Myrena Seda

845-***-**** ad35lc@r.postjobfree.com

EXPERIENCE CUSTOMER SERVICE PROFESSIONAL

EFFECTIVE INTERPERSONAL SKILLS: Proficient in inter personal communication, enabling seamless interaction

COMPETENT PROJECT MANAGEMENT: Skilled in deploying and overseeing projects, ensuring timely completion through adept delegation and monitoring.

TEAM LEADERSHIP AND MOTIVATION: Demonstrates prowess in team leadership, fostering teamwork and individual excellence to achieve collective goals.

ADAPTABILITY AND PROBLEM SOLVING: Capable of navigating diverse technical challenges, adeptly finding solutions to fulfill customer requirements.

CUSTOMER-CENTRIC APPROACH: Committed to delivering exceptional customer service, fostering strong relationships, and resolving complex issues to cultivate customer loyalty.

STRATEGIC RELATIONSHIP DEVELOPMENT: Possesses strong relationship-building skills, characterized by attentive listening, innovative problem-solving, and diplomatic negotiation for mutually beneficial outcomes.

EXPERIENCE

Obtain pre-authorizations for medical procedures such as ultrasounds, MRI/MRA, CAT SCANS.

Verify and validate a wider range of health insurance plans, including Medicaid, Medicare, HMOs, and private insurers like Aetna, BCBS, and UHC.

Regularly updated patient insurance information using Nextgen, Phreesia, Experian, and insurance websites.

Post unapplied payments to patient accounts and handle Medicare rebilling.

Process Worker Comp C-4 forms efficiently.

Address customer inquiries via phone and written communication regarding insurance benefits, eligibility, and claims, while obtaining referrals.

Document inquiry outcomes meticulously for accurate tracking and analysis, resolving issues and rectifying errors promptly.

Manage high-volume workload in a deadline-driven environment, adeptly handling customer calls with minimal supervision.

Coordinate scheduling of appointments, prescription requests, and paging on-call doctors.

Maintain accurate and comprehensive records pertaining to control, performance, and production.

Coordinate and schedule daily work production to meet deadlines effectively.

Patient Account Representative, Crystal Run Healthcare, Middletown, NY-2016-2024

Customer service Representative, Crystal Run Healthcare, Middletown, NY-2014-2016

Customer Service Representative, WellPoint, Middletown, NY-2013-2014

EDUCATION

Associate of Applied Science Degree, Computer Technology/Repair

LaGuardia Community College, New York, N.Y.

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