Service Representative Customer
Resume:
Randea Williams
Roselle, NJ
***************@*****.***
A position in a results-oriented company that seeks an ambiGous and career-conscious person, where acquired skills and educaGon will be uGlized toward conGnued growth and advancement. Authorized to work in the US for any employer
Work Experience
Patient Service Representative
Tegria RCM - Remote
September 2022 to Present
My responsibilities are to verify patients coverage prior for upcoming appointments, answering phone calls from patients, attorneys, insurance agents to assist with all billing questions, process patient payments and refunds for overpayments.
Review and explain explanations of benefits.
Healthcare Customer Service Representative
Evolent Health - Remote
November 2019 to August 2022
In this career, my responsibilities are to answer phones, resolve patient and provider insurance claims or questions related to medical care, benefits information and payments. Direct patients and provides to the proper resources for further assistance with their issues outside of our department. Scheduling Coordinator
Allegheny Health Network
October 2017 to December 2019
Maintained scheduling of appointments and managing patients schedules, and assisting with billing and collections. Liaise clinicians in the field and adjust their schedules based on duration of previous appointments. Managed scheduling of all procedures, appointments and surgeries for several facilities. Provide exceptional customer service to all clients. Ability to utilize software programs and electronic tools and resolve customer inquiries. Ability to utilize 3 separate systems to resolve all calls. Proficient in Excel and client scheduling software.
Medical Insurance Verification Consultant
CVS Caremark
July 2014 to October 2017
Verified medical insurance eligibility, performed prior authorization, contacted insurance companies and assisted patients and healthcare providers. Answered high volume inbound calls and emails per day and directed to designated individuals or departments. Processed prescription refills, holds, new request and payments. Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations. Making outbound calls to medical doctor's offices and pharmacies to assist members with prescription needs.
Executive Assistant
Bank of America - New York, NY
April 2012 to June 2014
Coordinated with American Express corporate travels, Prepare daily expense report to ensure corporate card balances were maintained, maintained and organized several executive Appointments calendars for internal and external conferences meetings and other business related functions
Education
High school or equivalent
Grover Cleveland High School - Ridgewood, NY
June 2005
Skills
• Customer Service
• Medical Scheduling
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