Customer Service Representative

Regina Wiggins

Customer Care Benefits Specialist

Yonkers, NY

Talented Customer Service Specialist With Over 10 Years Of Experience In A Fast Paced Team- Environment. Excelling At Customer Satisfaction And Claims Specialist Flexible Hard Working In Deadline-Driven Environment. Office Assistant And Clerical Skills Included Meet, And Greet, Answering Phones And Filling.

Work Experience

Emergency Operator/Night Supervisor

NCI Medical - White Plains, NY

September 2018 to Present

Doctors Answering Services

Page Physicians

Schedule Appointments.

Prior Authorization

Hospital Calls

Doctor To Patient Consults

Property Answering Service

Doctor to Doctor Consults

Prepare On-Call Schedules

Pharmacy Calls

West-Med Operator

Prepare Death Certificates.

Customer Care Benefits Specialist

ACS/Xerox - Cherry Hill, NJ

August 2012 to January 2013

Enrolled Kraft, Oscar Mayer, and Cadbury Employees in benefits.

•Processed Death Claims.

•Increased/Decreased Coverage

Customer Service Representative

Prudential Life Ins - Dresher, PA

November 2010 to February 2012

Handled Rate Quotes.

•Monthly/Quarterly Bills

•Educated Members on Prudential Products

Front Desk/Night Auditor

Red Roof Inn - Columbia, SC

September 2007 to March 2010

Checked Guest Inn

•Scheduled Reservations

•Performed Nightly Audits

Claims Adjuster Representative

Aetna - Columbia, SC

April 2006 to January 2008

Enrolled Members In Limited Major Medical Benefits.

•Explained EOB to Members, Beneficiaries

•Viewed All Claims and processed For Payment

Customer Service Representative/Floor Supervisor

Palmetto GBA Subsidiary - Columbia, SC

August 2005 to April 2006

Provided Customer Service for 1-800 Medicare

•Enrolled Members in Medicare Part-D, Also Explained the Benefits

•Supervised Call Center of 40-75 Employees

Skills

• Customer service

• Medical Billing

• Developmental Disabilities Experience

• Medical Records

• HIPAA

• Medical Terminology

• Medical Office Experience

• Medical Scheduling

• Insurance Verification

• Hospital Experience

• QuickBooks

• ICD-10

• AS400

• Clerical Experience

• Patient Care

• Epic

• Phone etiquette

• Medical imaging

• Medicare

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