Customer Service Data Entry
Resume:
A'Keya Bolden
Colorado Springs, CO *****
*********@*****.***
To obtain an integral position within a company and excel in the clerical/receptionist and customer service industry that will utilize my skills and talents. Strategic thinker and planner that's able to anticipate the needs of the future. I have great enthusiasm and persuasive customer service skills. Great in receptionist skills, data entry, trouble shooting, inbound calling, out-bound calling, and advanced clerical duties.
My main objective is to seek stability in my career. Very versatile well rounded individual who would like to be in a position where I have the opportunity to step up in company, but in the mean time build myself to be a resonated leader and build my brand.
Work Experience
Remote Insurance Processors - Eligibility Analyst
Wipro-Tampa,Fl
October 2022- current
CIGNA:
Responsible for determining plan eligibility and enrolling members within CMS regulatory guidelines. Work to enroll members with incorrect/incomplete applications by performing customer, physician, and/or agent outreach and using support tools (MARx, State Medicaid, USPS). Process plan changes, cancellations, disenrollment’s within CMS regulatory guidelines. Complete membership revalidation and apply eligibility requirements for membership changes. Research and respond to eligibility inquiries via email and internal inquiry systems. Ensure all enrollment eligibility is reconciled and maintained in accordance Internal Medicare policies and procedures. Perform research and/or complete special projects as requested .
-HEALTH PLAN SERVICES/KASIER PERMANENTE:ELGIBILITY AND BENEFITS REP: Core Responsibilities:
Professionally handle incoming requests from customers and ensure that issues are resolved
both promptly and thoroughly.
Responsible for assisting an average of 45-55 callers per day---employer, insured, agent
Communicates policies, procedures, and benefits to employees, enrolled members, and employers. Interacts with staff in other departments to clarify and resolve eligibility problems presented by members. Maintains accurate eligibility records for individuals and/or assigned employer groups.
Lead supervisor/ Biller
Transit To Care - Springs, CO
October 2019- June 30 2022
Enter insurance referrals as needed.
Understanding and verifying Medicaid eligibility
Dealing with basic medical dialysis and methadone patients Non EMT
Payroll
Office management
Certified hippa
Medical Intake Rep, Evicore Colorado Springs
Cigna
August 2017- May 2019
• Approving and denying pre-certifications for companies like Aetna, Cigna, United healthcare and anumber of other health insurance companies.(inbound calls)
• Connecting nurses and drs to correct depts.
• non-Clinical team, manage the benefit needs of inbound callers from start to finish, while delivering excellent patient-provider care. Remain client - focused at all times, with the ability to independently resolve customer inquiries and complaints with one-call resolution. Cigna/Aetna/Husky non-Clinical team, manage the benefit needs of inbound callers from start to finish, while delivering excellent patient- provider care. Remain client - focused at all times, with the ability to independently resolve customer inquiries and complaints with one-call resolution. Cigna/Aetna/Husky
Office Assistant
FlexTec - Colorado Springs, CO
August 2016 to February 2017
• Forwards information by receiving and distributing communications
• collecting and mailing correspondence.copying information.
• Maintains supplies by checking stock to determine inventory levels placing and expediting orders,verifying receipt.
• Maintains equipment by completing preventive maintenance, calling for repairs.
• Serves customers by backing-up receptionist; answering questions; forwarding messages; confirmingcustomer orders; keeping customers informed of order status. Updates job knowledge by participating in educational opportunities. Retention specialist
comcast - Colorado Springs, CO
September 2012 to April 2015
• Troubleshooting
• Relating, identifying, and addressing customer concerns
• Using a thorough knowledge of our products, plans and packages.
• Upsell new XFINITY products/services that meet their unique needs. Executive customer relations advocate, bank
america (accountemps) - Broomfield,
CO May 2011 to December 2011
• Researching Declined home modification
• Reaching out to Lines of business
• Writing letters
P. Scott Lowery Law Firm
• Account Manager
• Regulating past due accounts
• Settling account out
House collector
Colorado Springs, CO
July 2010 to March 2011
Imperial Credit System
• Inbound and outbound calls
• Clients Chrysler financial and finance of America
• Managing customer accounts
• Maintain a daily goal
• Settling accounts out
• Basic clerical duties
Education
business and marketing
BLAIR COLLEGE - Colorado Springs, CO
November 2007 to March 2008
High school diploma or GED
Skills
• Administrative/clerical
• Clerical
• Receptionist
• Typing
• 45 wpm
• Billing
• Invoices
• Collections
• Technical support
• Excel
• Microsoft office
• Outlook
• Word
• Team lead
• Coaching
• Quality assurance
• Upselling
• Office Management
• Logistics
• Account Management
• HIPAA
• Medical terminology
• Filing
• Microsoft Excel
• Computer skills
Additional Information
Skills
Able to operate all of Microsoft office: word, excel, access, power point, and outlook Coaching and team lead abilities: experience in quality assurance Typing at 45 wpm +
Collections skills
The ability to sale
Basic technical support skills
Basic administrative/clerical/receptionist duties
Billing/invoices/collecting and breaking down billing
Contact this candidate