Customer Service Representative

NANCY WHITFIELD

*** ******** ** ******, ** ***** 615-***-**** *****.***********@*****.***

PROFESSIONAL PROFILE

Customer service-oriented professional who can coordinate workflows and communicate effectively with co-workers, patients, and staff. Follows policies, procedures, and guidelines to ensure quality. Maintains and safeguards patient privacy and confidentiality.

Strong written and verbal communication skills.

Pays close attention to detail with focus on accuracy and thoroughness.

Well-organized, able to prioritize duties and manage time in multi-task environments.

Microsoft Office Applications (Word, Excel, and PowerPoint) – Typing Speed: 42 WPM. KEY QUALIFICATIONS

Human Resource Management Organizational Improvements Interpersonal Professional Communications Business Operations Practice Structure, Leadership & Management Medical Administrative Procedures Healthcare Ethics HIPAA Compliance Accounting Payroll Appointment Scheduling Medical Terminology Insurance Verification CMS 1500 Processing Co-Payments UB-04 Medical Records Management Insurance Billing Procedures Insurance Claim Cycle Health Records Management Electronic Health Records (EHR) Electronic Medical Records (EMR) EDUCATION

Ultimate Medical Academy Associate of Science Degree – Healthcare Management, 2021 Kennett High School – Kennett, MO Diploma, Certificate in Graphic Arts Communication, 2014 PROFESSIONAL EXPERIENCE

CVS-Aetna 04/2023- Current

CCR- Customer Care Representative

Assist members with pharmacy calls for medication

Check member accounts for the proper prescription

Get medication mail out to members and change address if needed

Fill prescriptions for members and insure to inform the member of all their benefits and more

* Looking for another job due to professionalism in workplace is bias/racist* Concentrix 04/2021- 01/2023

Tier 1 Member Services Advocate

Assisting United Healthcare members in ordering member ID, change PCP, explaining the prescriptions given, updating personal information set appointments, and order transportation.

Responsible for customer satisfaction

Maintain accuracy of customer documentation in all corporate duties.

no longer employed due to moved locations*

Private Duty Care – Smyrna, TN 04/2018 – 05/2021

Child Care Provider

Nurture children and organize age-appropriate activities.

Support the social and emotional development of children and care for personal hygiene needs.

Communicate with parents to share activities, progress, and behavioral concerns. Walmart – Smyrna, TN 12/2016 – 04/2019

Cashier / Customer Service

Interacted with customers in a positive manner and demonstrated a high level of customer service.

Scanned merchandise, processed retail transactions, accepted payments, and stocked shelves.

Worked as a team member to ensure customers received the best possible service. Stay-at-Home Parent – Smyrna, TN 05/2016 – Current Full Time Homemaker

Ensured household duties were completed and managed household budget.

Remained deadline-oriented and reliable while adjusting priorities and managing time wisely.

Coordinated medical care, meals, and social activities. VOLUNTEER EXPERIENCE

BB's Daycare – Smyrna, TN 01/2020 –

Substitute Teacher

Assist with supervising and teaching children.

Prepare meals, clean, and maintain a safe environment.

Complete various tasks as assigned by business owner.

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