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Customer Service Representative

Location:
Kernersville, NC
Posted:
January 22, 2024

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Resume:

Nechole L Buie

**** ***** ***** **, ************ NC 27284 e-mail (ad2zus@r.postjobfree.com)

Objective:

Seeking a challenging position where I can utilize my experience in customer service and for personal and professional growth opportunities. I am self-motivated and able to work both independently and as a collaborative team member.

Experience:

Kelly Benefits & Associates

Customer service representative 10/17/2021- current

● Maintains all departmental productivity, quality, and timeliness standards. ● Provides prompt, accurate, thorough, and courteous responses to all customer inquiries. ● Maintains accurate records on complaints and/or other customer comments and makes recommendations for changes to management.

Transcore Mary Kraft temp service 05-28-21 to 09/15/2021

● Take customer calls and provide accurate, satisfactory answers to their queries. ● De-escalate situations involving dissatisfied customers, offering assistance and support. ● Guide callers through troubleshooting, navigating the company site or using the products or services.

● Review customer or client accounts, providing updates and information about billing, shipping, warranties and other account information.

● Collaborate with other call center professionals to improve customer service.

Wraparound MD 09/1/20-03/05/21

Administrative Support

Supports managers and employees through a variety of tasks related to organization and communication. Responsible for confidential and time sensitive material. Familiar with a variety of the field's concepts, practices and procedures.

● Generate documents.

● Create spreadsheets.

● Manage databases.

● Perform basic bookkeeping

● Handle multiple projects

● Reporting skills

● Administrative writing skills

● Proficiency in Microsoft Office

Concerted Care Group LLC 04/19/2017-05/08/2020

Authorization Coordinators

● Insurance Authorization Coordinators are responsible for verifying and maintaining updated insurance coverage in all patient accounts.

● Obtains and monitors referrals for patients when needed, including specialized referrals such as out of network or out of area referrals.

● Communicates with patients and other departments regarding patient coverage and liability.

● Runs daily reports to monitor and obtain authorizations and/or referrals required by the insurance carrier for patient visits

Montgomery County Post Offices 09/16/2016 - 04/18/2017

Rural Carrier Assistant,

● Bundle mail in preparation for delivery to relay boxes.

● Deliver mail to residents and established businesses along the route using small tracks. ● Record address change and correctly redirect mail for forwarding to a new address and return incorrect mail for proper mailing.

● Also hold mail for customers who are away on vacations or business ● Leave notices for patrons on certified letters or over sized packages to be retrieve from

post office

● Customer service representative/ Connect Your Care Hunt valley MD 01/16- 08/16 ● Respond to and resolve on the first call, member service inquiries and issues identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and

correspondence.

● Help guide and educate members about the fundamentals and benefits of

consumer-driven health spending accounts

● Assist members in navigating the member portal and company website and encourage and reassure them to become self-sufficient

● Provide education and status on previously submitted claims ● Strong listening, verbal and written communication skills, time management skills and attention to detail

● Open Enrollment/Aerotech /APWUHP Glen Burnie 10/15-12/15 ● Assist clients with open enrollment questions/concerns via phone ● Enter data into Excel as well as the company's proprietary systems

● Maintain department productivity standards.

● Route escalation calls to the appropriate member liaison or supervisor ● Patient Care Representative /Novasom Glen Burnie, MD 05/11-07/15

● Support patients from order delivery to test completion and return process ● Ensure timeliness of order entry and resolution of missing information ● Verification of plan eligibility and coverage

● Education and follow up to support completion of testing and return of units established goals set for the company

Education:

Specimen Collector Ameritox Baltimore, MD 04/11- 05/11

Sleep Technologist

Community College of Baltimore County Essex, MD 10/14-01/16 Medical Billing and Coding

Tesst College Baltimore, MD 04/10 -01/11

High School

Harrisburg High School Harrisburg PA. G.E.D

Personal References

Charmaine Mcgraw Stay at home mom 443-***-****

Verdell Staten-Heath Finance Manager

443-***-****

Jane Tann

Authorization Specialist 410-***-****

Professional References

Luwanna Spells

Executive administrator 410-***-****)

Verdell Staten-Heath Finance Manager

443-***-****



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