Customer Service Rep
Resume:
Queen Bowens
Missouri City, Tx 77489
********.**@*****.***
Professional and outstanding individual with exceptional customer service. The ability to build and maintain good and long lasting relationships with customers. Very detailed oriented and capable of learning and adapting quickly. Excellent administrative and organizational skills. Able to handle multiple tasks and solve customer queries efficiently. Possess basic knowledge of products, pricing, promotions, procedures, and other important issues. Highly capable to manage busy workload without close supervision.
Customer Service Rep
Humana - Houston, TX
May 2018 to July 2020
Answering calls, bill payments over the phone, customer service, solving customer issues, also going over health insurance, letting the member know their monthly premium explaining there medical benefits and what it does and don’t cover going over there medical, dental, vision & pharmacy benefits with member, going over medical claims, pharmacy claims, doing overrides for medications, approving authorizations and referrals for members to have procedures done, processing claims medical, dental, pharmacy & vision . speaking to providers, setting up doctors appointments and transportations for members.
Patient Solutions Representative
Acclara - Houston, TX
June 2021 to March 2023
Answering calls, bill payments, payment arrangements, working in Epic, CUBS, word, excel. Schedule appointments, disputing coding, review codes, determine assistance needed benefit and eligibility, billing and payments, authorization or treatment, EOBs, etc. Provide one call resolution to patient inquires whenever possible and perform timely follow ups. Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issuesComply with HIPAA and other compliance requirements at all times
Customer Services
Farmers Insurance- Remote
April 2023- Current
Answering inbound calls, answering questions regarding coverage, rates, billing issues and general policy review,, looking into new business accounts, providing one call resolutions and navigating through multiple computer systems,
High School Diploma
Lillie B. Williamson High School
September 2011 to May 2015
Skills
• Clear communication skills
• Assertive and persuasive
• Excellent leadership qualities
• Strong skills in organization
• Positive Attitude Microsoft Office
• Good decision making skills
• Detailed Oriented
• Multitasker
• Quick Learner
• Exceptional problem solver
• Results-oriented
• Strong strategic thinker
• Customer Satisfaction
• Basic knowledge of health care industry terms
• Strong problem-solving and critical thinking skills to research information using available resources
• Ability to navigate through multiple software and computer applications
• Ability to perform under pressure while maintaining a calm and professional manner
Contact this candidate