Customer Service Rep

Deitra Coleman

**** ****** ****** ** # *** Sacramento, CA. 95834 916-***-**** *********@*****.***

Objective: Looking forward to obtain a customer service position. I am an organized individual with extensive customer service, clerical, communication, database and project navigation skills. I am skilled at maintaining a sense of humor while showing empathy in consumer related setting.

Professional Experience

HealthCare Support Staffing (Optum) – Remote.

Individual Contributor

October 2021 – March 2022

Analyze and investigates, provided explanations and interpretations within area of expertise when building inside health plans for members. Function was being responsible for installing an implementing employer contracts and enrolling members associated with those contracts into our systems related to health benefits. Installation of assigned accounts including but not limited to structure building and billing set up, auditing structure revisions, database loading and preparation of health plan materials for employer benefits set up.

Blue Shield of California – Sacramento, CA.

Customer Service Rep

March 2017 – August 2020

Inbound call center for eligibility and benefits, provided updated information for customers with insurance and claims questions for active accounts. Benefits provided and explained when needed. Multiple screens and applications and databases used to provide correct and current information. Billing and claims questions were addressed as well when needed.

Apple One Staffing Agency (Maximus Health Care), Folsom, CA.

Eligibility Specialist

September 2016 – December 2016

Responsible for all activities associated with eligibility determination, Interprets scanned images and uses data within those images to research and complete tasks, Enters appropriate and accurate information into the automated system for the tracking of all cases processed, Makes decisions for eligibility based on established policies and procedures, Performs timely updates to the database when there are changes in circumstances or eligibility status, Performs other duties as may be assigned by management.

Kelly Services Temp Agency (BlueShield of CA), Rancho Cordova, CA.

Member Level Processor

August 2015 – December 2015

Under close supervision, the Member Processor uses Blue Shield of California systems to research member additions, eligibility updates, and reviews reports within established production and quality standards. They review accuracy of data entered against source documents and identify and resolve discrepancies affecting member eligibility and enrollment, and rate information. Enter and retrieve data using automated systems. Research, confirm and correct member additions and eligibility updates. Identify, correct and resolve discrepancies with Member Maintenance.

Kelly Services Temp Agency (Health Net), Rancho Cordova, CA.

Customer Service Rep

November 2014 – April 2015

Authorizations and research tech for authorizations department. (CPT code knowledge)

Assist in taking inbound calls from provider offices and members, providing and assisting in obtaining authorizations for patient procedures, in and outpatient services. Develops and maintains a comprehensive knowledge of all Health Net policies, procedures, products and services including department processes of Medical Management. Knowledge of all functions to Health Net systems and programs, Demonstrates regular, reliable attendance.

Randstad Temp Agency (Cash for junk Cars), Sac, CA.

Customer Service Rep

June 2014 – September 2014

Inbound customer service Rep responding to customer inquiries pertaining to vehicle selling options, provide titling and registration processes for customers interested in scrapping vehicles, company proprietary systems are used for research and data input, time management important.

Advanced Call Center Tech (ACT) / AT&T Vendor, Sac, CA.

Customer Service Rep

September 2012 – January 2014

Responsibilities include responding to customer queries about AT&T services, billing, and equipment and promotions information, take customer calls and complete service orders. Handle customer requests for payments, activation, upgrades and other services. Understand customer needs and recommend appropriate products and rate plans maintain up-to-date knowledge about AT&T products and services.

Alldata Company, Elk Grove, CA.

Technical Editor / Data Input

December 1998 – June 2009

Technical Editor with experienced in data editing and structure. Implementation of electronic automotive information from automotive manuals using proprietary and commercial software, converted automotive manual information to CD database info for customers electronic on-line access (Alldatapro.com), scanning, formatting, merge and input of data, error detection, database navigation and structure, image enhancement, Assist new customers with our product navigation during inbound and outbound calling, extensive multiple software usage.

Education

Business / Information Technology, University of Phoenix, Sac, CA.

John F. Kennedy High School

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