Customer Service Call Center

LALONNIE MAYO

**** ******** ****, ***. ** Dillon, SC 29536 843-***-**** **************@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional capable of multi-tasking and prioritizing workloads to ensure timely delivery. Maintain courteous and professional working relationships with employees at all levels of the organization. Accustomed to handling information that is sensitive and confidential and a fast-paced call center environment.

Manage time and prioritize duties in fast-paced, multi-task environments.

Maintain accurate data to ensure details are not overlooked.

Effective problem solver, able to assess needs and identify solutions.

Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate.

Microsoft Office Applications (Word and PowerPoint) Typing Speed 35 WPM.

KEY QUALIFICATIONS

Medical Practice Management Systems Medical Terminology Medical Records HIPAA Compliance

Insurance Verification Insurance Claim Processing Reimbursement Processing Revenue Cycle Management

Medicare / Medicaid Government Payers Third Party Payers CPT & ICD-10 Coding

Medical Billing Medical Office Medical Administrative Patient Registration Data Entry

EDUCATION

Ultimate Medical Academy

Associate of Science Degree / Health Sciences – Medical Office and Billing Specialist, 2022

Diploma – Medical Office and Billing Specialist, 2021

PROFESSIONAL EXPERIENCE

ResultsCX – WellCare /Centene (Remote), Dillon, SC 04/2023 – Present

Results Associate

Assist with outbound and inbound calls to help schedule screenings.

Handles welcomes calls to members to update changes to their healthcare plans.

Enters the patient’s info into CareConnect (EHR) to verify their accounts.

Everise - Centene (Remote), Dillion, SC 11/2022 – 01/2023

Customer Service Representative

Assists with Medicare patients and accounts.

Verifies health insurance for physicians and patients.

Explains the coverage and benefits of patients’ healthcare plans.

Sutherland Global Service, Dillon, SC 07/2022 – 10/2023

Medical Claims Adjudication

Pay or deny claims for health insurance company.

Work closely with Medicaid members, enter data, and maintain HIPAA compliance.

Complete work in a timely manner.

Alorica, Dillon, SC 11/2019 – 06/2022

Call Center Agent / Customer Service Representative

Used exceptional customer service and interpersonal skills to answer inbound calls and find solutions.

Located and researched information using multiple systems, applications, and technologies.

Documented customer inquiries and associated actions; followed-up on outstanding items in a timely manner.

Harbor Freight, Dillon, SC 02/2019 – 09/2019

Package Handler

Completed tasks in the required time limits with high levels of accuracy.

Documented product, packaging, and order information on specified forms and records.

Examined and inspected containers, materials, and products to ensure that packing specifications were met.

McDonalds, Latta, SC 03/2018 – 02/2019

Cashier / Customer Service

Processed transactions and maintained an awareness of all promotions and advertisements.

Provided a positive customer experience through customer care and attention to detail.

Received payment by cash, check, credit cards, and automatic debits, maintaining all cash and receipts.

VOLUNTEER EXPERIENCE

Volunteered at a Summer Program to supervise children during the summer months of 2015.

Provided breakfast and lunch, oversaw outdoor time, and served as a positive role model.

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