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Customer Service Relations Representative

Location:
Fort Worth, TX, 76196
Posted:
May 11, 2022

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Resume:

Cassandra Carr

*** ******* ****

Crowley, Texas *6036

682-***-****

Objective

To utilize my excellent customer service and communication skills in a challenging and rewarding position with opportunities for growth and professional development.

Job Experience

Fort Worth Police Department November 2016 - Present

Fort Worth, Tx

911 Operator

• Answer incoming 911 emergent and non emergent calls swiftly and accurately

• Ensure correct information entered into system for officer response.

• Perform emergency medical dispatch in crisis intervention

• Monitor emergency calls entering updates as needed while maintaining contact with caller until responders arrive

• Receive reports from the public of crimes, disturbances, fires, and medical or police emergency.

Gateway Health

December 2015-2016

Cassandra Carr

5300 Portside Place #515

Fort Worth, Texas 76135

628-***-****

Objective

To utilize my excellent customer service and communication skills in a challenging and rewarding position with opportunities for growth and professional development.

Job Experience

Fort Worth Police Department November 2016 - Present

Fort Worth, Tx

911 Operator

• Answer incoming 911 emergent and non emergent calls swiftly and accurately

• Ensure correct information entered into system for officer response.

• Perform emergency medical dispatch in crisis intervention

• Monitor emergency calls entering updates as needed while maintaining contact with caller until responders arrive

• Receive reports from the public of crimes, disturbances, fires, and medical or police emergency.

Gateway Health December 2015-2016

Pittsburgh, Pa

Provider Relations Representative

• Problem solving claims, setups, and provider issues.

• Fulfils a liaison role with Operations and Support areas to ensure appropriate development and execution of initiatives, communication needs, and issue resolution.

• Communicate and maintained effective working relationships with internal staff (team members, management, and other key areas with whom I work closely) keeping management informed on related healthcare industry issues/topics.

• Team member for corporate projects impacting providers ensuring team and provider communication.

Gateway Health® February 2007-2015

Pittsburgh, PA

PDQM Info Tech

- Lead Contact for University of Pittsburgh Physicians. Responsible for handling new setups and Contracts.

• Outreached to providers regarding information needed to complete new provider setups in Gatelink.

• Responsible for timely and accurate entries of both providers and vendors

• Researched providers to be setup within guidelines to ensure that claims penalties are not applied

• Entered demographic changes to both participating and non-participating providers and vendors.

• Maintained various spreadsheets to track setup methodologies.

Gateway Health® February 2000- 2007

Pittsburgh, PA

Member Services Representative III

• Team Lead: responsibilities included supervision of Member Service Reps I and II. Handle escalated phone calls from Members. Resolved issues with members or other departments. Made daily outbound calls to providers and members.

• Dental Team Associate. Handled incoming dental issues. Responsible for outbound calls to Members and Providers. Ran and completed reports concerning dental. Resolved dental complaints and concerns.

• Verified eligibility, PCP benefits and other insurance information for providers.

Education

Odessa Junior College, 1985-1986, Odessa Texas

Skills

Cactus, Gatelink, Microsoft office 2013

Onbase, Power Queue, 10 Key Pittsburgh, Pa

Provider Relations Representative

• Problem solving claims, setups, and provider issues.

• Fulfils a liaison role with Operations and Support areas to ensure appropriate development and execution of initiatives, communication needs, and issue resolution.

• Communicate and maintained effective working relationships with internal staff (team members, management, and other key areas with whom I work closely) keeping management informed on related healthcare industry issues/topics.

• Team member for corporate projects impacting providers ensuring team and provider communication.

Gateway Health® February 2007-2015

Pittsburgh, PA

PDQM Info Tech

• Lead Contact for University of Pittsburgh Physicians. Responsible for handling new setups and Contracts.

• Outreached to providers regarding information needed to complete new provider setups in Gatelink.

• Responsible for timely and accurate entries of both providers and vendors

• Researched providers to be setup within guidelines to ensure that claims penalties are not applied

• Entered demographic changes to both participating and non-participating providers and vendors.

• Maintained various spreadsheets to track setup methodologies.

Gateway Health® February 2000- 2007

Pittsburgh, PA

Member Services Representative III

• Team Lead: responsibilities included supervision of Member Service Reps I and II. Handle escalated phone calls from Members. Resolved issues with members or other departments. Made daily outbound calls to providers and members.

• Dental Team Associate. Handled incoming dental issues. Responsible for outbound calls to Members and Providers. Ran and completed reports concerning dental. Resolved dental complaints and concerns.

• Verified eligibility, PCP benefits and other insurance information for providers.

Education

Odessa Junior College, 1985-1986, Odessa Texas

Skills

Cactus, Gatelink, Microsoft office 2013

Onbase, Power Queue, 10 Key



Contact this candidate