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Service Representative Agent

Location:
Mobile, AL
Posted:
June 01, 2023

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Resume:

Detail-oriented professional with excellent communication, interpersonal and creative thinking skills. Aiming to leverage my abilities to successfully fill the vacancy at your company. Frequently praised as hardworking by my peers, I can be relied upon to help your company achieve its goals.

SUPERVISOR — BroadPath Healthcare

Tubac, AZ, June 2022 - Present

PROVIDER CUSTOMER SERVICE REPRESENTATIVE — BroadPath Healthcare Tubac, AZ, June 2021 - June 2022

MEMBER SERVICE REPRESENTATIVE — BroadPath Healthcare Tubac, AZ, December 2020 - June 2021

CUSTOMER SERVICE AGENT I — Sykes Enterprises Inc.

US, January 2020 - December 2020

Cory Poellnitz

Supervisor

Phone 251-***-****

Email adxggf@r.postjobfree.com

Address Mobile, AL 36608

• Notified employees of policy and procedure changes to promote overall compliance.

• Verified patient information on claims paperwork, checking for and preventing mistakes.

• Reviewed insurance policy coverage, determining validity of patient requests for claims. Provided customer service, such as limited instructions on proceeding with claims and referrals to auto repair facilities and local contractors.

Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.Determined liability, compensability and benefits due on each claim.Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.

• Verified and updated changes in patient, physician, or insurance to maintain proper billing.

• Gave accurate and appropriate information to answer questions, troubleshoot issues and resolve complaints.

• Communicated with patients by answering questions, providing helpful information and distributing paperwork.

• Reviewed insurance policy coverage, determining validity of patient requests for claims. Educated clients on how to navigate company systems and work within established frameworks to obtain desired services.Pursued opportunities to advance client relations skills and further enhance customer satisfaction in every interaction.Investigated and solved routine, complex and long-standing customer issues each day.Asked probing questions to determine service needs and accurately input information into electronic systems.Utilized active listening and communication skills to address customer inquiries and escalate issues to supervisor.

CAREER OBJECTIVE

EXPERIENCE

TECHNICAL SUPPORT REPRESENTATIVE (MENTOR) — Telenetwork Partners US, February 2017 - December 2019

CUSTOMER SERVICE REPRESENTATIVE — Sykes Enterprises Inc. US, September 2016 - February 2017

ASSOCIATE IN SCIENCE (A.S.) IN BUSINESS ADMINISTRATION

— Strayer University

Washington, DC, DC, Apr 2016

COMPLETED COURSEWORK TOWARDS GED IN GED

— Bishop State Community College

Mobile, AL,

Jerica Gamble — Millennia Properties

Regional Manager Co-Worker

Phone Number 251-***-****

Email adxggf@r.postjobfree.com

Laporsha Manzy — Manzy Slay

Beauty Salon Owner Friend

Phone Number 251-***-****

Email adxggf@r.postjobfree.com

TREASURY ASSISTANT — Arlington Street Baptist Street Church Mobile, Alabama, February 2012 - Present

Set up new desktop systems and configured laptops for incoming employees, loading required software and server permissions.Configured new employee work stations, including all hardware, software and peripheral devices.Recognized by management for providing exceptional customer service.Earned reputation for good attendance and hard work.Improved operations by working with team members and customers to find workable solutions.Train new agents how to troubleshoot internet, phone, and email issues.Train agents how to help new customers set up modems and connect devices to internet.

Evaluated customer account information to assess current issues and determine potential solutions.Informed customers about billing procedures, processed payments and provided payment option setup assistance.Created and implemented process improvements to reduce workloads and bolster callback efficiency.Documented conversations with customers to track requests, problems and solutions.Educated customers on special pricing opportunities and company offerings.Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations.

• Team Coordination • Senior Leadership Support

• Schedule Management • Business Administration

• Health Insurance Industry Knowledge • Medical Terminology

• Tracking Spreadsheets

• •

EDUCATION

SKILLS

REFERENCES

VOLUNTEER EXPERIENCE

• Help Church with all finance's issues.



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