Customer Service Representative
Resume:
Sonia L. Redhouse
Glendale, AZ -85304-
***********@*****.***
Experience:
Claims Part B Customer Service Representative 1
Utilize NGD scripts and reference materials to respond to inquiries
Respond to basic Part B Claims inquiries
Identify what Part B covers and does not cover
Identify jurisdiction of Part B local Medicare carriers
Define Part B pricing information
Identify destination guidelines
Explain the purpose of internal control numbers (ICNs) and the information they contain
Research denial of claims
Define and explain status codes and location codes
Other duties as assigned by my supervisor or manager
Customer Service Representative Tier 11
Maintain a current understanding of the processing procedures to respond to numerous phone inquiries
Provide information on Medicare Managed Care Plans and Medigap options available in specific geographic areas
Disenroll beneficiaries who no longer want their health plan or prescription drug coverage or wish to opt-out from auto-enrollment
Send disenrollment confirmation letters
Respond to requests for status check of a previous Disenrollment.
Look at claims information and tell why Medicare didn t pay or order a replacement notice
Provide General Claims information
Teletype or text typewriter (TTY) trained
Other duties as assigned by my supervisor or manager
2002-2004 Dillard s Farmington, NM
Customer Service Representative
Provide customer service to people who are looking for clothes
Helped do inventory of store merchandise
Put stock on display for customers to see what we had available
Work with cash register handling cash, checks, credit cards and store credit cards
Help in different departments when needed
2000-2002 American Home Furniture Farmington, NM
Sales Consultant
Provide customer service to people who are looking for house-wares, bath linens, bedroom linens, and carpet
Helped customer decide what would look nice in their home
Ordered items for customers if we were out of stock
Helped do inventory of store merchandise
Work with cash register handling cash, checks, credit cards and store credit cards
Register couples for weddings or open houses
Kept work area clean and organized
2000-2000 Holiday Inn Select Airport Phoenix, AZ
PBX Operator/ Front Desk
Answered in coming calls and transferred them to the right room or department
Made or cancelled reservations for guest
Checked in and checked out guest
Kept in contact with shuttle driver so that the guest were picked up on time from the airport and arranged for shuttle to take guest to airport
Education:
Kirtland Central High School High School Diploma 1995
San Juan Community College
Computer Graphics
Personal Learning Skills
Basic Composition
Word Processing
Reference
Jessie Gonzalez 626-***-****
Allen King 602-***-****
Debbie Maha 602-***-****
Valerie Moore 602-***-****
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