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Call Center Customer Service

Location:
Plano, TX
Posted:
August 10, 2023

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Resume:

PROFILE

Professional with excellent corporate experience in the areas of customer service and medical field. Excellent time management skills - deadline driven with the ability to prioritize and remain focused on detailed issues. Creative problem-solver with the ability to resolve conflict. Skilled learner in a fast-paced environment while working well under volatile situations. Motivated self-starter with excellent presentation skills to all levels of management and personnel. Driven to deliver excellent service to customers/patients, staff and vendors. Professional demeanor and excellent time management skills.

SKILLS

- HMS, EPIC - 10 key - Shift Flex

- MS Excel, PowerPoint, Word, Outlook - Data Entry 46 WPM - Call Center

- Remote call center

EXPERIENCE

Kelly Services Agency 06/21 to 12/21

Benefits Enrollment Rep

Remote Inbound call center dealing with benefits enrollment. Reponsible for all inbound calls and some followup due to nature of call and issue of customers. Enrollment of medical, dental and vision plans and other elections as follow to purchase if needed. Making sure customer is enrolled in elections by end confirmation of

benefits.

Robert Half International Agency 07/19 to 5/21

R1 Services Customers Services Rep

Remote inbound call center responsible for all inbound calls, and followup on request by customer due to change of information and appeals. Responsible for update to account and appealing billing followup due to missed information due to billing questions. Assist with payment to accounts and payments plan.

Robert Half International Agency 05/18 to 06/19

Walgreen Mail out Pharmacy

Customer Service Rep

Inbound call center for mail out prescriptions for specialty medications, and orders called in by doctor office for refill, ensure accuracy of patient and medications being refilled, and all personal data information being accuracy before delivery of medications being refilled and as well as incoming medications.

Manpower Irving, Tx 04/17 to 03/18

Conduent Data Entry

Data Entry of Dental Claims for BCBS

Processing dental claims for payment and researching claims for processing a second time if not paid within 60 days.

Tevita Call Center Dallas, TX 05\18 to 02\19

Metro PCS Phone Service,

Porting phones numbers in and out, and extending phone service when needed, checking,

rate plan, adding features. Taking bill payment, troubleshooting any problem with phone service, and making sure we document according to each call

FEMA Richardson, Tx 09/2017 to 11/2017

Customer Service Intake Registration

Managing packets intake information from disaster victims affected by hurricane

Checking intake information when called by victims, for approval or denial

Contacting case coordination for any addition information

Baptist Health Medical Center - Little Rock, AR 09/2014 to 06/2016

Call Center Specialize I

Responsible for obtaining and document all pertinent information from callers

Demonstrate proficiency in the use of telemedicine equipment during telemedicine consults

Provide excellent customer service and offer client support via telephone

Answer inbound calls and direct them to outbound facility with proper codes

University of AR for Medical Sciences - Little Rock, AR 7/1991 to 10/2012

Administrative Specialist

Provided administrative support for staff with routinely updated patient medical records

Answered telephones and/or coordinated appointments, referrals, consults, tests and/or procedures

Maintained patients medical records with consistent medical diagnosis

Financial Counselor/ Medical Billing Specialist

Verified insurance coverage and responded appropriately to the requirements of third-party payers

Responsible for timely and accurate posting of payments and adjustments to all patient accounts

Interpreted the explanation for benefits (EOB) and balance transfers

Responsible for implementation of the financial clearance policy for insurance precertification

Assisted patients in making payment arrangements

EDUCATION

May 2015 Pulaski Technical College Associate Degree of Liberal Art North Little Rock, AR



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