Service Representative Data Entry
Resume:
Kim Sharie Renfrow
Goodyear, Arizona *****
********@*****.***
PROFILE
Pursuing a career as a Healthcare Service Representative, bringing over six years of related experience and over 20 years of Customer Service.
SKILLS/ABILITIES
• Leadership
• Time Management
• Call center/high volume phones
• Excellent follow-through to resolution
• Ability to develop relationships & trust
• Outbound marking calls for promotions
• Multi-tasking, organized
• Ability to work independently or with a team
• Excellent customer service skills
• Knowledge of Healthcare policies and procedures
EMPLOYMENT
December 2022 Satellite Healthcare/Wellbound
to Current Verification/Authorization
Specialist Mesa, Arizona
• Utilizing computer technology applications (QMS, Patient 360, Spin)
• Data entry
• Making outbound calls
• Navigating multiple systems
• Verifying multiple insurance plans (Medi-Cal, Medicaid, Commercial, Medicare, etc)
• Submitting authorizations
• Updating patient demographics
• Call center environment
July 2022 to State Farm
December 2022 Claims Specialist Phoenix, Arizona
• Utilize computer technology to handle in and outbound calls
• Review police Reports & photos
• Take recorded statements from all involved parties
• Analytical thinking
• Gather facts of loss to determine liability
• Attention to detail
• Multitasking while utilizing several systems
• Able to use and understand available resources
January 2021 to Optum Care
September 2021 Service Advocate Phoenix, Arizona
• Utilize computer technology to handle high in-bound call volumes
• Answer provider and member calls regarding claim issues, eligibility, benefits, and prior authorizations
• Data entry, call documentation
• Research/verify pertinent information
• Review EOC and EOB’s
• Provide overall excellent customer service
July 2015 to
January 2021 United Health Care Phoenix, Arizona
Strategic Account Service
• Utilize computer technology to handle high in-bound call volumes
• Answer provider calls regarding claims, eligibility, benefits and authorizations
• Data entry, call documentation
• Create authorizations
• Provide details of a processed claim, send the claim back for further review if processed incorrectly
• Research/verify pertinent information
• Process fax transmissions
• Review Explanation of Benefits (EOB’s) with customers
• Answer any provider inquiries, provide over all excellent customer service
January 2015 to Delta Management Associates Phoenix, Arizona June 2015 Collection Specialist
• Utilize computer technology to handle out-bound calls
• Updating demographics
• Processing payments
• Script tracing to locate account holders
• Adhering to FDCPA compliance regulatory
• Explaining products, services, and benefits of the program
• Using multiple systems to navigate through accounts
• Completing verification process to identify the safety of clients account information
• Answering any customer inquiries and providing overall excellent customer service
November 2002 to Wal-Mart Sacramento, California
May 2014
Customer Service Representative
• Resolve customer complaints via phone
• Use telephones to reach out to customers and verify account information
• Greet customers warmly and ascertain problem or reason for calling
• Assist with placement of orders, refunds, or exchanges
• Advise on company information
• Gather payment and other pertinent information
• Answer questions about warranties or terms of sale
• Suggest solutions for malfunctioning product
• Handle product recalls
• Attempt to persuade customer to reconsider cancellation
• Sell products and services
• Utilize computer technology to handle high call volumes
• Work with Customer Service Manager to ensure proper customer service is being delivered
EDUCATION
Stockton School for Adults, Stockton, CA G.E.D
Claims Adjuster License #W895573
DeVry University (no degree earned)
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