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Customer Service Client Services

Location:
Spring Hill, TN
Posted:
July 29, 2024

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Resume:

STEPHANIE Putnam

ad7l4k@r.postjobfree.com

*** ******** *****

Anniston, AL 36206

205-***-****

PROFILE

Possess great customer service and great communication skills, fast response to emails, organized and dependable

EDUCATION

W A Lecroy Career / Technical Center

2000-2001 Medical Assistant

Jemison High School

2003 General Diploma

EXPERIENCE

Integracare Pharmacy

Alabaster,AL

Billing Rep Oct-Current

Responsible for answering phones taking payment over the phone, fixing rejected claims,clearing the tickler for refill to soon medications,sending PA’s to insurances for approval, adding new admits, updating profiles with new information on residents, help with sending bills to nursing homes, assisted living, and residents, and tech in pharmacy if needed.

Rxbenefits, Inc Birmingham,Al

Lead CDA September 2020-2021

Responsible for leading CDA's in daily functions, works several chats, knows all the PBM's, works emails, helps the manager/supervisor in daily tasks and makes sure our members are taking care of.

Rxbenefits,Inc. Birmingham,AL

Senior Client Services Associate July-September 2020

Responsible for training new help, working one-on-one with our Clients, Brokers, Medical TPA’s, AM/SAE and Member Services to ensure all member issues are resolved promptly. The position is responsible for being able to use sale force for cases to be resolved, resolving issues across a broad spectrum including Eligibility, Prior Authorization, Appeals, Member Reimbursements, Member Education, Outreach and Client Services, and War Room Cases. Also responsible for all eligibility, PA and diabetic files.

RxBenefits, Inc. Birmingham, Alabama

Client Services Associate June 2017-July

Responsible for ensuring optimum customer service and working one-on-one with our Clients, Brokers, Medical TPA’s, AM/SAE and Member Services to ensure all member issues are resolved promptly. The Client Services roll is to better serve our Clients, Brokers, Medical TPA’s, AM/SAE, and Member Services in getting the help needed to resolve member issues. The position is responsible for being able to use sale force for cases to be resolved, resolving issues across a broad spectrum including Eligibility, Prior Authorization, Appeals, Member Reimbursements, Member Education, Outreach and Client Services, and War Room Cases.

RxBenefits, Inc. Birmingham, Alabama

Service Inquiry Coordinator January 2017- Present

Responsible for ensuring optimum customer service and working one-on-one with our clients to ensure all member issues are resolved promptly. The Service Inquiry Coordinator position is a lead classification in the Member Services Representative series. The position is responsible for resolving issues across a broad spectrum including Eligibility, Prior Authorization, Appeals, Member Reimbursements, Member Education, Outreach and Client Services

RxBenefits, Inc. Birmingham, Alabama

Member Services Representative December 2011 –2017

Provide a full range of services to members including but not limited to: Responding to member inquires, analyzing needs and assisting members to utilize their benefits or services which best meets their needs. Handling escalated and unresolved calls, manage disease state programs. Duties include: Updating Diabetic members, putting in overrides, adding members, terming members, adding members to a different plan, problem solving, and answering e-mails in a timely manner. Proficient in eligibility, determining coverage, reviewing applications, group benefit structure, etc.

CVS Pharmacy. Calera, Alabama

Pharmacy Tech Supervisor May 2009 – 2011

Received calls from customers and Dr.'s regarding medication orders on a daily basis. Duties Included: Filling scripts, preparing work schedules for techs, ordering medication, answering phone calls, reaching out to patients regarding fills, pulling out dated medications, responsible for paper work on customers getting flu shots, put in prescriptions in systems, processing scripts through insurance, and checking customers out at registers.

Medplex Outpatient Surgery Center. Birmingham, Alabama

Certified Nursing Assistant January 2006 – 2007

Got patients ready for their surgery in post op, took care of patients in recovery and discharged patients. Duties Included: Called patient the day before surgery with date and time of surgery, drew blood for lab work, took vitals, got patient prepped for surgery, updated charts, took care of patient in recovery and discharge unit, and did all charting in the computer system for billing insurance. Also had CNA license.

Shelby Baptist Medical Center. Alabaster, Alabama

Certified Nursing Assistant and Receptionist May 2003 – 2006

Took care of patients, answered phones, and enter patient info in the computer system. Duties Included: Admitting patients, baths, vitals, chart data, enter charts in computer system, answered phones, transferred patients to X-Rays and different floors to another room, and prepped patients for surgery. I was on the code team and CPR certified.

SKILLS

Excellent Communication Skills,

Computer Skills,

5 Years Industry Experience,

Pharmacy Experience,

Work Equivalent,

Dependable,

Proficient in various systems



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