Ayuna Giles
Excellent Customer Service
Representative
Experienced professional with a strong background in healthcare, possessing exceptional knowledge of
medical procedures, patient care, and a passion for improving healthcare delivery. Proficient in data analysis, problem-solving, and communication skills.
*************@*****.***
Murray, KY 42071
https://www.jobcase.com/profiles
/6yiNUxxMojf3uxmK6JaRAxn2
Work Experience
Prior Authorization Representative
Cvs Healthcare
September 2022 - May 2023
•Review and process prior authorization requests for medications and medical procedures
•Verify member eligibility and coverage for requested services
•Communicate with healthcare providers to obtain necessary clinical documentation
•Evaluate medical necessity and appropriateness of requested services
•Coordinate with internal departments to ensure timely completion of prior authorizations
•Maintain accurate and organized documentation of prior authorization activities
•Respond to inquiries and resolve issues related to prior authorizations
•Collaborate with pharmacy benefit managers and insurance carriers Sales And Service Associate
UHAUL MOVING AND STORAGE
November 2018 - April 2020 • Ray city, GA
•Provide exceptional customer service to all UHAUL customers
•Assist customers in renting UHAUL equipment and selecting appropriate storage units
•Handle cash transactions and maintain accurate financial records
•Answer incoming calls and address customer inquiries and concerns
•Coordinate and schedule UHAUL rentals and storage unit access
•Promote UHAUL products and services to potential customers
•Resolve customer complaints and issues in a timely and satisfactory manner
•Collaborate with team members to ensure smooth operations and exceed sales targets Front Desk Supervisor
Quality Inn By Choice Hotels
June 2017 - July 2018 • Tampa, FL
•Manage front desk operations
•Oversee and supervise front desk staff
•Ensure smooth check-in and check-out process for guests
•Handle guest inquiries, concerns, and complaints
•Train and evaluate front desk staff performance
•Maintain accurate records and reports
•Coordinate with other departments to ensure guest satisfaction
•Monitor and maintain the cleanliness and appearance of the front desk area
•Implement and enforce hotel policies and procedures Patient Care Advocate
Express Scripts
March 2013 - September 2016 • Hahira, GA
•Assisted patients with questions or concerns regarding their medication
•Provided exceptional customer service to patients and healthcare providers
•Accurately documented patient interactions and inquiries
•Worked closely with healthcare professionals to ensure quality patient care
•Managed incoming and outgoing calls efficiently and effectively
•Maintained patient confidentiality and adhered to HIPAA regulations
•Offered support and guidance to patients navigating the healthcare system
•Followed company protocols and guidelines to deliver optimal patient care
•Collaborated with the pharmacy team to resolve medication-related issues
•Updated patient records and insurance information as necessary Education
Lowndes High School
HIGH_SCHOOL
August 2000 - May 2004 • Valdosta, GA
General Studies
Licenses and Certifications
Customer service
Wiregrass technology college
May 2004
Basic and intermediate level customer service
Skills
Decision Making Time Management Exceptional Patient Care Multitasking Conflict Resolution Cash Management Dependable Persuasive Speaking Active Listening Team Player Stong Assessment Skills Great communication skilks Shipping and Receiving Traits
Communicator
I am able to effectively and respectfully communicate with superiors, colleagues, and staff. Accountable
I take responsibility for my actions and follow through on my promises. Dependable
I can be counted on to complete whatever task, objective, or job is needed. Dedicated
I am committed to the company"s success and loyal to the people and things I believe in. Goal-oriented
I focus on that which needs to be completed in order to finish a task, project, or job.