Healthcare Customer Service Representative

DANYEL BATEMAN

Cell: 214-***-**** Email: **********@*****.***

PROFESSIONAL PROFILE

Customer service-oriented professional who supports the overall positive patient experience to accurately and promptly entering, filling and delivering medications. Pays close attention to detail to ensure high levels of quality and accuracy. Operates with high degree of sensitivity and confidentiality. KEY QUALIFICATIONS

Pharmacy Technician Knowledge of Top 200 Brand / Generic Drugs Medical Terminology / RX Sig Codes Insurance Verification/Claims (HMO, PPO, Medicare, Medicaid) • Third Party Billing

Pharmacology Drug & Dosage Interaction Pharmaceutical Calculations Knowledge of Aseptic Techniques Computer Applications in Pharmacy

Anatomy & Physiology OSHA HIPAA Compliance Basic Math Pharmacy Law & Ethics HIV / AIDS

Institutional / Community Pharmacy Operations Essentials of Pathophysiology EDUCATION

James Madison High School—Diploma, 06/2003

Ultimate Medical Academy – Pharmacy Technician Diploma, 09/2016. 3.30 GPA Completed 33.5 credits Pursuing PTCB Pharmacy Technician Certification (CPhT) PROFESSIONAL WORK EXPERIENCE

TRC Staffing Services, Inc Farmers Branch, TX 04/2021- 9/2022 Call Center Agent Work From Home

● Troubleshooting provide help and support with Marlboro Company’s website and application

● Respond to high volume of inbound customer call inquires and needs in a timely manner.

● Effectively solve customer issues complaints and inquires by keeping customer satisfaction at the core

● Assisted, educated and answered customer with products questions CVS Health, Richardson, TX 11/2016 – 03/2018

Pharmacy Technician I Prior Authorization & Appeals

● Handled inbound and outbound calls from members and providers, providing professional phone assistance to all callers through the criteria based prior authorization process.

● Maintained complete, timely, and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist.

State Farm Mutual Automobile, Bloomington, TX 12/2013 – 04/2014 Claims Initial Loss Reporting / Customer Service Representative

● Interfaced with customers via inbound and outbound calls for the purpose of resolving routine problems.

● Prepared complete and accurate work and updated customer file. Connextions Inc., Irving, TX 12/2012 – 04/2013

Customer Service Advocate

● Assisted pharmacies and members on all issues related to the processing of pharmacy claims.

● Educated customers on benefits, use of plan, formulary, premiums and status of orders, claims or inquiries.

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