Customer Service Data Entry

RASJAE COBBS

**** ******* ** *******, ** ***** *********@*****.*** 407-***-****

Objective

I am interested in obtaining a full-time development position, in a challenging environment that will allow me to fully utilize my communication, organization, data-entry and problem-solving skills.

EXPERIENCE

FEB 2012- AUG 2013

CUSTOMER SERVICE REPRESENTATIVE PDS

· Placed outbound calls to clients explaining plan benefits

· Provided Customer service to elders and disabled people

· Documenting complaints about policy, copays, cover gaps on member’s profile

· Processing payments on accounts

SEP 2013-SEP 2014

CUSTOMER SERVICE REPRESENTATIVE -CONNEXTIONS

· Handled inbound/outbound calls for policy holders, resolving problems and correcting policy errors.

· Provided insurance inquirers, complaints, billing questions and payment request

· Data entry, noting every call

· Filing member’s prescription for mail order pharmacy

· Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account

· Promptly and courteously answer incoming telephone calls

NOV 2014-2016

PHARMACY REPRESENTATIVE -XEROX

Handled high call volume from MDO and members, regarding prescription needs

· Process Prior Authorization, formulary exceptions, Quantity Limit and tiering request via phone/fax/email

· Calm Angry callers, repair trust, provided customer service on inbound/outbound calls

· May assists team with reports and projects to maintain team and individual productivity standards and goals.

AUG 2017-PRESENT

BENEFITS AND PRE-CERT SPECIALIST -FLORIDA HOSPITAL

· Maintains performance standards appropriate to area by obtaining account benefits or verifying authorizations are in place for all scheduled and/or unscheduled patient accounts under responsibility, meeting time line standards established by Leadership for all patient services.

· Meets or exceeds audit accuracy standard goal determined by Pre-Access Leadership.

· In working patient accounts for pre-certification; contacts physician, Patient Access staff, and clinical service area where appropriate, notifying authorization is not obtained by department deadline, advising of visit cancellation, reschedule, or to obtain life or limb order from physician allowing patient to proceed.

· Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account

EDUCATION

JUN 2010

HSD, Penn Foster,

AUG 2013

AS HUMAN SERVICES, Columbia College

MEDICAL ADMINISTRATION ASSISTANT (NHA)2010

SKILLS

Customer Service –Expert Currently used/15 years

Data Entry/ records management –Expert Currently used 7years

Call center operations- Immediate Currently used 7 years

Complaint handling/ Dispute Management- Immediate Currently used 3 years

Insurance Verification /Benefits Expert Currently used 7years

Customer Service –Expert Currently used/15 years

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