Customer Service Prior Authorization

Summary

Highly skilled and productive customer service professional with over 30 years of experience in customer service, banking and sales. Proven experience building relationships and providing customer support in busy and fast paced environment. Hard working and detail oriented with excellent communication and time management skills. Unwavering commitment and dedication to customer satisfaction.

Skills

Excellent data entry and typing skills including ability to type 40 wpm.

Computer savvy with working knowledge of Microsoft Word, Outlook and Excel.

Excellent communication and phone skills.

Successfully conduct side-by-side training of customer service associates.

Professional Experience

Prior Authorization Representative: Alorica: Cedar Rapids, IA 08/2016-current

This is a work at home position.

Stay up to date on policies and procedures of medication changes.

Resolution Specialist, Take calls from agents to helps solve questions on Prior Authorization

Sorting faxes into patients accounts from doctors offices and pharmacy's

Take calls from doctor’s offices and run prior authorization on medications.

Take calls from pharmacies to check on updates.

Process faxes from doctor’s offices for medication prior authorizations.

Speak with members about what is needed to get medications approved.

Recruiting/Orientation Liaison: West Side Transport Cedar Rapids, IA 04/2014-01/2016

Was responsible for employment verification's and background searches on prospective drivers.

Allocated time to do more extensive research for potential companies on google.com or on 411.com.

Ordered and evaluated MVR, criminal, and CDLIS reports for the background and driver information to pre-qualify prospective drivers for employment at West Side Transport.

Gathered new employee paperwork and created driver files. Responsible for follow-up with new drivers regarding missing new hire paperwork during orientation.

Handled special projects for recruiting, safety, and driver retention.

Delivered the daily mail and FedEx.

Receptionist: Baxter: Biolife Plasma Services Cedar Rapids, IA 5/2013 to 04/2014

Greeted donors as they came into donate plasma.

Answered incoming calls to explain how to become a new donor.

Set appointments for new and existing donors.

Filled out paperwork so donors could transfer to different centers.

Filed donor charts.

Customer Service Representative: U.S. Cellular Marion, IA 8/2010-8/2012

Responded to inbound customer calls with the highest standard of professionalism and courtesy, addressing customer issues and assuring that quality standards were met on every call.

Researched and resolved a wide variety of customer questions/issues.

Conducted thorough customer needs analysis and provided value driven recommendations of products and services.

Maintained strong knowledge of all company products and services.

Processed customer requests and credits/adjustments to customer accounts.

Collaborated with other U.S. Cellular associates, departments and functions in a professional and courteous manner.

Provided troubleshooting for first level wireless technical issues.

Customer Service/Sales: Alliance Claim Solutions/Auto Glass Center 7/2007-7/2010

Took insurance claim calls.

Researched and quoted glass prices.

Scheduled appointments.

Sold windshield care products regularly exceeding sales quotas.

Early Career

Retail Banker: Commercial Federal Bank, Cedar Rapids, Iowa

Accurately answered customer questions on accounts face to face and over the phone, opened checking and savings accounts for new and existing customers, opened certificates of deposit, balanced vault daily and ordered cash twice a week, trained new employees for teller line duties by showing them how to run teller transactions, balance cash drawer, and resolve questions on customer accounts.

Education

Jefferson High School Cedar Rapids, Iowa

Customer Contact Training Program 2005

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