Phone Representative Data Entry
Resume:
ACAYLA
SIMS
CONTACT
*** ****** ******, ******, ** 75115
*********@*****.***
S K I L LS
• Customer Service
• Collections
• Data entry
• Technical Support
• Windows 95.98.2000 XP
• Microsoft Word, Excel, PowerPoint, Pivot
• Table, V-Look ups
• Multiphone lines
• Sales rep
• Organization and recordkeeping
P R O F E SSIONAL S UMMARY
I have three years of experience in healthcare, mortgage, and collections. all of which were in customer- facing positionsleveraging customer service skills. I developed an interest in a position in a leadership role. I possess an exceptional ability towork independently or equally as well as part of a team I can multitask and connect with caller's issues and identify steps to betaken to resolve their concern . I have an immense desire for continued learning. A focused and driven person who maintainsprioritizing. Customer-oriented with previous recognition for customer service excellence. Learning new concepts and adaptingthem to achieve greater results in daily tasks. E X P E R I E N C E
United Healthcare Group, RFL Richardson, TX
Platinum Provider Phone Representative
DITECH Home Mortgage Irving, TX
Representative
Santander Consumer Lewisville, TX
Nanny Lewisville, TX
E D U C ATION
January 2022
● July 2019 - Current
• Looking for Better Opportunity
• Responsible for taking inbound calls in a call center
• Claims Assist with adjusting claims and formulas
• Assisting providers with benefits and eligibility, claim status, and notifications
• Specialized in Prime and TDI Accounts
• Data entry, data verification, and analytical review of documentation received
• Monitor Team chats and helps other team members when assistance is needed
• Work on escalations issues daily
Mastering accurate translation of how to navigate the insurance policies by implementing state and federal regulations according to HIPAA guidelines
•
Use of the following systems daily: ODAR, RMO, CDB, ISET, HSR, Right Fax, Office software, PEGA, EDSS, IDRS,
•
• Apollo, Shared Services, knowledge central, NEXIDIA, CPT codes, ICD10 codes, the Referral System.
● April 2018 - July 2019
• Laid Off
Serviced organizations: Fannie Mae, Freddie Mac, and BOA while utilizing proper tools including skip tracing, micro- built, predictive dialer, and Accurint
•
Created and Analyzed team reports such as Excel spreadsheets with Pivot Table which provided daily/intraday performance metrics on contact center staff
•
• VLOOKUP is used on a daily basis in order to update the data return
• FDCPA and compliance knowledgeable
• Loss mitigation analysis of documents to approve customers for refinancing/ payment options.
● September 2016 - April 2018
• Laid Off
Assist customers with delinquent accounts that were 60-120 days past due and provide different payment and repayment options that were available while taking inbound and outbound calls
•
Answering phone calls and providing customer service to claimants regarding claim processing inquiries.
•
● September 2015 - August 2016
High School Diploma
Cedar Hill High School, Cedar Hill, TX
Navarro College, Corsicana, TX
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