Kim Sharie Renfrow

Goodyear, Arizona *****

916-***-****

adxbna@r.postjobfree.com

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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