Customer Service Representative
Resume:
STEFANIE STEWART
SENIOR BUSINESS PROCESS COORDINATOR
CONTACT
*********@*****.***
Windsor Mill, MD 21244
ABOUT ME
Dedicated, hardworking, and reliable professional committed to a strong work ethic. I’m seeking a challenging, yet supportive position that utilizes my extensive analytical background and vast knowledge in healthcare operations. I’m a team player and strive to do my best. I am looking to grow with a company that has a supportive team culture.
SKILLS
Data Analysis; Strong interpersonal skills; Able to work collaboratively as part of team.
EXPERIENCE
UnitedHealthcare – Optum Health Care
Senior Business Process Coordinator 1/2020 – 8/2023
Maintain relevant operations information (e.g., SOPs; policies and procedures; process changes; problem resolution steps) within appropriate tracking and documentation systems
Trained co workers and other departments on new and existing processes that were created
Audit annual Medicare and Medicaid claims that were assigned and provided feedback on status team leads
Searched in Eye Manager system for benefits information for claims being audited
Conduct process mapping to define new business processes and/or identify potential failure points in existing business processes
Ensure reports and operational tasks are completed within stated deadlines and follow set policies and procedures
Monitor and/or report performance against contract service deliverables and/or Service Level Agreements (SLAs) with internal and/or external partners (e.g., clients; CMS; vendors)
Provider Data Specialist 8/2010 – 12/2019
Research claims, analyze issues, and reconcile discrepancies
Audit standard files, demographic information, rates, fee schedule applications, fee schedule builds, contract verifications (pre-mail), special project and other requests as assigned
Create contracts, which include amendments, e-contracts and multi-type contracts using policy and procedures
Complete weekly reports for the management team
Maintains accurate records and information management, such as prepares, generates and reviews paperwork to enter into systems
Make and receive calls to providers about contracts and other corresponding paperwork to correct any errors
Contacted healthcare professionals in regards to credentialing paper to verify information and enter into CAQH and CVone
Researched and data entry of credentialing information in CAQH and from paperwork.
BrightKey
Customer Service Representative 2009 - 2010
Analyze customer needs and assist with processing orders
Enter data into computer system
Reconciling payments, answering phones and general questions
Coding and entering orders, processing mail, packing order in the warehouse
Kelly Services
Customer Service Representative/Admin Assistant 2008-2009
Key responsibilities include but are not limited to answer phones, filing, copying, and Faxing.
Dispatched maintenance crew
Inform members about SECU products, assist with deposits, withdrawals and questions
Maintained and demonstrated knowledge of program specific protocols and guidelines
Service member's financial needs
Accurately process transactions, deposits or withdrawals
Accurately supply official checks to members
Answer member questions on products and services
Operate computer and navigate CuStar/TCCUS to process member transactions
Shimadzu Scientific Instrument
Customer Service Representative 2006 - 2008
Answering multiple phones in a call center setting (50 plus calls a day)
Data entry of sales orders and tech support calls, troubleshooting, RMA issuance
National Business Products
Customer Service/Accounts Payable 2005 – 2006
Managed Customer Service/Accounts Payable, take customer orders and enter in computer
Accounts Payable and Receivable, help with sales and enter furniture quotes
Administrative duties, research products for customers, print invoices and daily sales reports
Prepare packages for shipping via UPS or other services
SOFTWARE APPLICATIONS
Microsoft Word & Excel 365, Outlook 365, Adobe Reader, Nitro Pro, Doc360, SAP, Transcription Machine, Salesforce, AS400, VAS, Payspan, Eye Manager, CAQH, Business Objects, NPI Registry, CVOne
EDUCATION
High School Diploma
1999
Fort Meade High School, MD
REFERENCES
Available Upon Request
Contact this candidate