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Service Representative Customer

Location:
Clayton, NC
Salary:
$22
Posted:
June 07, 2022

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Resume:

Kiaira Dobbins

************@*****.*** 919-***-****

Proactive and dedicated Customer Service representative with over eight years of experience in a fast-paced, team-based environment. I’m driven and proven to be successful at achieving targets and team goals. With the experience that I’ve obtained, I would bring a high-energy, knowledgeable and analytical approach.

Skills

Written and verbal communication

Proficient in Microsoft Office

Detailed Oriented

Medical Insurance Knowledge

Problem Resolution

Time Management

Experience in fast pace/high volume environment

Medical terminology

Customer Service

Telephone etiquette

Payment Processing

Critical thinker

Education

High School Diploma: Clayton High School, Clayton, NC, June 2009

Work History

BIOLOGICS BY MCKESSON Cary, NC February 2019

Patient Care Coordinator/Customer Service Representative

•Verified medical/pharmacy benefits for new and existing patient referrals.

•Obtained required information from patients and healthcare providers for insurance benefit verification.

•Obtained required info while being able to pay very close to attention to details.

•Adhere to call center performance metrics quality standards.

•Comply with HIPPA and information verification policies.

•Effectively communicate insurance benefits and eligibility to patients and healthcare providers.

•Compete data entry and transfer patient cases for benefit varication.

•Gather potential adverse event information and coordinate appropriate reporting.

•Communicate with healthcare providers and patients to ensure that all information has been received to proceed with requests.

•Complete assigned tasks and follow-up communications for continued patient care.

TRIALCARD Cary, NC March 2018 – February 2019

Patient Experience Specialist

•Interacted directly with customers via inbound and outbound calls.

•Responded to nature of inquiries, enrollment, patient assistance programs, etc. via phone, email, portal.

•Assisted customers (patients, pharmacists, physicians, sales rep, etc.) with activation, enrollment and problem resolution.

•Provided information pertaining to claims such as denials, gathering and reviewing patient billing and medical records to determine if patient diagnosis qualifies. Verified claim, medical, billing and diagnosis information to determine program qualifications.

•Verified patient insurance benefits.

•Ability to work with a high level of responsibility.

TRUGREEN Morrisville, NC February 2017 – March 2018

Customer Service Representative

•Resolved escalated customer issues with timely follow up.

•Performed outbound calls to customers to schedule customer applications and service.

•Processed customer payments from customers.

•Adhered to quality assurance guidelines.

•Performed customer updates as needed.

SPEEDWAY Garner, NC November 2011 – April 2017

Shift Leader

•Forecasted daily sales using past variance.

•Managed monthly budget and truck ordering for the store.

•Proficient in handling cash. Conducted end of day cash processing, reporting and deposit.

•Managed daily team, workflow, and job assignment.

DAIRY QUEEN Clayton, NC April 2005 – March 2010

Shift Leader

•Increased sales through customer interaction and frequency.

•Proficient in handling cash. Use and emphasize reporting cash management.

•Managed daily team workflow and job assignment.

KIDZONE LEARNING CENTER Zebulon, NC November 2010 – November 2011

Teacher Assistant Floater

•Assisted in the implementation and development of child specific curriculum.

•Assisted teachers and managers with the psychological, intellectual and personal needs of children at the facility.

•Helped with researching and coordinating child appropriate programs and activities to fulfill extracurricular hours.

•Maintained child enrollment records about daily activities, meals, and behavior observation.

•Provided tailored recommendations about eating and resting based on the child’s personal habits.



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