Service Representative Data Entry
Resume:
Melissa Borrero
267-***-**** **********@*****.***
Skills:
● Proficient in Microsoft Word, Excel, Outlook, and PowerPoint
● Operating multi-line switchboards
● Bilingual in English and Spanish
● Filing, faxing, scanning, and copying
● Ability to type 45 wpm
● Sharp accuracy and high attention to detail
● Ability to maintain equanimity under stress
● Collect, organize, analyze, and interpret data
Professional Experience:
AmeriHealth Caritas 09/2020 - 10/2022
Bilingual Operation Specialist Philadelphia, PA
● Answer high-volume incoming calls from members and providers
● Verify HIPAA and PHI prior to disclosing eligibility information
● Assist callers with all inquiries within first-call resolutions
● Submits and process request within company policies and timeline
● Transcribe conversations into the system as stated in company policy
● Inform clients of services covered in insurance policies
● Provide updates on any prior request submitted
GRB Law 06/2017 - 11/2019
Bilingual Customer Service Representative Philadelphia, PA
● Answer incoming inquiries and forward them to appropriate associates.
● Schedule appointments for attorneys in practice
● Input intake forms into multiple systems
● Process phone intake for new consumers
● Submit billing, coding, and balance reports
Dell Results 10/2016 – 5/2017
Bilingual Customer Service Representative Blue Bell, PA
● Assisted customers in the acquisition department
● Provided information on various Medicare for New York residents
● Processed inquiries for prospected Medicare members Home Health Aide 03/2013 –8/ 2016
Ponce, PR
● Provided support by providing housekeeping
● Monitor the patient’s physical and mental condition
● Administer medication as needed
● Assist with medical and daily activities.
Seguros Multiples 03/2011 - 01/2013
Customer Service Representative Ponce, PR
● Assisted consumers with insurance inquiries
● Scheduled appointments for in-office consumer visits
● Managed a high-volume workload within a productivity requirement
● Organized appropriate insurance plans per consumer needs
● Answered a high volume of incoming calls, e-mails, and voicemails within the company policy time frame.
Border Com International 12/2009 - 02/2011
Recruiter Miramar, FL
● Recruited students for Information Technology Courses.
● Created packages, monitored, and distributed resource materials for student recruitment and retention programs.
● Scheduled student
● Assisted students with payment plans, via phone or in-office.
● Developed strategies for program progression and evaluation of students. The Signal 09/2007 - 11/2009
Customer Service Representative Philadelphia, PA
● Processes payments for customers over the phone
● Interpreter for Spanish customers
● Data entry
● Processed insurance claims
● Assisted customers with troubleshoot inquiries
● Provided training to new trainees on proper company protocol for tracking customers' claims.
Mobile One 05/2004 - 08/2006
Customer Service Representative Hallandale, FL
● Processed payments and handled insurance claims.
● Process customers' insurance claims in the system. Advice on protocol and time frame.
● Acquired payment from members as needed to be reflected on the account.
● Opened customer accounts by recording account information.
● Maintained customer records by updating account information.
● Resolved customer dissatisfaction by providing information or service inquired
Education:
Schenk Conservation Center - Brevard, N.C. - GED
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