Customer Service Representative
Resume:
Elnora Ware
Customer Service Representative
Middletown, NY 10941
ad3gm5@r.postjobfree.com
Authorized to work in the US for any employer
Work Experience
Operations Clerk
MAXIMUS FEDERAL - Remote
September 2021 to Present
Create Level 2 cases as a QIC(Qualified Independent Contractor) for Medicare appeals. Data entry in MAS.
Read received documents to research information needed for case creation. Manage cases for timely adjudication.
Utilize multiple computer screens.
Prioritize case workload.
Medical Receptionist
BCH Physicians - Middletown, NY
June 2019 to July 2021
Scheduling patients.
Answering multi-line phone system and routing calls to proper recipient. Communicate orally and through emails with various agencies. Use Microsoft Outlook, Word, and other Microsoft software. Use a fax, copier, and other various office equipment on a daily basis. Customer Service Representative
Spectrum - Middletown, NY
July 2017 to December 2018
• Answer customer phone calls.
• Educate customer with Spectrum pricing, policy, and procedures.
• Answer customers issues and questions and provide troubleshooting service to ensure all products are working optimally.
• Utilize various software programs simultaneously to provide the customer with the correct resolution for their issue.
• Provide correct record keeping of the call by notating the customers account with the issues and resolutions of the call.
• Maintained consistent and adequate numbers used for value of performance and customer satisfaction.
• Handled a large volume of calls of at least 75 per day. Receptionist
Catholic Charities - Monticello, NY
June 2016 to March 2017
Responsibilities:
• Enter client Admissions, Discharges, and monthly STATS into OASAS system.
• Enter patient demographics into computer data system.
• Answer multi-line phones and direct to proper recipient. Use fax and copier daily. Insurance verification and possess an understanding of deductible, co-insurance, and copay information for clients to ensure prompt and proper payment for services.
Receptionist/HIM/Cashier
Middletown Community Health Center
March 2011 to December 2012
Responsibilities:
• Scheduling appointments for patients daily.
• Enter patient data into computer and ensuring all information is up to date.
• Answer multi-line phone system and routing calls to proper recipient. Verify insurance eligibility and copay information. Used the various office equipment daily. Office Specialist
Open Mri of Middletown - Middletown, NY
August 2006 to September 2009
Responsibilities:
• Verify patient insurance eligibility and benefits.
• Verify if pre-certification or authorization is need for MRI.
• Notify MRI sites, if authorization is needed and ensure that authorization is obtained before the patient arrives for their appointment.
• Maintain record of obtained authorizations.
• Audit claims for accuracy, correcting any data errors in computer program before electronic submission to the insurance companies.
• Maintain and report errors to supervisors, utilizing a Microsoft Excel Spreadsheet.
• Read EOB's for explanation of claims paying amounts and denials, followed up on claim denials and suspended claims.
• Resubmitted claims to NYS Medicaid that have either denied or pended in claims system. Answer multi- line phone system, directing calls to proper recipients. Fax reports to radiologists and various doctors' offices.
• Enter patient data into computer system, in addition to copying needed information for charts. Scheduling appointments along with other various office duties. Claim Coordinator
Medavant - Middletown, NY
May 2005 to July 2006
Responsibilities:
• Apply discounts to qualifying clients' medical claims. I used a calculator and manual calculations to determine the rate of the discount.
• I maintained a quota of the claims that needed to be processed.
• Use fax and or copier machines.
• Use computer daily utilizing several different programs. Residence Counselor
Emergency Housing Group
March 2004 to May 2005
Responsibilities:
• Cover front desk as needed as a fill in shift supervisor.
• Answer multi-line phone system and route calls to proper individuals.
• I assisted in resolving various incidents, from physical and verbal altercations to drug and alcohol issues.
• Assist clients with everyday obstacles hindering them from obtaining and maintaining permanent housing. Personal Care Aid / Home Health Aid
The lapse in employment from 2012-2016 was due to an injury in a car accident. I received rehabilitation and I am now ready to seek gainful employment.
Education
Some college
Skills
• Customer Service
• Customer Support
• CSR
• Customer Care
• Call Center
• Front Desk
• Front Office
• Medical Billing
• Reception
• Data Entry
• Medical Receptionist
• Medical Scheduling
• Medical Office Experience
• Insurance Verification
• EMR Systems
• Medical Records
• Microsoft Office
• Microsoft Outlook
Assessments
Work motivation — Proficient
April 2021
Level of motivation and discipline applied toward work Full results: Proficient
Customer service — Proficient
April 2021
Identifying and resolving common customer issues
Full results: Proficient
Spreadsheets with Microsoft Excel — Proficient
June 2021
Knowledge of various Microsoft Excel features, functions, and formulas Full results: Proficient
Customer focus & orientation — Proficient
June 2021
Responding to customer situations with sensitivity Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
Substantial experience and outstanding skills in customer service for over ten years.
• Accustomed to working in fast-paced environments with the ability to think quickly and successfully handle customers / clients.
• Excellent interpersonal skills and the ability to work well with others.
• Superb problem-solving skills leveraged to proactively improve the customer service experience. Skills
Customer Service, Customer Care, Call Center, Customer Support
Contact this candidate