Administrative Assistant Customer Service

Judith Hughes 412-***-****

**** ******* **., **********, ** 15227 ************@*****.***

Objective

Highly organized, competent, disciplined and particularly productive in business sectors. Recognized as an excellent problem solver and versatile team player with a demonstrated performance in listening, learning, and leading. Willing to work in any environment. Capable of maintaining superior performance in high stress situations.

Education

Geneva College Masters of Science Organizational Leadership

Beaver Falls, PA May, 2007

California University of PA Bachelors of Arts, Technical Writing

California, PA August, 1989

Employment

Home Depot Part Time Cashier

03/24 to 09/2024 West Mifflin, PA

•Assisted customers in the front end, the garden center, and the Pro Desk.

•Reviewed customers’ needs including payments, gift cards, military discount, alerting loaders for assistants with large items, such as hot water heaters or cabinets.

•Also responsible for learning and updating job skills.

The University of Pittsburgh/Bradford Administrative Assistant II

09/2023 to 02/2024 Bradford, PA

•Provided administrative duties for the Assistant Dean of Academic Success.

•Assisted other offices within the department with typing, faxing, incoming shipments, contacting different departments within the university, as well as taking minutes for meetings.

•Assisted with administrative needs for offices within the Office of Academic Success including ACTC, Academic Advisors, and Academic Coaches. Worked with TRIO as well.

•Provided direction to federal work study students, hiring and terminations as well. Trained and guided for supplies, other office needs on campus, and maintaining general office duties while meetings were in progress.

ConnectiveRx Benefit Specialist Promoted to Case Manager

12/2019 to 04/2023 Robinson Twp., PA

•Contacted insurance companies to attain patient’s benefits for medical drugs. Worked with drug company representatives to assure patients were receiving latest therapies for medical conditions.

•Assisted patients with learning how to get the newest therapies from their physicians.

•Worked with Clinical Educators, and specialists’ offices to assure the drug and titration therapies were being delivered to the patients.

•Reviewed for buy & bill, specialty pharmacy, per-certifications/per-determinations, completed forms for providers to complete and return to insurance companies.

•Worked with Care Central and Sales force to ensure providers were obtaining correct and complete Verification of Benefits (VOB). Triaged prescriptions for delivery to specialty pharmacies. Communicated with other case managers for positive outcome for the client.

Aetna, Inc., now CVS Health Appeals Analyst

08/2011 – 12/2019 Greentree, PA

•Two years proving excellent customer service for Medicare members. Addressed issues such as billing claims, and benefits. Recognized as a top performer working with the various departments of the Medicare network. Developed mentoring skills.

•Claims Help Desk. Assisted representatives with claims issues including ambulance, inpatient admissions, overpayments, Coordination of Benefits, reimbursements, etc. Reviewed claims suggesting which claims needed to be reworked or sent to appeals. Knowledgeable of ICD and ICD 10 as well as medical terminology.

•Appeals Analyst. Reviewed incoming requests entering information reviewing for correctness. Worked within CMS guidelines.

•Advised when clinical review could determine the outcome of the appeal. Explained the need for receipts, medical records, or referrals.

•Worked independently to meet all deadlines. Communicated with the members of the team by email and instant messaging. Used business etiquette when addressing all members, providers, and other analysts.

Verizon Wireless Customer Service II

08/2008 – 08/2011 Cranberry Twp., PA

•Provider excellent customer service to customers with billing, technical assistance, sales, and general inquiry for the nation’s leader in cellular service.

•Addressed billing issues including collections with customers. Provided the importance of maintaining billing as timely. Supported collections with notifications of paid accounts through check and credit card information.

•Stressed the importance of maintaining updates for Androids and updates for the iPhone. Assisted with general technical assistance.

•Top sales for customer service. Listened to the needs of the customers to help them determine the best phones for them. Presented the top phones available for the customers’ cost concerns.

References Are Available Upon Request

Contact this candidate