GANELLE PHILLIPS
**** * *** **. ***#*, Coeur d''Alene, ID 83814
***************@*****.*** Phone 208/916-5436
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent customer service, time management and problem-solving skills.
SKILLS
●Customer Service Training
●Call Center Customer Service
●Retail Sales Customer Service
●Customer Complaint Resolution
●Escalated Calls Management
●Quality Control Understanding
●Multi-Line Phone Proficiency
●Attention to Detail
●Ability to Be Flexible
●Effective Problem-Solving
●Multitasking and Organization
●Documentation
●Time Management
●Advanced MS Office Suite Knowledge
●Data Entry and 10-Key
●Verbal and Written Communication
●Handling Confidential Materials
●Invoice Processing
●Accounts Payable and Receivable
●Bookkeeping/QuickBooks Profiency
●ICD-9/10, Medical Terminology
●Independent & Motivated
●Teamwork Skills
●Clerical Support
●Mail Handling/Postage Meter
●Office Machine Operation
WORK HISTORY
Express-Scripts - Remote
Resolution Specialist/Sr. Prior Auth Rep // November 2016 to March 2023
●Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
●Reviewed information for prior authorization requests and communicated via phone and email to resolve any issues.
●Evaluated clinical criteria for approval or denial for prescription drugs based on plan requirements.
●Maintained patient confidentiality and safeguarded medical records to avoid information breaches.
●Fielded telephone and email inquiries on authorization details from plan members, medical staff and clients.
●Input all patient data regarding claims and prior authorizations into system accurately.
●Helped team members develop skills and improve performance to maximize service and productivity.
●Excellent communication skills, both verbal and written.
●Identified issues, analyzed information and provided solutions to problems.
Liberty Mutual/Safeco Insurance
Customer Routing Coordinator // Liberty Lake, WA // June 2016 to November 2016
●Met customer call guidelines for service levels, handle time and productivity.
●Investigated and resolved customer inquiries and complaints quickly.
●Educated customers about billing, payment processing and support policies and procedures.
●Followed standard operating procedures when handling customer problems and complaints.
●Utilized basic troubleshooting techniques to diagnose and resolve customer inquiries.
●Recorded customer interactions, inquiries and comments in customer service database for traceability.
Yokes Grocery Store
Cashier // Post Falls, ID // July 2015 to June 2016
●Responded promptly to customer inquiries.
●Reconciled cash drawer at start and end of each shift, accounting for errors, and resolving discrepancies.
●Operated cash register for cash, check, and credit card transactions with excellent accuracy.
Walmart
Customer Service Supervisor // Post Falls, ID // May 2011 to April 2015
●Responded to customer inquiries through active listening and open-ended questioning to resolve complaints and increase satisfaction.
●Reconciled cash drawers at start and end of each shift, accounting for errors, and resolving discrepancies.
●Handled large sums of cash.
●Performed check cashing, MoneyGram and money order transactions.
●Supervised cashiers and associates; provided training, conducted performance reviews and disciplinary actions.
●Department Manager, Housewares
●Developed and implemented strategies to keep stock organized and reduce excess inventory.
●Stocked designated items on shelves, end caps and displays.
●Executed regular inventory counts and supply audits to monitor shrinkage.
●Updated merchandise pricing to match new values and special promotional rates.
●Labeled products, rotated stock and fronted merchandise for appealing display.
●Volunteered to assist with projects, demonstrating willingness to learn new tasks and increase skill levels.
●Operated equipment such as pallet jacks and hand trucks to move inventory.
●Completed physical inventory counts each week to avoid outs.
●Reset shelves to match planogram images and re-stocked inventory per instructions.
EDUCATION
No Degree/Core credits towards Associates - Health Administration
North Idaho College // Coeur D'alene, ID
Vocational Training - Medical Billing & Bookkeeping
Spokane Community College // Spokane, WA
Certificates - A/R, A/P, Payroll, Bookkeeping & Records Mgmt
Long Beach City College // Long Beach, CA