Customer Service Health Insurance
Resume:
BARBARA JONES
Spring Hill, FL *****
***********@*****.***
OBJECTIVE A position that will utilize strong communication and analytical skills and that will allow opportunity for growth and advancement.
Work Experience
(Customer Service RepresentativeRemote Position Started as a Temp and Was Hired by Evolent
Randstad Temp Agency/Evolent Health
January 2022 to September 2023
9/13/2022)
• Taking incoming calls from customers about their health insurance/dental insurance
• Assisting customers with health insurance related questions
• Assisting customers with setting up and logging into their online portal
• Assisting incoming calls from health care providers regarding benefits.
• Assisting incoming calls from health care providers regarding status of claims
• Verify CPT codes are covered under the members health / dental plan
• Verify with providers and members that we have received and/or issued a PA for an up coming procedure
• Send claim back for reprocessing if there is an error Background Investigator
Accu-Screen-Tampa, FL
May 1999 to January 2022
Called previous employers for employment verification and schools for education verification.
• Ran background criminal and social security checks.
• Typed and sent all completed reports back to the companies that requested them. People Ready Temp Agency-Lakewood Retreat
January 2020 to March 2020
● Greeting Guest
● Keeping Property clean
● Assisting with any and all aspects of cleaning and helping guest
● Maintaining cleanliness of all rooms and restrooms.
● Position was put on hold 3/15/2020 due to covid but I still remain a temp with the agency for any position when the pandemic limits are lifted
Customer Service Representative
Applicant Insight
February 2017 to May 2019
• Taking incoming calls (80-120 per day)
• Answering emails from clients concerning their open cases with our company
• Researched missing information on reports sent to clients
• Trained new clients on how our system works and walked them through the process via Skype. Claims Processor
Adecco Staffing (TransAmerica)
February 2016 to February 2017
• Processing death claims
• Speaking with family members concerning how to request a claim
• Speaking with Funeral Homes regarding payments
Human Resources – Customer Service Rep
Coca-Cola – Abacus Temp Service-Brandon Fl
September 2013 to July 2015
• Responsible for taking and processing incoming calls
• Responsible for getting calls to the proper department
• Responsible for answering questions and processing calls quickly Customer Service Representative
Alpha Pro Solutions-St. Petersburg, FL
September 2010 to April 2013
• Responsible for taking and processing all incoming calls
• Responsible for processing all incoming orders
• Responsible for entering all monies received into Quick Books
• Responsible for conducting all in office and off site drug, alcohol and DNA testing Staffing Coordinator
Spheris-St. Petersburg, FL
February 2002 to September 2007
• Handled all aspects of a high-volume hiring process which included: running reports from HR systems for upload into equipment ordering program, creating offer letters and mailing new hire packets, running weekly reports on information such as new hire bonuses and weekly audits for HR & Payroll.
• Verified background checks and ensured that all new hire paperwork was returned and completed.
• Created new hire files and assisted with I-9 questions.
• Assisted new on site employees with completion of paperwork, arranging for badges, etc. Office Manager
EMSI-Columbia, SC/Evansville, IN
November 1993 to April 1999
• Responsible for all hiring and firing of office employees.
• Responsible for all new hire paper work and well as payroll.
• Performed on site drug and alcohol testing for company employees (UPS, FedEx, CSX and several hundred smaller companies).
• Remained on-call 24/7 for new hire, accident or reasonable cause testing. Education
AS in Business Administration
EDUCATION South University Online
Skills
• Customer service
• Typing
• HIPAA
• Medical terminology
• Research
• Human resources
• QuickBooks
• Employment & labor law
• Documentation review
• Office management
• Payroll
• Windows
• Interviewing
• Accounts receivable
• Computer skills
• Microsoft Outlook
• ICD-10
• Workday
• Microsoft Office
• Office experience
• Phone etiquette
Assessments
Attention to detail — Proficient
March 2023
Identifying differences in materials, following instructions, and detecting details among distracting information
Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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