Customer Service Rep

KIMBERLY BYRD

** ******** ***** ********* **, ***16 · 770-***-****

****************@*****.***

A hard-working individual looking for a customer service position where I can showcase my skills. Very passionate about creating a positive customer experience. Keen to use my communication skills and problem- solving attitude to provide excellent service.

EXPERIENCE

APRIL 2020 – JAN 2023

CASHIER/CUSTOMER SERVICE, WALMART

Provides member service by acknowledging the member and identifying member's needs; assisting members with purchasing decisions; locating merchandise; resolving member issues; processing members purchases; assisting with self-check out; arrange and organize merchandise; stock merchandise

MAY 2018 – FEB 2021

CLAIMS ADJUSTER, INTERGRATED HOME HEALTH

Data entry; analyze and adjudicate claims; check authorizations and member insurance coverage

MAY 2012- MAY 2018

CLAIMS ADJUSTER/PROVIDER-MEMBER SERVICE, WELLCARE HEALTH PLAN

-Member Service Rep responsible for changing pcp’s; checking authorization status and cpt codes; processing otc orders; filing grievances and complaints

-Provider Service Rep responsible for verifying benefits; authorizations; claim status; member eligibility

-Claims Adjuster Responsible for processing claims; assisting providers with denials; work closely with authorizations; audit claims

EDUCATION

JUNE 2007

HIGH SCHOOL DIPLOMA, BOYD ANDERSON HIGH SCHOOL

2

SKILLS

• Excel

• Micrsoft office

• Time Management

• Customer Service

• Medical Billing

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