Technical Support Customer Service
Resume:
Priscilla Withers
Mobile, AL *****
********@*****.***
Highly motivated sales professional with 7+ years of experience in providing expertise in customer interactions, professional sales, claims reviewing/ adjusting and, technical support. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Prior Authorization Specialist
Express Scripts-Remote
September 2023 to Present
Compiles and interprets medical documentation to obtain authorizations for treatment using insurance portals, faxing, and phones calls to prescribers.
Research patient accounts due to invalid and/or missing authorization information and correspond with clients, insurance companies, patients, to obtain the necessary information to ensure accurate, timely, and complete claims submissions.
Reviews accounts daily while meeting or exceeding all daily, weekly, and monthly goals. Travel Advisor
WORKING SOLUTIONS
May 2020 to December 2023
· Provided exceptional customer service by actively listening to customer inquiries and concerns, resolving issues promptly and ensuring customer satisfaction.
· Handle 90+ calls daily while retaining an 85% or higher for customer satisfaction rating to date.
· Assisted customers in planning and organizing their travel itineraries, offering expert advice on destinations, attractions, and visa requirements to enhance their overall travel experience.
· Managed a high volume of incoming calls and emails, efficiently handling customer bookings, changes, and cancellations, while maintaining accuracy and attention to detail. Medical Claims Specialist
TeleTech (BCBSIL)
April 2022 to July 2023
· Conducted comprehensive reviews of insurance claims by meticulously analyzing policy documents, medical records, and supporting documentation to ensure accuracy and compliance with company guidelines and industry regulations.
· Collaborated with cross-functional teams, including underwriters and claims adjusters, to investigate and resolve complex claim issues, providing timely resolutions and minimizing financial risks for the company.
· Proactively communicated with policyholders, medical professionals, and legal representatives to gather additional information and clarify discrepancies, promoting strong relationships and enhancing the accuracy and efficiency of the claims review process. Technical Support
Alorica (Verizon Wireless)
December 2017 to January 2020
· Provided exceptional technical assistance to customers by troubleshooting and resolving hardware and software issues, resulting in a 30% decrease in customer complaints.
· Collaborated with cross-functional teams to develop and implement comprehensive solutions for complex technical problems, resulting in improved efficiency and productivity. Education
High School Diploma
John L. Leflore High School
Skills
• Customer Relationship Management
• Troubleshooting expertise
• Detailed oriented.
• Active Listening
• Effective Communication
• Application support
• Time management
• Sales
• Salesforce
• Cold Calling
• CRM Software
• Upselling
• Hospitality
• Sales
• Microsoft Excel
• Microsoft Outlook
• Travel planning
Links
http://www.linkedin.com/in/priscilla-withers-3381352a4 Certifications and Licenses
Life Insurance License
Present
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