Customer Service Data Entry
Resume:
Adrian Chaney
**************@*****.***
OBJECTIVE
Seeking an entry-level position in administration, benefits verification and customer service that will utilize my leadership experience, clerical skills and customer service representation.
EDUCATION & Training
University of New Orleans, New Orleans, LA Pre-Elementary Education/Art, August 2004
Delgado Community College, New Orleans LA Early Childhood Education, August 2000-May 2002,
Francis T. Nicholls High School, graduate 1990, New Orleans, LA
CERTIFICATE
Professionalism, Literacy, Growth and Development
EXPERIENCE
Express Employment-Veriforce March 2025 - Current
Sending out contracts to contractors for Coca-Cola Products
Emailing contractors
Outbound call to contractors about activating their account
Continuum Global Solutions (Medicaid and Medicare of California MediCal) June 2024-March 2025
Benefits Verification
Taking payments
Inbound calls to assure members are enrolled with benefits for the plan year
Apex Systems/DMV (Department of Motor Vehicles) Contracted from February 2023-June 2024
Collisions by assisting the callers with their collision report and assisting them with obtaining the reports needed
Claims & Total Loss application, status, inputing the information, processing the claim, completing full Claim Investigation
DL (Driving License) CDL ( Commercial Driving License) Assisting callers with applying for and renewing all licenses, giving updated DOT Physical status, Uploading and Data Entry of licening information
Disability Placards assisting the callers with their placard inforamation as well as Data Entry to start the process of receiving and renewing placards
Processing payments and reimbursements
Set up Subrigation, Total Loss training remotely multi-state region
Benefit Verification Specialist Amerisource Bergen 4 Month Contract from – October 2022 – February 2023
Outbound calls to insurance payers to update patient benefits, eligibility, and prior authorization
Create and update patient medical and pharmacy cases
Data entry
Fax updated patient profiles to medical providers
Input information into patient profiles to ensure patients gets treatment
The VOB Specialist ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor
Updating patient benefit information in MAP’S insurance system and verifying that existing information is accurate
Complies medical insurance verification of benefit and eligibility information
Ensures verification of benefit and eligibility information obtained from payer/insurance company is accurate
Inability to obtain a verification of benefit or incomplete information is reported to manager immediate
Responsible for daily reporting of verification of benefits activities
Prepares and maintains individual patient file, documentation is electronic HIPAA compliant
Represents company in a professional manner at all times
Keeps current with third party/payers guidelines
Guest Relations and Customer Service Representative 3 month Contract from – October 2022 – January 2023
Apex Systems/FEMA
Assisting customers with questions, concerns, and complaints
Application intake
Status of their FEMA claims and the processing times for payments
Missing information on application status
Policy and Procedures strictly enforced as well as HIPAA and Government Guidelines being met as well as ONA
Benefit Verification Specialist & Member Service Representative – June 2021 to November 2022
Capital Staffing – Vantage Health Plan Medical Member Services Representative
Medical Claims
Assisting customers with questions, concerns, and complaints; acknowledging and resolving all issues promptly and professionally
Benefit Verifications
Providing explanation of member benefits, looking up and quoting CPT codes and claim status.
Processing over the phone payments
Assisting with provider inquiries
Answer Member Services’ calls by the 2nd ring.
Ensuring the caller’s are not placed on hold for long periods of time and answering calls within 2 minutes of entering into the queues
Determine and classify nature of calls by components of grievances, appeals, and/or coverage determinations are handled appropriately
Assisting with enrollment, responding to voice mail calls, responding to Member/Provider/Inquiries email request on the day the e-mail was received.
Researching copay needed within the day of the request, researching any bills that a member has received and respond back within 48 hours of notification.
Completing workflow via FaxCom daily with follow-up on V-Tasks to ensure timely response to customer’s inquiries.
Completing weekly breakdown of member/provider/broker/inquiry calls for auditing purposes as well as review weekly audits provided by the Member Service Auditors. Reconcile monthly language Line Usage with the invoice.
Marginal Duties:
Appeal claims on behalf of members and providers, and provide follow-up once resolution has been determined
Assist Production Enrollment as needed
Assist Marketing as needed
Other duties as assigned like CMS Test Calls and Language Line Calls.
Assistant Manager Trainee - November 2020 to May 2021
CVS Corporation
Opening and closing the store
Daily and nightly depositing and paperwork from the business day
Customer service
Assisting in the pharmacy with refills, cashiering and data input
Following all HIPAA Compliance
Remote Pharmacy Customer Service Representative - August 2020 to November 2020
CVS Caremark-BroadPath
Assisting customers with all they medical questions
Helping customers with prescription refills
Describing benefits to the customers as well as giving information as to the best provider for them
Ordering customers prescriptions
Remote Medical Customer Service Representative - December 2019 to August 2020
Robert Half Incorporation
Providing superior quality service to our clients
Utilize proprietary software to log conversations with customers and to document actions taken
Responsible for answering 30-40 inbound phone calls daily
Assist customers by offering information on products/services or referring them to the department that is able to follow-up on designated issue
Send out follow-up correspondence to customers with detailed information of issue resolution
Assist with collection of payment via outbound calls
Maintain customer records and update customer accounts
Human Resources Administrative Assistant - October 2017 to December 2019
Ellisville State School
Campus Police payroll
Answering incoming calls
Scheduling and making appointments for my boss as well as new hires
Responsible for all filing and binding of new hire paperwork
Responsible for all office supplies ordering and dispensing supplies
Checking the mail as well as sending out all mail and monthly calendars sent out company wide
Operating the communication switchboard
Doing procurements and certification for Campus Police
Accounts payable and receivables
Assistant Manager - February 2017 to October 2017
Burger King Corporation
Responsible for Payroll Exception
Responsible for crew-member scheduling
Responsible for opening and closing of business operations
Responsible for cash drawer count and daily and nightly deposits
Responsible for front line and back line operations
Assistant Manager – August 2017 to October 2017
Taco Bell Corporation
Responsible for opening and closing of business operations
Responsible for front line and back line operations
Responsible for Payroll Exception
Responsible for crew-member scheduling
Responsible for cash drawer count and daily and nightly deposits
Data Entry Specialist – December 2014 to August 2016
Hattiesburg Medical Park
Data Entry
Editing, Proof-Reading Documents, Updating Web Information
Filling, Typing, Telephone correspondence, Ordering Office Supplies
Front Desk Receptionist
Team Lead Sales Representative – November 2013 to December 2014
Bath & Body Works
Daily deposits
Sales Floor Staff Manager
Assisted in the successful planning and implementations of department and organization goals-
Collaborating with colleagues and leadership
Community Relations Specialist/Marketing – October 2011 to November 2013
Avatar Home Health Agency
Responsible for marketing products within five regions & Community College Job Fairs
Scheduled meetings and doing presentations to Doctors, Assisted Living Facilities as well as Nursing Homes to demonstrate to the potential customer what the company offers to their patients and loved one’s
Distributed literature materials
Responsible for PowerPoint Presentations and booklets Prepared expense Reports
Property Manager – January 2009 to present
Ace Management
Manage the operations of the building as assigned which includes supervisor of Assistant Manager, and Maintenance staff and ensure completion and quality of service provided
Assist in lease ups of units. Maintain a high level of occupancy for the property
Ensure that all property staff adhere to corporate policies and procedures and respond to all resident requests or complaints in a timely efficient and courteous manner
Recruit, hire, train, and manage the performance of associates
Team Lead Management – January 2009 to June 2010
Target Corporation
Interviewed and Oriented New Hires
Coordinated Shift Schedules
Responsible for Evaluations
Covered Shift duties (as needed)
Demonstrates knowledge of Innovative Solutions and Quality Improvement process
Front-Line Customer Services (as needed)
Rural Carrier Associate (Substitute Mail Carrier) – April 2007 to October 2009
United States Postal Services
Sorted and delivered mail
Scanned Certified Mail and Packages
Recorded mileage for reimbursement
Demonstrated knowledge and compliance with the Code of Conduct and Compliance of The USPS
Clerk Assistant – October 2006 to April 2007
Montgomery County Library
Provided explanation to Patriots concerning book holds and purchases
Maintained filing, sorting daily mail and customer invoices
Assisted with cash purchases and scheduling conference room for the community
Provided flexibility within circulation duties
Receptionist/Secretary/ Para-Professional – August 2004 to August 2005
Capdau UNO Charter School
Substitute Teacher (K-8)
Implemented and created lesson plans
Planned school field trips
Assisted with Nutritional Plan
SKILLS
Docketing Written and Verbal communication
Scheduling Detailed Oriented
Management Problem Solving
Customer Service Internet
Marketing Multitask (fast-paced setting)
Procurements 10-Key Calculator
Filing IBM Type Writer
Accounts Payable/Receivable
Payroll exceptions
Copy Machine, Scanners, Fax & Printing
Microsoft Word, excel, PowerPoint and Graphics
Sending and Receiving all mail correspondence
Scheduling Meetings and Conferences
REFERENCES
Mrs. Demetra O’Sirio,
Next Seafood Manager
2104 Killington Drive
Harvey, LA 70058
********@*********.***
Mr. Claude D. Bonds
Assembler’s Inc. Supervisor& Retired U.S. Army Military Security
8 Eagle Trails
Hattiesburg, MS 39402
********@*****.***
Mrs. Mesa D. Patterson
Director of Nursing
1008 Carrie Street
McComb, MS 39648
*******@*****.***
Mrs. Shellee Davis
Certified Medical Assistant
7117 East Hermes Drive
New Orleans, LA 70126
************@*****.***
Contact this candidate