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Customer Service Scheduling Representative

Location:
Kansas City, KS
Posted:
January 15, 2024

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Resume:

Lalita Chatmon

913-***-****

ad2shi@r.postjobfree.com

Mission

To obtain a position with a company that will maximize my skills and experience while driving a high-performance culture.

Professional Experience

Elevate PFS - Disability Advocate, Kansas City, KS 09/2022-04/2023

Collaborate telephonically with individuals who have pending applications for Social Security Disability (SSI/SSDI) beneϐits (to include state and local government agencies and nationwide Medical providers)

Gather of all required documentation to include state, federal and medical treating records

Ensure claimants most current information is secured with all required agencies to include, company systems, state, and federal agencies

Receive inbound and placing outbound calls 70% + of working day

Present a professional appearance and attitude at all times

Review and process medical documentation for submission

Research methods to overcoming roadblocks in the SSI/SSDI application and follow up process

Meet individual productivity and performance standards established by the company

OptumRx Specialty - Patient Care Coordinator, Overland Park, KS 09/18-07/20

Maintained up-to-date knowledge of speciϐic admission, registration, and pre- registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, Maternity, and Rehabilitation Units

Aided patients with advising and or assistance in obtaining the necessary referral, authorization or pre-certiϐication as well as identifying and advising of any ϐinancial responsibility, such as deductibles, copayments, coinsurance, policy limitations and collecting any outstanding balance due at or before the time of service

Ensured the payer received appropriate notices on all admissions, scheduled and non-scheduled, within 24 hours or the next business day MSTS - Program Support Specialist, Overland Park, KS 09/17-02/18

Provided world class support for customers and merchants via email and phone

Aided with trouble shooting and dispute resolution

Data entry to include merchant invoice processing new customer or merchant accounts

Apria Healthcare - Customer Quality Specialist, Overland Park, KS 09/16-09/17

Veriϐied insurance information for accuracy and completeness and resolved discrepancies as needed. Obtained clinical information needed for order processing or reimbursement

Contacted patients to: advise them of the order placed on their behalf and conϐirmed all patient demographic information; communicated any ϐinancial responsibilities and/or additional information necessary for processing orders received; promoted other company products and services, as appropriate

Complied with and adhered to all regulatory compliance areas, policies and procedures, and "best practices"

Women Distribution Services, Inc. - Account Specialist, Lenexa, KS 9/15- 4/16

Communicated with customers and vendors. Processed sales/purchase orders and arranged freight

Resolved pricing and payment concerns

Assisted with forecasting and adjusted inventory throughout the various warehouses to ensure optimal efϐiciency

Assisted with continuous improvement projects

Farmers Insurance Group - Senior Service Advocate, Olathe KS 11/10– 07/15

Communicated with internal and external customers about complex underwriting philosophies, policies and marketing initiatives to service customer accounts. Maintained risk selection integrity by analyzing and processing complex policy service transactions. Quoted and bound policies

Analyzed, clariϐied and resolved complex policy and account related questions

Assisted with navigation, troubleshooting and password resets on the farmers.com website

Relevant Skills

Microsoft Ofϐice (Word, Outlook, Teams, PowerPoint) Advanced, Adaptable, Collaborative, Problem Solver, Attention to Detail, Fast Learner and Great Communicator Licenses/Accomplishments

Obtained my property and casualty license in 37 states including KS, March 2012 Notary Public for the State of Kansas-Current

Education

Certiϐicate – Keyboards to Success, El Centro, Inc., Kansas City, KS 1998 Diploma – FL Schlagle High School, Kansas City, KS 1996



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