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Customer Service Representative

Location:
Rochester, PA
Posted:
August 05, 2023

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Resume:

VICTORIA J PARRISH

adyqo0@r.postjobfree.com 724-***-**** Ambridge, PA 15003

Summary

I have over 20 plus years experience in the healthcare field along with customer service roles. I looking for a company that offers personal and professional growth.

Skills

Credit card payment processing

Call Center Operations

Clerical support

Office equipment proficiency

Customer relations

Conflict mediation

Microsoft Office expertise

Problem-solving abilities

Inbound and Outbound Calling

Shipping and receiving understanding

High-energy attitude

Retail sales customer service

Adaptive team player

Stocking shelves

Ordering and stocking medications

Verifying orders

Resolving customer issues

Insurance Verification

Problem-solving skills

Supporting pharmacy operations

Insurance billing

Labeling prescriptions

HIPAA compliance

Understands medical procedures

Medical terminology knowledge

Medical terminology

Stocking supplies

Patient scheduling

Data entry

Communicating with patient families

Experience

Highmark Wholecare Pittsburgh, PA

Customer Service Representative

04/2022 - Current

Documented customer correspondence in CRM to track requests, problems and solutions.

Upheld quality control policies and procedures to increase customer satisfaction.

Asked probing questions to determine service needs and accurately input information into electronic systems.

Made outbound calls to obtain account information.

Answered incoming telephone calls to provide store, products and services information.

Analyzed customer activity to promote safe and secure environment.

Explained benefits, features and recommendations to maximize client retention.

Reviewed account and service histories to identify trends and resolve issues.

Answered customer questions and addressed concerns resulting in reduction in customer complaints.

Relayed customer feedback to cross-functional teams to improve products and services.

Upheld privacy and security requirements for customer information.

Rustic Charm Gift Shop PA

Owner/Designer

02/2013 - Current

Promoted business on social media platforms to maximize brand identity and generate revenue

Oversaw staff hiring, initiating new training and scheduled processes to streamline operations

Set pricing structures according to market analytics and emerging trends

Supervised performance of workers with goals of improving productivity, efficiency and cost savings

De-escalated problematic customer concerns, maintaining calm, friendly demeanor

Upheld quality control policies and procedures to increase customer satisfaction

Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions

Consulted with customers to resolve service and billing issues

Answered incoming telephone calls to provide store, products, and services information

Made outbound calls to obtain account information

Upsold products and services to address customer needs and maximize sales

Answered inbound calls, chats and emails to facilitate customer service

Set up and activated customer accounts

Answered customer questions and addressed concerns resulting in reduction in customer complaints

Trained new employees on procedures and policies to maximize team performance.

Med-Fast Pharmacy Aliquippa, PA

Pharmacy Technician/Billing Specialist/Insurance Verification Specialist

02/2010 - 02/2013

Requested scripts from doctors and verified insurance and coding

Teamed with peers, technicians and pharmacists to prioritize and complete orders

Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions

Interpreted and processed medication orders under supervision of pharmacist

Received and verified daily incoming drug inventories, reported discrepancies and logged items into inventory system

Refilled medications, offered insight into over-the-counter products and verified insurance benefits

Transmitted claims to insurance companies for payment and reconciled EOBs

Prepared prescription transfers to other pharmacies

Flagged potential side effects and allergies to prescribed medications for patients

Verified prescriptions and drug labels, documents, and packages

Maintained strict patient confidentiality to adhere to HIPAA regulations and avoid data compromises

Maintained clean and organized pharmacy shelving and work areas

Completed and filed patient paperwork, updating records in system with insurance carrier changes and allergy information

Prepared prescription labels, promoting accuracy in medication administration and dosing

Adhered to regulatory guidelines for workplace safety and customer confidentiality

Worked with insurance companies to process claims, resolve problems and obtain payments

Established and updated patient profiles, medications and insurance details

Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests

Compiled customer demographic, allergy and medical history background

Processed prescription transfer requests from competitors

Educated patients on prescription instructions and answered questions regarding drug side effects

Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills

Notified ordering providers of denied authorizations

Coordinated resolutions for issues and appealed denied authorizations

Collaborated with internal departments to provide account status updates.

Wexford House Nursing Center Pittsburgh, PA

Unit Secretary

01/2007 - 02/2010

Executed clerical tasks and assisted with unit duties to keep departments running smoothly

Managed unit call reception and routed calls to correct department

Provided patient information to facilitate timely admissions and discharges

Maintained strong and trusting rapport with patients and all healthcare staff to build relationships

Answered phone calls to provide assistance, information and medical personnel access

Monitored unit supply levels and notified management of ordering needs

Retrieved physicians' paperwork, including lab test requests

Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services

Transcribed doctors' orders, including medication and lab test requests

Conducted patient intake interviews to collect medical information and insurance details

Facilitated timely execution of lab tests and medication refills

Managed physician calendar, scheduling patient appointments and procedures

Oversaw collection of admission, billing and processing documents to meet organizational expectations

Interviewed patients to obtain medical information, weight and height measurements and vital signs to aid physicians with patient care planning

Addressed, documented and responded to incoming correspondences to address client queries

Updated group medical records and technical library to promote smooth office operations

Drafted and distributed memos and emails for entire unit.

Coventry Health Care Cranberry Township, PA

Customer Service Representative

01/2006 - 02/2007

De-escalated problematic customer concerns, maintaining calm, friendly demeanor.

Documented customer correspondence in CRM to track requests, problems and solutions.

Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.

Asked probing questions to determine service needs and accurately input information into electronic systems.

Consulted with customers to resolve service and billing issues.

Processed documentation and troubleshot discrepancies to build client rapport.

Escalated customer concerns, issues and requirements to supervisors for immediate rectification.

Made outbound calls to obtain account information.

Explained benefits, features and recommendations to maximize client retention.

Answered inbound calls, chats and emails to facilitate customer service.

Upheld privacy and security requirements for customer information.

UPMC Passavant Hospital - McCandless Pittsburgh, PA

Critical Care Technician

04/2002 - 04/2006

Maintained thorough, accurate and confidential documentation in electronic medical records.

Worked toward team goals of medical unit and accounted for department and system-specific metrics.

Evaluated intensive care patients, recognized and addressed complications and coordinated treatment with other members of critical care team.

Liaised between patients, families and care staff in care delivery.

Answered phones, scheduled appointments, greeted patients and ordered supplies.

Kept facility stocked with necessary supplies, equipment and instruments.

Verified appointment times with patients, preparing charts, pre-admission and consent forms.

Prepared patients for examinations, taking vital signs and updating medical histories.

Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions.

Assisted patients in preparation for examinations, assessing and recording vital signs.

Monitored medical supply levels to confirm sufficient stock, promptly placing replenishment orders before depletion.

Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.

Completed clinical procedures and gathered patient data for interpretation by physician.

Positioned patients for optimal comfort prior to procedures.

Education and Training

North Hills School of Health Occupations Pittsburgh, PA

Certificate in Medical Assistant

06/1996

Quaker Valley High School Leetsdale, Monaca, PA

High School Diploma

06/1990

Some College

Nursing



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