Part-Time Customer Care
Resume:
CH
CARLENE HARDESTY
EXPERIENCE
RESULTS-CX • CUSTOMER CARE • MARCH 2023 • PRESENT
Called WellCare members and assist with scheduling health screenings.
COLLABERA • PATIENT ACCESS REPRESENTATIVE • OCT 2021 • MAY 2022
Research emails and route to appropriate dept. Change insurance on pt accounts. Create task, route to be assigned out to complete.
COLLABERA – CASE SPECIALIST - April 2021 to June 2021
Assisted Caller with status of their P-ebt card. updated address and reissued cards.
SGS Consulting -Application Specialist - September 2020 to April 2021
Processed Med supplement applications for Aetna.
Reach out to the agent to obtain documentation to process the application.
Collabera Inc (Cigna Health spring) -Grievance Specialist
October 2019 to May 2020
Called customers with resolution from grievances.
Intake customer telephone grievance.
Researching, resolving, and responding to appeals and grievance.
ResCare-Direct Support Professional -August 2018 to September 2018
Assist with helping prepare meals.
Assist adults with getting dressed for the day program.
Oversee the adults in the community.
SKILLS
EDUCATION
UB04/1500 claims filling Working knowledge of E clinical works Worked on different phases of resident cycle primary including medical billing, charge processing, payment posting, collections, insurance verification, admissions. Type 70 wpm Strong analytical, attention to detail, problem solving skills. Working independently and/or in a team environment. Able to serve as liaison between departments and operating units in the resolution of day-to-day administrative and operational problems. Operating multiple-phone line system (Switchboard) Strong Windows and PC skills Experience in MS Office Suite
HIGH SCHOOL DIPLOMA • MAY 1990• SPRINGFIELD HIGH SCHOOL
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