Data Entry Customer Service

Elizabeth Mercedes

***- ***-**** ***********@*****.*** Katy, TX 77494

PROFESSIONAL SUMMARY

With a proven track record at CVS Specialty Pharmacy, I excel in data entry and customer relations, enhancing patient confidentiality and compliance. Skilled in Microsoft Suite and adept at managing complex customer interactions, my background ensures superior service and efficient problem resolution. My experience spans healthcare and education, showcasing a unique blend of technical proficiency and interpersonal excellence. SKILLS

Data entry Microsoft Suite Scheduling Paperwork Processing Call Center Operations Customer Relations Health Electronic Records Medical Terminology EXPERIENCE

BENEFIT VERIFICATION REPRESENTATIVE I

CVS Specialty Pharmacy, August 2021-November 2023

• Protected patients' rights by maintaining confidentiality of personal and financial information.

• Ensured compliance with company policies related to data entry procedures.

• Explained the appeals process to patients when necessary.

• Collaborated with healthcare providers on appropriate coding for services rendered.

• Utilized multiple software programs to process claims, track authorizations, and monitor payments.

• Interpreted complex benefit plans and policies for patients, families, and providers. CUSTOMER SERVICE REPRESENTATIVE

Maximus, April 2021-July 2021

• Updated and maintained database with accurate customer information and timely data entry.

• Complied with corporate and regulatory policies regarding information confidentiality and privacy. Provided exceptional customer service by responding to inquiries and resolving customer complaints in a timely manner.

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• Scheduled appointments and assisted with referrals. TEACHER

Bright Horizons JP Morgan Backup Childcare Center LLC., June 2020-April 2021

• Managed student behavioral issues to optimize classroom learning environment. Developed and maintained classroom environment conducive to learning and appropriate for social and emotional development of students.

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• Provided feedback to parents regarding student's academic growth and behavioral development. ADMINISTRATIVE ASSISTANT

Wellcare Home Health, Inc., March 2016-June 2020

• Maintained files and filing, keeping sensitive information confidential. Provided administrative support to management staff, including scheduling meetings and appointments, preparing agendas, taking minutes, and maintaining records.

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• Compiled and entered data into various databases to ensure accuracy and completeness.

• Screened incoming telephone calls, routing to appropriate personnel.

• Successfully resolved escalated claims to ensure customer satisfaction. TRAVEL AGENT

Kingsbridge Travel and Variety, May 2012-March 2016 Developed strong relationships with vendors such as airlines, cruise lines, tour operators and hotels to ensure competitive pricing for customers.

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• Ensured accuracy of all reservations and ticketing information prior to issuing tickets.

• Prepared itineraries for corporate travelers outlining meetings, conferences or special events.

• Utilized problem solving skills when resolving complex customer issues that required quick resolution. Provided excellent customer service by answering inquiries regarding flight schedules, fares, hotel accommodations and other travel related issues.

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EDUCATION

CERTIFICATION IN MEDICAL BILLING AND CODING

CHCP

LANGUAGES

Spanish

Fluent

• English

Fluent

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