Service Representative Customer
Resume:
Shaun Tillis
Customer Service Representative
Dallas, TX
******.*****@*****.***
Looking for a position as a customer service professional in an organization where I can exploit my communication and managerial skills to expand the client base of my company, and also ensure that existing client remain satisfied and anchored to the organization. Authorized to work in the US for any employer
Work Experience
Customer Service Representative
Navient Solutions
August 2020 to Present
We handle Inbound and Outbound Calls to Claimants regarding their Unemployment Claim Status and provide what actions needs to be taken or any information that needs to be sent in from the Claimant to continue benefits, provide Appeal Steps if Claimant disagrees with a decision. We also make Outbound calls to Claimants to provide Proof Of Employment which Claimant can send directly to our email provided with our Company once information is submitted we Review and make a decision on the Claimants Account Accordingly. We also assist with Claimants who call in from the Unemployment locations to get assistance with help on the Computers or they call in with questions regarding their claim as we can log into the computer they are on if needing additional assistance.
• Answered general questions
• Assisted customers with a warm and professional attitude
• Provided policy and service information
Customer Service Representative
RadNet
December 2018 to November 2019
Answered incoming calls from members, Insurance companies to discuss patients EOB’s or Billing Statement they may have received from our facility. Processed payments for patients, sent account over for review if there was any billing errors or needed additional research for coding issues such as CPT and Diagnoses codes ICD-10. I was also promoted to a tier 2 agent to take on escalations calls for agents helping new agents that comes to floor after training in their nesting period. Intake Coordinator
HealthSmart
March 2017 to July 2018
We handle Inbound and make Outbound calls to Provider's and Hospitals for Pre Certification for Patients Medical Health Insurance if Pre Certification is require we start a case and submit information to RN Nurse to Review for Medical Necessity, for Intake Coordinator we handle ICD 10 Codes and CPT Procedure codes, we also handle Specialty Drugs Pre Certification Customer Service Rep
Prime Therapeutics- Irving
April 2013 to February 2016
Customer service representative handling inbound calls provide benefits for pharmacy claims, handle refills, also done outbound calls as well as mentor with the new hire classes and also learning coach for the new hire classes and SME in the classes for the Prime Resolution training classes, MCAL projects, Abbassor for the new hire classes, and projects with pharmacy claims calling the pharmacies for claims processing
Team Lead
Humana Insurance - Irving
February 2008 to April 2013
Supervisor's assistant, coach and train new hires over see escalated calls, customer follow up, account management, and processing daily reports
Supervisor
Wave Clothing Store - Dallas, TX
January 2005 to November 2008
Opening of the store, inventory check, run daily reports, make monthly schedules and cashier count. Additional information made available upon request. Education
Some College in General Studies
Mountain View College - Dallas, TX
2000 to 2003
High school diploma
Franklin D Roosevelt High School
August 1997 to May 2000
Skills
• ICD-10
• CPT Coding
• Medical Billing
• ICD-9
• Medical Records
• Medical Terminology
• Insurance Verification
• Medical Coding
• Microsoft Word,Microsoft Outlook,Excel (8 years)
• EMR Systems
• ICD Coding
Additional Information
● Highly trained personable customer service professional with experience in call center operations
● Demonstrated ability to gain customer trust and provide exceptional follow up
● Talent for identifying customer needs and presenting appropriate company products and services
● Strong organizational skills with good attention to details and follow-through
● Proficiency with Microsoft Word, Excel, Access, and PowerPoint / good typing skills (35-40 wpm)
Contact this candidate