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Customer Service Representative

Location:
Fort Worth, TX, 76112
Salary:
open
Posted:
August 23, 2023

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Resume:

Rosalyn Hill

Fort Worth, TX, *****, US

Licensee Number: 202*******

Expiration Date: 5/31/2024

Summary

• Pharmacy technician with over years of experience in a Pharmaceutical setting.

• Process claims for patient to be covered by insurance

Education

2002

• Hazelwood East High, High School in English Language and Literature

Professional Experience

Express Scripts Holding Company

Aug, 2020 - May, 2023

Pharmacy Technician,

• Establish or maintain patient profiles, including lists of medications taken by individual patients.

• Prepare and process medical insurance claim forms and records.

• Compute charges for medication or equipment dispensed to hospital patients and enter data in computer.

• Verifying the insurance and check on prior authorization status.

• Answer telephones, responding to questions or requests.

• Price and file prescriptions that have been filled.

• Receive written prescription or refill requests and verify that information is complete and accurate.

• Give patient the common usage of medication

Express Scripts Holding Company

Apr, 2021 - Jun, 2021

Prior authorization specialist

• Process claims for patient to be covered by insurance

Express Scripts Holding Company

Aug, 2020 - Oct, 2022

Customer Service Representative

• Refer unresolved customer grievances to designated departments for further investigation.

• Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.

• Check to ensure that appropriate changes were made to resolve customers' problems.

• Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.

• Complete contract forms, prepare change of address records, or issue service discontinuance orders, using computers.

• Recommend improvements in products, packaging, shipping, service, or billing methods and procedures to prevent future problems.

• Determine charges for services requested, collect deposits or payments, or arrange for billing.

• Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.

• Review insurance policy terms to determine whether a particular loss is covered by insurance.

Family Dollar Stores,Inc.

Apr, 2017 - Jul, 2020

Assistant Store Manager (Management)

• Assist customers with their purchases

• Open and close store

• Interview and hire sales associates

• Receive product merchandise from vendors

• Place orders and supplies

• Daily inventory

• Unload truck and stock shelves

Mers Goodwill

May, 2014 - Apr, 2017

Manager of Applications

• Assign and review the work of systems analysts, programmers, and other computer-related workers.

• Purchase necessary equipment.

• Evaluate data processing proposals to assess project feasibility and requirements.

• Review project plans to plan and coordinate project activity.

• Meet with department heads, managers, supervisors, vendors, and others, to solicit cooperation and resolve problems.

• Develop and interpret organizational goals, policies, and procedures.

• Manage backup, security and user help systems.

• Provide users with technical support for computer problems.

• Recruit, hire, train and supervise staff, or participate in staffing decisions.

• Prepare and review operational reports or project progress reports.

• Direct daily operations of department, analyzing workflow, establishing priorities, developing standards and setting deadlines.

• Consult with users, management, vendors, and technicians to assess computing needs and system requirements.

• Develop computer information resources, providing for data security and control, strategic computing, and disaster recovery.

• Control operational budget and expenditures.

• Evaluate the organization's technology use and needs and recommend improvements, such as hardware and software upgrades.

Macy's, Inc. (Call center)

Aug, 2012 - Mar, 2016

Customer Service Representative

• Assisted expeditors with answering all questions to identify the best solution and opportunities

• Delivered effective selling behaviors resulting in high customer engagement

• Rolled out new company and store fulfillment process

• Managed implementations of new Bloomingdales Loyalty program

Blockbuster Video

Sep, 2004 - Jul, 2012

Assistant Store Manager (Management)

• Conferred with company officials to develop methods and procedures to increase sales, expand market and promote business

• Planned and coordinated advertising campaign and sales promotions and merchandise displays and advertising copy

• Instructed staff on how to handle difficult and complicated sales monitor sales activities to ensure customers received high quality of goods and services

• Formulated pricing politics for merchandise, according to profitability requirements

Gc Services (Call Center)

Aug, 2002 - Sep, 2004

Customer Service Representative

• Except payments and handle billing issues



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