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.

adz2g9@r.postjobfree.com

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.

Contact this candidate