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Customer Service Support Specialist

Location:
Greenville, SC
Posted:
April 01, 2024

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Resume:

Brittany Boykin

Greenville, SC, ***** 864-***-****

ad4por@r.postjobfree.com

Dedicated, resourceful customer service professional with over 16 years of experience seeking to level expertise in the customer service support field and to contribute to the success of a wonderful organization. Adept at cultivating strong client relationships, providing exceptional service and driving business growth.

EXPERIENCE

WPS Health Solutions March 2023 – Dec 2023

● Provided customer service support to providers, doctors regarding claim inquiries, policy details, coding issues and general insurance information.

● Processed and reviewed insurance claims accurately and efficiently.

● Resolved customer issues and concerns in a timely and professional manner.

● Demonstrated strong time management skills in meeting delivery deadlines.

● Maintained-up-to-date knowledge of insurance policies, procedures and regulations. Sales Support Specialist May 2018 - Jan 2021

Spectrum, Greenville, SC

● Extensive knowledge in sales and customer service loyalty allowed me to get promoted to a sales support specialist after shy of a year.

● Established and maintained strong internal and external customer relationships resulting in a 10% increase in customer satisfaction. Troubleshooting equipment.

● Conducted records of sales trends with account managers to improve sales strategies, created and processed service orders for customers and managed other critical information in an organized and timely manner.

● Recorded trends based on past successes in order to create more accurate forecasts so the organization was able to offer greater services moving forward. Claims Specialist II Feb 2016 - May 2018

Concentrix, Greenville, SC

● Acknowledged telephone or written inquiries regarding status of Medicare insurance claims, benefits, coordination of benefits, third party billing and eligibility for Health insurance, Reviewed members claim history ensuring accuracy of billing and enrollment and application of deductible and member responsibility.

● Thorough attention to detail assisting with collection of patients data for quality purposes to update and enhance product offerings.

● Mobilized pharmacy and benefit systems to respond to inquiries related to pharmacy coverage and approve authorizations. Educated providers and members regarding policies and procedures of health plan coverage. Ability to maintain confidentiality and adhere to HIPPA requirements.

● Reduced appeals processing time by 20% improving overall claims reprocessing efficiency.

● Researched and resolved service-related inquiries meeting established expectations for quality, productivity and timeliness.

SKILLS

Expert in: Administrative, sales, Sales support, Critical Thinking, Data Entry, Problem Solving, Health Care, Medical Billing, Sales Force, Technical Support, Medical Coding, MS Office, Excel, Soft Skills,



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