Member advocate
Resume:
Andre Harris
EXPERIENCE
*/**-******* ******** ******** Solutions - United Health Care Member Advocate
• Fielded in bound calls from members with various concerns about their health plan, from changing their primary care provider, to explaining benefits and coverage dates.
• Assisted member in finding providers that were in network with health plan.
• Contacted provider offices and hospitals to ensure that referrals and prior authorizations were submitted properly to the right department.
• Contacted billing departments at various facilities to ensure that claims were being process timely and accurately on members behalf.
• Researched information as to why member would be denied for procedures, medications, and claims, and coordinated with a multitude of different departments to get issue corrected to member could receive service.
8/22 - 11/23 Matrix Medical Network
Member Services Representative
• Made outgoing calls to existing health insurance members for various providers such as Aetna, Anthem Blue Cross Blue Shield, CareSource, etc., confirming active membership and attempting to schedule their in-home or virtual health visit.
• Confirm, update, and edit members address, birthday and phone numbers, while keeping all member information confidential and secure.
• Converse with members about their overall health and wellness, and discuss any health issues or questions they may have.
• Collaborate with scheduling department, nurse practitioners, translation services and members to find best dates and times to schedule members health visit.
• Take detailed notes regarding landmarks, street names, and general information on how to direct nurse practitioner to members location.
• Inform member the nurse practitioner is licensed and certified in their state and will follow all CDC safety guidelines and procedures.
• Reconfirm appointment time and date for members schedule visit and thank them for the time and membership with their health plan
10/21-Current Staffing Texas - Consolidated Communications Inc. Customer Service Representative
• Answered incoming calls from existing customers and helped with a variety of different situations, from helping customers understand billing, to explaining new products and services, to rescheduling technician visits, and updating their billing information.
• Answered incoming calls from potential new customers and gathered information from them pertaining to what type of services they would be interested in and find plans for services that fit their needs.
• Work closely with management and other department reps to effectively maintain an ongoing flow of customer support across all divisions of Consolidated Communications.
• Connect and Collaborate with customers, whether new or existing, to ensure top quality service, and ensure customer confidentiality and security, for sensitive customer information.
• Follow up with customers, new or existing, to check on the status of orders, tech visit issue, rescheduling of tech visits, confirmation of services working properly, ordering new services, ect.
6/18 - 9/21 FedEx Office
Lead Consultant
• Floor Supervisory roll which enabled me to work side by side with management.
• Took the Lead on difficult orders to ensure production was accurate and on time.
• Work with upper management to ensure SQI numbers are accurate and low.
• Work diligently with customers and customer service to track packages. 11/16 - 6/18 FedEx Office
Customer Consultant
• Greet customers as they walk in the store to ensure a welcoming and friendly environment
• Connect with our customers to establish a friendship-like bond
• Collaborate with our customers to find their specific needs, whether in shipping, production, or self-serve.
• Ensure the quality of the work being performed for the customer is to the highest quality possible.
• Close by thanking the customer for choosing FedEx, offering any upsells, and also Products Of The Month.
• Working side by side with team members to improve store sales numbers while also keeping mistakes to a minimum.
• Ensuring that every customer experience is outstanding. 2/16 – 10/16 TruGreen Houston. TX
Lawn Service Technician
• Assess daily manifest and retrieve any key chemicals and products needed for the day.
• Check over daily map for the best routes.
• Inspect truck and equipment to properly insure safe travel, and quality of work.
• Arrive safely and promptly to each assigned customers house, and exude a high level of courtesy, professionalism, and customer service.
• Assess the lawn using the knowledge attained through my training to properly diagnose lawns condition, and what is needed to treat and improve lawn.
• Treat lawn while actively being aware of customer’s personal property as well as my own safety.
• Leave detailed notes regarding condition of lawn, what treatment was performed, what products were used, what I noticed, what to expect, any special watering instructions, and any other prominent information upon my departure. 10/15 – 1/16 Houston Auto Recyclers Houston, TX
Scheduling & Dispatch Representative
• Called customers from vendor lists to schedule their vehicles to be towed.
• Dispatched drivers around the greater Houston area.
• Ensured quality customer service for each customer.
• Made sure customers were getting correct amounts for vehicles towed.
• Assisted customers with selling their cars in person. 04/15 – 08/15 Christian Holdings Kingwood, TX
Loan Processing Assistant
• Assisted in the home loan process
• Retrieved vital and personal documents, in a timely manner, as well as maintain a high level of professionalism while dealing with sensitive and personal information for home loan applicants
• Verified employment, wages, banking info, and other crucial components while providing outstanding customer service
• Multitasked between multiple loan files at once, while still maintaining accuracy and attention to detail for each file
03/15 – 04/15 Randstad Houston, TX
Shipping Coordinator
• Received orders from corporate office and logged them into our system
• Assigned trucks pick up orders at the end of the day
• Assigned orders to different member of our warehouse team to retrieve orders and place in corresponding areas for trucks to pick up
• Verified and checked orders before trucks arrived to insure accuracy 08/13 – 03/15 HR Remedy Houston, TX
09/13 – 03/15 Data Entry E-scan Analyst
08/13 – 09/13 Administrative Office Assistant – Mail Room Clerk
• Monitored and tracked shipments from port to port, ensuring cargo was delivered at weight and on time.
• Gathered and categorized information for offshore oil rigs, supply vessels, tug boats, passenger vessels, and chemical carriers to create router sheets for our vendors
• Confirmed and entered new data pertaining to existing vessels into our system
• Coincided with our vendors as well as FedEx to confirm and assure shipping logistics were properly attended to on all ends, as well as making sure all shipping requirements were met according to our vendor’s needs and FedEx standards. Sorted, Log-in, and distributed incoming mail to corresponding department heads
• Picked-up outgoing mail and packages from department floors and deliver either to other departments or log to be picked up by USPS, UPS, DHL, or FedEx 04/13 – 08/13 BG Express Houston, TX
Mail Courier
• Delivered important business documents to scheduled employers during a business day with prompt attentiveness
11/09 – 02/13 Pappas Seafood House Humble, TX
Certified Server Trainer
• Main focus was customer service with assisting in training new employees
• Explained precise instructions on how the restaurant conducted greeting guests, the correct way of placing food and drink orders, and promptness on giving the guests the attention and friendly atmosphere that was upholding to the restaurants fine dining standards
06/05 – 06/07 Randstadt/Hill Country Steel San Antonio, Texas Administrative Office Receptionist
• Sent and received fax, email, and mail for executive employer
• Scheduled and confirmed meetings, lunches, and business accommodations
• Screened calls, took messages, and contacted customers on behalf of business matters for executive employer
• Filed, made copies, and entered specific and classified business documents into a detailed computer program
• Assisted department CEO’s with various tasks and duties with a timely manner and attention to detail
02/03 – 01/05 Travelocity San Antonio, Texas
Sales and Customer Service Representative
• Handled incoming calls regarding booking changes, scheduling, and canceling flights, hotels, and car reservations
• Assisted customers with such matters as seating preferences for flights, hotel accommodations, pet and handicap assessments, and special vehicle requirements EDUCATION
05/02 Judson High School
High School Diploma
SKILLS
• Certified in 10-Key,Microsoft Office- Excel 93%, Word 87%, Outlook 93%, Basic Office 90%, Strong organizational, order processing, active listening, time management, problem solving, data entry, attention to detail, energetic work ethic, and strong interpersonal skills
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