MELISSA DOLLY
Hanford,Ca ***** 559-***-**** adx2tb@r.postjobfree.com
PROFESSIONAL SUMMARY
A highly talented, detail-oriented Remote customer service advocate with experience in healthcare networks providing exceptional support and ensuring projects are completed on time and with extreme confidentiality. Strive in fast-paced, virtual environments following established procedures and practices to exceed all customer expectations. Experienced in creating an effective, organized environment in which I can excel at focusing time on providing top-level client support, resolving issues, and developing relationships to ensure loyalty and growth. Unique skills set offering exceptional organizational/administrative skills combined with ensuring 100% customer satisfaction.
CORE PROFICIENCIES
●Proficient in navigating multiple screens and entering important information during calls
●active listening
●Review EOBs and initiate appeals
●Identify and correct billing errors and process payments
●Experience with computer(Excel,windows,IDX etc)
Knowledge of CPT, ICD9 codes
EXPERIENCE
Medicare Customer Specialist AETNA/CVS PHARMACY, Remote, USA 01/2021-08/2022
●Utilize problem-solving skills to resolve customer issues and enhance service levels.
●Express compassion and empathy while developing strategic solutions for solving problems and addressing unsatisfactory customer experiences
●Resolve issues as a single point of contact based on phone calls
●Educate and assist members on various elements of benefits, claims, and billing.
●Mid to High volume inbound calls
●Heavy Data entry with emphasis on adherence
●Complete forms in accordance with company procedures
●Post or attach information to medical claim files to be completed.
●Provided outstanding customer service, data entry, and processed orders for multiple clients exceeding all customer service expectations.
NELSON CONSTRUCTION CORP • Fresno, CA 09/2014 - 04/2020
●Perform general clerical tasks and administrative responsibilities as needed
● Frequently Screen and answer calls, emails, and correspondence with professionalism and in a timely manner
●Handle petty cash amounts up to $2500.00, Maintain inventory log, and purchase supplies as needed
●Create presentations and reports using Word/Google Platforms
●Write emails and transcribe notes, Answer Interface with clients, builders, buyers, project teams, and vendors
●Schedule and complete Walk thru appointments with buyers Manage expense report
EDUCATION
●Hanford High School Diploma 1996
●Real Estate School of Southern Nevada License 2001
●Bakersfield Community College Psychology 2022-Present