Claims/customer service/call center
Resume:
TINA M.
TAYLOR
CONTACT
*******@******.***
Clovis, CA 93619
SKILLS
Customer Service
Medical Scheduling
Call Center
Claims Payment
Records Research
Microsoft Office
Problem Solving
Communication Skills
Office Management
Organization
PROFESSIONAL SUMMARY
Dynamic professional with extensive experience in customer service and office management, notably with City Of Fresno Utilities. Excelled in problem-solving and communication, enhancing customer relations and operational effectiveness. Skilled in Microsoft Office and medical scheduling, demonstrated through successful claim payments and records research. Achieved significant improvements in customer satisfaction and operational efficiency.
EXPERIENCE
June 2023 - Present
Customer Service Representative II
City Of Fresno Utilities, Collection & Billing Dept, Fresno, CA
High level customer service via Call Center
Creating Service Orders for Solid Waste/Water customers
Creating Payment Plans
Customer Relations/Problem solving.
Handled customer complaints and inquiries in a courteous and efficient manner.
Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers.
Utilized problem-solving techniques to identify solutions for complex customer inquiries.
January 2023 - June 2023
Patient Account Processor II
Community Medical Ctr. Via Aston Carter Recruiting Agency, Fresno, US
Knowledge of EPIC software system
Sorting Claims
Data entry in EPIC
Medical Record Research/Printing
Billing/Mailing to Insurance Agencies
Refund Request processing
Financial Evaluation mail out
Vendor Correspondence.
April 2019 - August 2022
Purchase Referred Care Service Coordinator
Tanana Chiefs Conference, Fairbanks, US
Claim payments, insurance verification, data entry, patient relations, medical bill research, referral approvals, and other tasks assigned
Maintained accurate records and full compliance with government regulations and agency guidelines
Analyzed account information to improve and optimize customer relations.
Responded to telephone calls and emails from customers or clients to answer questions or resolve problems.
Used computer software and systems to enter data and review and draft documents.
Assisted in the development of process improvement initiatives to increase operational effectiveness.
June 2014 - April 2019
Alternate Resource Coordinator
Tanana Chiefs Conference, Fairbanks, US
Patient relations, Medicaid application assistance, SS application assistance, elder assistance, resource screening, insurance verification, other tasks assigned
Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
Identified areas where operational efficiencies could be improved through better use of existing resources.
June 1996 - October 2012
Assistant Manager
Sam's Club #6603, Fairbanks, AK
Trained new employees in product knowledge, customer service protocols, cash handling procedures, and safety regulations.
Resolved customer complaints quickly and effectively while maintaining a high level of professionalism.
Helped oversee the daily operations of the store, managing staff and inventory.
Coached and mentored new employees on company policies and procedures.
Assisted with new employee training and conducted performance reviews to track overall progress.
Tracked store inventories and replenished products according to demand.
Organized company merchandise and displays to increase brand awareness and product sales.
Monitored sales performance to identify potential areas for improvement.
EDUCATION
Completed coursework towards Associated of Arts Degree
University of Alaska Fairbanks, AK
Completed coursework towards Certification in Healthcare Reimbursement
Completed coursework towards Certification in Medical/Dental Reception
REFERENCES
References available upon request
.
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