Data Entry Customer Service
Resume:
STEPHANIE A. BEAUFORD
Charlotte, NC § Phone: 704-***-**** § Email: ************@*****.***
Objective: Desire a position utilizing my education/training and experience in the healthcare, criminal justice and/or customer service field. Position should require skills in human relations, case management, data entry, and technical aptitude.
Summary: Dedicated professional with more than 5 years’ experience in health care benefits, coding, reporting, and data entry. Experience includes interpretation of sensitive information, and liaison skills in both healthcare and customer service. Excel in analyzing and identifying data, both mechanical and technical in reporting and trending. Efficiently manage multiple, high-priority projects while providing exemplary customer service.
Key Skills:
Customer focus
Demonstrated analytical skills
Knowledge of medical treatment protocols
Excellent oral communication skills
Knowledge of physician advisor reviews
Policy and standard interpretation
Confidential records management
Proven computer/data entry skills
Proficient in medical terminology
Advanced proficiency in MS Excel, MS Word, MS Outlook, and MS Teams
Professional Experience
United Healthcare – Charlotte, NC
Clinical Administrative Coordinator 2020-Present
Responsible for initial triage of members, administrative intake of members or managing the
admission/discharge information post-notification, working with hospitals and the clinical team. Managing requests for services from providers/members.
Processes incoming and outgoing referrals.
Manages the referrals process and prior authorizations by checking procedure codes against notification requirements and benefit coverage to determine next steps.
Receive electronic referral form requests for medical/behavioral/clinical services.
Determine member eligibility.
United Health Care – Greensboro, NC
Customer Care Task Team 2019-2020
Managed fulfilment requests received by member or provider to receive Health Insurance Portability and Accountability Act (HIPAA) sensitive document via fax or mail.
Managed escalated issues that result in overnight delivery by using UPS and priority USPS shipping.
Verifies HIPAA before mailing out documents to ensure that all documents are being sent to the correct address or secure fax line.
Daily usage of Microsoft Work, Microsoft Excel, and Microsoft Outlook to complete work.
Comply with shipping guidelines.
United Health Care- Greensboro, NC
Benefit Advocate 2016-2019
Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence.
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues.
Provide education and status on previously submitted pre-authorizations or pre-determination requests.
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being by selecting the best benefit plan options.
Provided superior customer service in addition to all facets of administrative functions.
The Walking Company – Winston Salem, NC
Assistant Manager 2015-2016
Supervise with all types of consumer services, maintenance, employee instruction procedures and display products.
Take various actions for setting objects and regulate departmental budgets.
Carried out internal audits and expenses control measures to ensure protection of assets.
Verify all customer transactions to ensure accuracy, report fraudulent transactions to corporate office for investigation.
Manage weekly employee scheduling.
B.E. Shoes- Winston Salem, NC
Sales Associate 2012-1015
Assist an average of 30 customers per day finding or selecting items for purchase for personal use.
Stock, replenish, and organize inventory with accuracy and efficiency.
Maintain accurate and attractive merchandise displays, ensuring strategic placement of products to maximize customer purchases.
Use cash wrap to assist customers with purchases and returns.
Education
Bachelor of Science in Justice Studies
Winston-Salem State University
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