Sheila Johnson

*** ***** **** **, *****, South Carolina, 29069, US 843-***-**** adyayf@r.postjobfree.com Committed to building long-term relationships with customers in order to encourage repeat business and ensure customer satisfaction, by listening

to customers, meeting productivity goals, and staying current on company offerings are all skills she possesses. Training development aptitude

Data entry

Service standard compliance

MS Office proficiency

Good listening skills

Creative problem solving

Medical terminology knowledge

English Literature - Bachelor of Science - 1991

Voorhees University - Denmark, SC

Customer Service Advocate - February, 2017 to December, 2022 Blue Cross Blue Shield - Florence, South Carolina

I was responsible for providing Medicaid eligibility for patients in need of assistance while in a nursing home facility. I was also responsible for researching coverage types, payments, and patients out of pocket costs. When applicable, I provided documentation to the facilities at there request. If necessary, I called the facility in order to verify a request, or get additional information. All the instances had to be properly documented in numerous system, including the South Carolina Department of Health and Human Services databases. Claims/ Customer Service Representative IV - September, 1997 to March, 2018 Blue Cross Blue Shield - Florence, SC

I was responsible for providing adequate training and coaching to new hires as needed to help them handle all call center functions. I was also responsible for performing in-depth research on and providing status of pending, rejected and, processed claims, originating from providers and beneficiaries calls and correspondence. If necessary, I had to reprocess or make adjustments to medical claims, both professional, and institutional, as a result of receiving and returning calls in a call center.

PROFESSIONAL SUMMARY

SKILLS

EDUCATION

WORK HISTORY