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Customer Service Care

Location:
Avondale, AZ
Posted:
January 30, 2024

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Resume:

Armon Hardwick

Customer Care Specialist

Phoenix, AZ 85040

ad28eu@r.postjobfree.com

+1-602-***-****

To obtain a position enabling me to utilize my strong communication and leadership skills that offers growth and advancement opportunities within a prestigious company! Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Patient Advocacy, Member Services

Advanced Medical Pricing Solutions

November 2021 – Current

• Maintain HIPAA guidelines.

• Run and disburse daily welcome letters to introduce the patient AMPS advocacy team.

• Conduct daily welcome calls to members and patients

• Review and verify Balance Bills using provider billing statements and the Explanation of Benefits

• Prepare and file correspondence regarding challenges to the Plan’s reimbursement.

• Assist and support members with questions regarding the FCBA dispute process.

• Upload incoming emails, faxes, and mail into the system for proper handling.

• Respond to incoming correspondence received via email, fax, mail and phone within 24-48 hours.

• Maintain contact with facilities, professionals, EBO’s and debt collectors to assist with the resolution of open advocacy matters.

• Provide exceptional customer service for incoming calls throughout the shift.

• Accurate and complete documentation of all daily interactions

• Complete a minimum of 40-50 interactions per shift.

• Work independently and effectively collaborates with the team.

• Act as liaison with TPA partners, employer groups, and brokers as needed to assist and resolve open advocacy matters.

• Propose process improvements to enhance member satisfaction.

• Escalate advocacy or other complaints per written guidelines.

• Update all members / patients with an open advocacy matter every 30 – 45 days. Member Service Specialist

Aetna, a CVS Health Company - Phoenix, AZ

May 2016 to August 2020

• Verify member benefit information.

• Verify AHCCCS eligibility status.

• Initiate behavior health consultations.

• Verify co-insurance and primary insurance eligibility status.

• Request peer-to-peer reviews for appeals.

• Reserve medical transportation.

Security Guard ProGuard Provision

Security patrol for industrial and commercial locations. 2008 to 2011

• Respond to alarms and investigation of disturbances.

• Monitor and authorize the arrival and departure of all employees, visitors and other personnel.

• Maintained a safe working facility.

• Logged daily reports of activities and irregularities.

• Customer Service Representative/ Cashier

• HMS Host Marriott 2005 to 2008

• Utilizing customer service skills as part of daily functions when greeting customers and potential clients.

• Managed a crew of five employees: daily assignments, transactions, scheduling, meetings and any additional training to maintain a functional and productive work space.

• Inventory checks.

• Daily deposits to Financial Institution and ran all reports for accounting of daily revenue.

Education

Diploma in General Studies

North High School

Skills

• HIPAA

• Operating Systems

• Security

• Microsoft Windows

• Linux

• Administrative Experience

• Management

• Insurance Verification (8 years)

• Medical Office Experience (8 years)

• Forklift Operator (5 years)

• Warehouse Management (5 years)

• Proven motivational and leadership abilities

• Supervising/Managing

• HIPPA

• Medicare and Medicaid Regulations and Services (per state)

• AS400

• Proficient in MS Operating systems including Excel, Word, PowerPoint

• Call Center 100+ call volumes

• Multi Program usage

• Finger Printing Clearance

• 35+ WPM

Work motivation — Proficient August 2020

Level of motivation and discipline applied toward work Full results: Proficient Project timeline management — Completed August 2020 Prioritizing and allocating time to effectively achieve project deliverables Full results: Completed



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