Customer Service Representative

Location:

Posted:

August 13, 2023

LINDA HICKS

C: 775-***-**** E-mail: adywh6@r.postjobfree.com

‘Objective Seeking a full-time Patient Access Representative position to further build my skill sets.

} bring over 10 years experience in Health Benefits Customer Service roles and

specialize in claims and billing statuses.

Experience

(09/01/2019-02/09/2023)

S: Andrea Rodriguez

40 Hrs/ $16.50 HR

Position Title: Customer Service Representative

Company: Optum Services

Address: 4 Walnut Grove Dr.

Horsham, PA 19044

Responded to incoming calls from our customers on issues related to benefit eligibility questions and dental

benefits and status inquiries. Guided and educated callers on their dental benefits and the use of plans, formulary,

plan premiums and status of orders and claims or inquiries. Asked appropriate questions and listened actively while

documenting required information in computer systems. Responded to customer request offering excellent

support and tallored recommendations to address needs. Participated in team meetings and training sessions to

stay informed about product development. Referred patients to outside sources if the facility is unable to meet

their needs. Researched claim status and communicated the reasons for the claim status to the patient. EXAPMLE:

Using communication skills to gather information to look up a customer's claim in Workforce and read and

fesearched the claim notes and explained the outcome to the member. Once the interaction was complete,

entered my notes in MACESS.

Position Title: Customer Service Representative (2014-2017)

Company: Hometown Health/ Renown S: Teresa Fox

1000 Ryland St. Phone:775-***-****

Reno, NV 89502 40 Hrs/$16.50 HR

Interacted with customers to resolve complaints, process orders, and answer benefit questions. Educated

customers about plan fundamentals and benefits of consumer driven health care. Guided them on topics such a:

selection of the best benefit plan options and maximizing the value of their health plan benefits. Identified soluti -

and steps to customers, Pharmacies, and physicians with prescription orders and reorders. EXAMPLE: Using oh

Education

Diploma Elk Grove School District, CA

References: References #1:Lenora Browne (252)-658-743 -Tinis illii

Bras cee (252). 6 Reference #2:Tinisa Williams 775-***-****, Reference