Customer service Rep/Data Entry
Resume:
Borisier Roberts
Winter Garden, FL *****
************@*****.***
Customer Service Professional bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service- oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.
Authorized to work in the US for any employer
Work Experience
Customer Care Representative
Elevance Healthcare - Tampa, FL
July 2023 to Present
• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyzes problems and provides information/solutions.
• Update members Demographics.
• Provide PCP
• Dental and Vision Vendor
• Assists with Transportation
• Submit Appeals and Complaints
• Procedures and HIPPA Regulations
• Maintained contact with members.
• Call Center
Pharmacy Representative
CORAM - Tampa, FL
April 2023 to July 2023
• Work along side pharmacist.
• Keep the shelves organized and clean
• Make regular inventory checks
• Perform administrative duties/task
• An ability to work individually and as part of a team.
• Competent keyboard skills
• Attention to detail
• Basic computer skills
• Strong customer service and communication skills Client Service Associate II
Seminole Hard Rock Hotel And Casino - Remote
September 2022 to April 2023
• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
• Delivered prompt service to prioritize customer needs.
• Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Medical Pharmacy Claims Specialist
Walgreens - Orlando, FL
February 2022 to September 2022
• Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
• Paid or denied medical claims based upon established claims processing criteria.
• Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
• Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients.
• Prepared bills for insurance companies and submitted required paperwork. Driver - Billing Processor
Department of Human Services - St Thomas VI
February 2021 to January 2022
• Maintained contact with customers to research billing questions and furnish copies of support documentation.
• Researched and resolved routine billing questions and discrepancies and escalated non-standard issues to higher level personnel.
• Responded to inbound inquiries regarding accounts and payments.
• Reconciled accounts receivable ledger to verify payments and resolve variances.
• Reviewed and solved account and billing discrepancies. Online Customer Service Representative
Kmart - St Thomas Virgin Islands
October 2017 to November 2020
• Answered live online chats to give quick answers and solve problems faster.
• Troubleshot and resolved online ordering issues and concerns to promote seamless ordering process for customers.
• Developed and maintained knowledge of evolving products and services to accurately answer questions and make recommendations based on customer needs.
• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences. Scheduler Coordinator (Part-Time)/ WAH
Limousine Services - St Thomas, Virgin Islands
January 2013 to February 2019
• Answered telephone calls to offer office information, answer questions and direct calls to staff.
• Optimized organizational processes by effectively managing crew schedules while adhering to contractual restrictions.
• Balanced employee availability, customer schedules and maximum load levels when scheduling appointments.
• Received in-bound calls and initiated out-bound daily calls to introduce customers to products and services offered.
Education
GED
Delaware Valley Job Corp - Callicoon, NY
September 1985 to December 1986
Skills
• Client Rapport-Building
• Service Recommendations
• Customer Support
• Quality Assurance and Control
• Answering Customer Questions
• Payment Processing
• Prescription Preparation
• High-Volume Environments
• Interpersonal and Written Communication
• Complex Problem-Solving
• Operational Efficiency
• Member Relationship Management
• Workload Prioritization
• Information Updates
• Active Listening
• Computer Proficiency
• Schedule Mastery
• Managing Multiple Tasks
• Customer service
• HIPAA
• Research
• Cash handling
• Driving
• Microsoft Outlook
• Microsoft Word
• Communication skills
• Microsoft Excel
• Quality assurance
• Cash register
• Account reconciliation
• Accounts receivable
• Data entry
• English
• Computer literacy
Certifications and Licenses
Driver's License
September 2022 to April 2031
Contact this candidate