Adele White

Union City CA *****

209-***-****

ad2wh9@r.postjobfree.com

Objective

To Provide excellent customer service while maintaining a stable position with an opportunity for growth.

EXPERIENCE

PriMed

Customer Care 05/2023 - 08/2023

Assist and educate customers regarding hill physicians medical groups policies and procedures. Assist members by responding to inquiries and identifying and resolving issues regarding eligibility, benefits, claims and authorizations. This includes triaging /routing appropriately and using multiple systems to locate patient information and document interactions. Knowledgeable in Epic tapestry Qnext, CS Central, Primed pulse guidelines and Ring central. Knowledgeable of various types of insurance such as PPO, HMO Medicare, etc. Update cancel and may changes to patient authorizations. Inpatient precerts, updated patient charts, demographics, etc. Abide by Hippa regulations.

Randstand 09/2022 - 05/2023

Customer service

Handled inbound calls and emails, provided support to customers and dealers in a fast-paced timely manner. Act as a liaison between customers and upper management with the ability to communicate with our global offices across the world. Documented Q&A and gathered customer feedback to present to the team. Assist with digital marketing efforts, assist with day-to-day warehouse operations management, handle building issues, and order inquiries. Ordered all office and warehouse supplies and maintained inventory.

Randstand 03/2022 – 09/2022

Assembler

Read work orders, follow detailed production drawings and sample assemblies. Position and align small parts in specified relationship to each other in jig, fixtures, or other holding devices. Prepare kit carts, set up station with the correct documents and components per assembly drawings. Mount assembly components to circuit boards and mobile units. Assembled and attached hardware such as clamps, knobs, and switches to assemblies.

Kelly Services 12/2018 - 04/2019

Customer Advocate

Provided assistance to clients, maintained up-to-date knowledge of customer accounts. Explained products and benefits. Answered phone and assisted tax professional with changes. Provided excellent technical support, remote into client’s computer to install software or resolve technical issues.

Blue Shield .10/2013 - 08/2017

Customer Care

Certified claims trained to perform adjustments to claims denied or processed in error. Certified empowerment trained and authorized to process claims that have been denied. Efficiently and accurately quote health benefits and eligibility to members, authorized medical staff and pharmacy employees up. Trained and well knowledgeable about the different health plans and departments such as Premier employer group plans, HMO, PPO, Medicare supplement and CAL Cobra including Shield concierge. Process monthly premium dues for members.

Education

Center for training and Careers San Jose CA 1994

U.C Santa Cruz Santa Clara extension 1995

Certificate in Ms Office and Graphic Design

Delta College, Stockton CA 2000 Certificate in MS Office

EOPS program

Carrington College Stockton CA 2009

Achievements

Recognized and chosen to assist in a three week training of BSC new hire employees, and provided resources when they went on to the call center floor taking live calls.