Service Representative Customer

Tracey Flores

Customer Service Representative

Jacksonville, FL 32244

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

216-***-**** I have 8 years of work from home experience, and would like an opportunity to with your company. Authorized to work in the US for any employer

Work Experience

Customer Service Representative

Optim Rx

I was indexing Prior Authorizations that were sent in from provider’s offices.

I was calling members and providers to make then aware of denials and approvals of the prior authorizations

Cardinal Health

Sr. Customer Service Agent October 2021-current (Rehire)

I am skilled in placing orders in queue 42, 56, and currently due 73, and also Q42. I help customers with there return, lost packages and reaching out the delivery services to update customer’s address, also sending out return labels, and assisting with the customer’s online accounts, logging in, resetting passwords and how to navigate once in their accounts, I assist customers with bills that have been received, review their job, put in for refunds, take payments over the phone for past balances.

Willis Towers Watson - Jacksonville, FL September 2020 to February 2021

Work throughout open enrollment for retirees aging into Medical or already on Medicare Informing participant of their HRA benefits, reimbursement payments, troubleshooting the Medicare website with the participants, reviewing insurance plans, checking statuses of reimbursements, walking participants through the reimbursement forms, providing processing times, adding authorized representatives, power of attorneys.

Customer Service Representative

AmeriHealth Caritas - Jacksonville, FL November 2019 to January 2020

This was a contract position for Amerihealth Caritas, I was a customer service representative assisting new Medicaid member with their health screenings

Customer Service Representative

Prime Therapeutics - United States April 2018 to June 2019

Pharmacy Benefit Manager and Member Service for BCBS, Florida Blue, and Regence members who have Medicare or Commercial plans. Assisted pharmacies with rejected claims, vacation overrides and billing questions. Answered members questions regarding medications not being covered by their plan and also looked for generics medications for the members.

Customer Service Representative

InComm-Jacksonville, FL

November 2017- March 2019

This was a contract position. I would assist customers with their gift car issues, research the issue, activate and replace lost or stolen gift cards, create tickets for incorrect activation of the gift card, and also escalate call to supervisor is need be.

Customer Service Representative

OptumRx United HealthcareGroup- Jacksonville, FL

September 2016- September 2017

Refilling mail order prescriptions for current United Healthcare members, setting up new accounts for new members, taking phone payments for copays, providing insurance information, explaining billing procedures for deductibles, copays, and out of pockets expenses, and also entering new prescriptions for new members signing up for mail order of their prescriptions.

Medical Customer Service Representative

EdgePark/Cardinal Health- Twinsburg, OH

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