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Service Representative Support

Location:
Newark, NJ
Posted:
December 07, 2022

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Resume:

Xiomara Vazquez

Customer Service Representative

West New York, NJ 07093

adtw3r@r.postjobfree.com

+1-347-***-****

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Home Attendant

Concepts of Independence - Bronx, NY

November 2017 to Present

• Assist client by providing housekeeping and laundry services, groceries and other household requirements.

• Preparing and serving meals and snacks, and run errands.

• Assists client by providing personal services, such as grooming. Customer Support Representative

VSP Global - Remote

November 2021 to August 2022

• Assist providers in retrieving patient information or policy numbers.

• Authorize benefits for patients at doctor's offices.

• Backdate benefit authorizations for providers.

• Explain benefits to providers and inform of availability of the patient's benefits.

• Update policies for patients or correct information as needed.

• Enroll members in individual plans during open enrollment.

• Assist employers with access to VSP's webportal by unlocking their access, reseting passwords or updating their information.

• Redacting benefit letters for members.

• Assisting members with out of network claim submission.

• Assisting providers with claim adjustments, claim status and claim information.

• Providing members explanation of their benefits.

• Providing information to provider's office in regards to lens enhancements and codes for claim submission.

Member Service Representative

Affinity Health Plan - Bronx, NY

July 2016 to April 2017

- Provide assistance to plan members in updating their demographic information and sending out information about providers in their areas. Prepare documents for members and send them by mail, fax and/or email.

- Guide members to correct vendors depending on their health need.

- Work with vendors to solve plan related situations.

- Assist members in making appointments and solving matters related to their eligibility.

- Assist providers searching for claim status as well as provider calls related to benefit and eligibility information.

Customer Service Representative

Citibank - San Juan, PR

February 2012 to January 2014

- Inform clients of the Sears and Best Buy credit card about their accounts.

- Adjust accounts and solve problems for clients by opening disputes and the usage the company's programs and tools.

- Direct customers to correct departments internally and externally.

- Advice clients in account policies and changes.

Education

Certification in Medical Billing & Coding

Lehman College

September 2022 to September 2023

Bachelor's in English

Lehman College - Bronx, NY

August 2017 to April 2021

High school or equivalent in General

Dr. Facundo Bueso - San Juan, PR

1996 to 1999

Skills

• Microsoft office (10+ years)

• Medical claims (Less than 1 year)

• Customer Service (10+ years)

• Call Center (10+ years)

• Office Equipment (10+ years)

• Microsoft excel (3 years)

• Citrix (5 years)

• Facets (Less than 1 year)

• As400 (Less than 1 year)

• Lotus Notes (Less than 1 year)

• Point of Sale (6 years)

• Customer Care

• Bilingual

• Customer Support

• CSR

• Point of sale (8 years)

• Assistant manager (4 years)

• Cleaning (Store premises) (8 years)

• SAP

• Microsoft Windows

• Typing (10+ years)

• Remote Access Software

• Communication skills

• Microsoft Word

• Spanish

• Clerical experience (10+ years)

• Data entry (10+ years)

• Salesforce (4 years)

• CRM software (2 years)

• EDI

• English

• Time management

• Cleaning

• Google Docs (5 years)

• Windows

• Computer skills

• Medical terminology (Less than 1 year)

• SaaS (1 year)

• Medicare (3 years)

Languages

• Spanish - Expert

• English - Expert

Assessments

Customer focus & orientation — Proficient

June 2021

Responding to customer situations with sensitivity Full results: Proficient

Call center customer service — Proficient

August 2021

Demonstrating customer service skills in a call center setting Full results: Proficient

Customer service — Proficient

April 2021

Identifying and resolving common customer issues

Full results: Proficient

Written communication — Highly Proficient

May 2021

Best practices for writing, including grammar, style, clarity, and brevity Full results: Highly Proficient

Medical terminology — Proficient

November 2022

Understanding and using medical terminology

Full results: Proficient

Administrative assistant/receptionist — Proficient September 2022

Using basic scheduling and organizational skills in an office setting Full results: Proficient

Work style: Conscientiousness — Highly Proficient

August 2022

Tendency to be well-organized, rule-abiding, and hard-working Full results: Highly Proficient

Verbal communication — Highly Proficient

November 2022

Speaking clearly, correctly, and concisely

Full results: Highly Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

SKILLS PROFILE

• Excellent listening skills

• Computer proficiency

• Multi-tasking skills

• Experience in call centers with high call volumes

• Ability to work under pressure

• Fully Bi-Lingual (English and Spanish)

• Social Perceptiveness

• Time management



Contact this candidate