Customer Service Representative

JO’NITA LARTIGUE

PHONE- 346-***-****

EMAIL- *********@*****.***

Professional Summary

A highly experienced customer service representative with 3 years of experience in insurance claims, eligibility and benefits. Adept at quickly answering customers phone calls and using the company troubleshooting steps to evaluate technical problems and find appropriate solutions. Committed to providing excellent customer service and finding solutions to customers inquiries in a timely manner. SKILLS

- ACTIVE LISTENING

- CUSTOMER SERVICE

- DOCUMENTATION

- RECORD VERIFICATION

- INQUIRY RESPONSE

- POLICY COVERAGE

- ACTIONGRAM

- CALL CENTER EXPERIENCE

- FAST TYPING

- OUTBOUND CALLS

- INBOUND CALLS

- VERIFY ELIGIBILITY

- CHECK CPT CODES

- MS OFFICE

- CLAIM PROCESSING

- STRONG CLIENT RELATIONS

- MULTITASKING

WORK HISTORY

- CUSTOMER SERVICE REPRESENTATIVE 9/14/2021 - 4/16/2024 VERIFY ELIGIBILITY AND BENEFITS FOR MEMBERS AND PROVIDERS. CHECK THE STATUS OF CLAIMS,PRIOR AUTHORIZATION AND REFERRALS. SET APPOINTMENTS FOR MEMBERS AND ASSIGN PCP OR OBGYN CHECK CPT CODES AND DIG CODES.

SEND OUT ID CARDS TO MBRS.

VERIFY HIPAA

TYPE AT A FAST SPEED.

SEND CLAIMS BACK UP FOR REVIEW

TRANSFER CALLS

CERTIFICATION

- TEXAS FOOD HANDLER

- SELLER / ALCOHOLIC AND BEVERAGE

AVAILABILITY

Monday - friday

Sat - sun

MORNINGS, EVENTINGS & NIGHTS

EDUCATION

HIGH SCHOOL DIPLOMA - 2021

TEXAS CONNECTIONS ACADEMY

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