefits (EOB) Evidence of Coverage (EOC)

WORK EXPERIENCE

First National Bank- Killeen, Tx 10/23/23- 12-15-23

Retail Lending - Loan processor

Customer calls

Loan applications

Handling customers PI and Bank accounts

Experian for Credit check

Loans - Auto, CD secure, unsecured, Fast cash, Smart Cash, Refinance on auto.

Inbound and outbound calls

applications for duplicates, denials, instant approvals

Typing up loans manually for customers contracts to be signed at the branch - signature

Financing budgeting for loan and Debt to income ratios

Conduent – Temple, TX 05/2023 – 08/2023

Healthcare Customer Experience Representative – Remote Call Center

Interacted with customers via inbound and outbound calls to answer inquiries.

Responded to questions regarding benefits, EOBs, EOCs, copays, DMEs, and transportation.

Processed prior authorizations for Medicare Part A and Part B, surgical procedures, and imaging.

Handled premium billing, disenrollment, and provider searches.

Assisted with claims, benefit interpretation, referrals, and authorizations for medical care.

Explained membership costs, policies, perks, products, and services to current and prospective members.

Entered data and documented customer interactions with high attention to detail.

Provided quality customer service, followed procedures, and handled confidential information.

Atlas Credit Company – Temple, TX 01/2023 – 05/2023 Customer Service Representative

Greeted customers, responded to inquiries, and asked appropriate questions to make recommendations based on financial needs.

Completed applications, pulled credit reports, scheduled appointments, and accepted payments.

Communicated effectively via inbound and outbound telephone calls and provided excellent customer service.

Safeguarded private and confidential information and followed policies and procedures. Ultimate Medical Academy – Temple, TX 05/2022 – 10/2022 Full Time Student

Remained self-directed, motivated, and accountable for personal actions.

Came prepared for class and completed assignments on time.

Navigated new technology, utilized available resources, and set realistic expectations. TTEC – Temple, TX 05/2020 – 04/2021

Customer Service Representative / Fraud Protection Agent – Remote Call Center

Provided high volume inbound and outbound call support for Bank of America.

Worked closely with clients to deliver relevant, loyalty-building customer service and support.

Updated account information, and documented activities and interactions in an accurate and thorough manner.

Maintained confidentiality of private information. Valerie Tamez, Cont.

Regal Cleaning Services – Temple, TX 12/2019 – 10/2021 Owner

Hired, trained, and supervised employees and oversaw the day-to-day activities of the business.

Led team toward achievement of business goals and maintained business relationships.

Communicated with customers, vendors, and employees via inbound and outbound calls.

Answered inquiries, issued estimates, processed invoices, collected payments, and scheduled appointments.

Maintained inventory, ordered supplies, created employee schedules, and processed payroll.

Kept accurate and complete financial records.

TRU Homes – Belton, TX 04/2018 – 11/2019

Installer

Trained new hires, completed paperwork, and Installed air systems, shelving, and mirrors.

Inspected finished products for quality and adherence to specifications.

Met production goals and deadlines to maintain schedule and communicated effectively with team members. ADDITIONAL EXPERIENCE

Prior work history includes experience as a Home Health Aide, Patient Care Technician, and a Customer Service Representative EDUCATION

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2022 Ultimate Medical Academy Diploma – Medical Billing and Coding Diploma, 2016 TECHNOLOGY

HealthRules Payer MedCompass EMR GPS Romba HRP Communication Platforms – Zoom and Skype

Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint Type 51 WPM



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