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Customer Service Representative

Location:
Fountain Hills, AZ, 85268
Posted:
February 15, 2024

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Resume:

Jennifer W. King

***** *. ***** *** ******** Hills, AZ 85268

ad3nqw@r.postjobfree.com 219-***-****

Objective: Results-driven individual seeking Administrative or Customer Service position utilizing exceptional customer service skills and proven ability to manage administrative tasks in order to contribute effectively to the (Company’s) mission.

PROFESSIONAL EXPERIENCE:

Matrix Medical Network/Magnifymytalent

August 2022-March 2023

Mail Auditor

Audited batches that were completed from other employees

Fold patient information for assessments, results and check up reminders

File paperwork and completed data entries of patient information

March 2020-Present. Aetna/CVS Health

Customer Service Representative

Engages, consults and educates members based upon membership unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the member along a clear path to core values.

Assists in composing claim data for customer audits.

Handles incoming prior authorizations not handled by Clinical claim management.

October 2018- September 2019 All About People/Avella Specialty Pharmacy. Phoenix, AZ

Refill Coordinator- Call Center

My specialty is to give outbound calls to patients with several attempts to schedule and coordinate delivery

Send faxes to get verbal authorizations from the prescriber to get additional refills

Specialize in medications such as Oncology, Pain and Addiction, Depo, Infectious disease, Hep C and HIV

Responsible for taking inbound and outbound calls, allowing me the privilege of touching many patients’ lives

February 2018-September 2018 Ageatia Global Solution/CEC Educational Services, Chandler, AZ

Intake Coordinator- Call Center

Managing the registration process of prospective students by gathering information to transfer to Admissions Advisor

August 2015-February 2018 Xerox Corporation Tempe, AZ

Benefit Service Representative

Administer defined benefits (pension) responsibilities include preparation and processing of cyclical deliveries

Identifying, researching and resolving data discrepancies between financial and third party data

Researching and responding to inquiries from management

Developing processes and procedures from client provided documentation

January 2015-March 2015 Medixteam Staffing. Buffalo Grove, IL

Customer Service Representative-CVS Specialty Pharmacy

Determine and address the specialty medication needs to the customer

Enrollment as new patient or dispensing medication to specialty pharmacy

Checking prior authorization, R codes, overrides, and benefit verification

February 2012-March 2014 Medical Professionals, Chicago,IL

Auditor

Work in fast paced environment, track record of goals being met on a daily basis

Chart/Record reconciliation and modification in accordance with Government regulations and Company policy

System reconciliation and data entry of charts keeping in accordance with all guidelines

Education Additional Skills

Olympia College, Merrillville,IN. Excellent communication skills advocacy for member

Surgical Technology 2002-2003. Experience with Microsoft office – Word and Excel

Honors Graduation on Dean’s List. Problem resolution, Typist 55wpm

Roosevelt High School, Gary, IN

Major in Business coursework

Merrillville Adult Education Center- Technology Integration Coursework



Contact this candidate