Customer Service Representative
Resume:
Taniece Nashe
Cleveland, OH *****
******@*****.***
Professional Summary
Astute pre-certification with proven history of success in customer service. Develop effective policies to meet demands and improve performance. Handle everything from budgets and reporting to staff training and supply management with ease.
Willing to relocate: Anywhere
Work Experience
Pre-Certification Coordinator
Quadax-Middleburg-Heights, OH
December 2019 to Present
Verifying and understanding benefits for outpatient, inpatient and ambulatory surgeries. Obtaining prior authorization, predetermination and PCP referrals. Checking the status of request and coordinating between physicians and insurance companies to ensure procedures are covered.
Customer Service Representative
National General Insurance-Cleveland, OH
April 2019 to December 2019
Documented, researched, and resolved customer service issues. Handled customer inquiries, billing questions, payments, and service requests. Followed up with customers to offer additional support and check resolution satisfaction. Anticipated needs and resolved problems to keep customers happy. Delivered fast and friendly service regarding questions and service complaints. Organized documentation for new sales, warranties, and service program sign-ups. Senior Customer Service Representative
Medical Mutual of Ohio-Cleveland, OH
June 2016 to April 2019
Supported strategies to continuously improve customer service by documenting inquiry resolutions in case management system.
Managed intake processes for medical insurance inquiries and coordinated specialist escalations. Handled escalated customer issues on behalf of customer service team members. Improved team performance with effective training, mentoring, and performance improvement strategies.
Pharmacy Customer Service Representative
Envision RX Options-Twinsburg, OH
November 2013 to June 2016
Met inbound customer needs while maintaining strict performance targets. Served customers by going above and beyond to offer exceptional support for needs. Assisted with tasks and work duties during slow periods to maintain team productivity. Answered inbound calls regarding plan benefits and prior authorization regarding patients drug plan. Education
Certificate in Medical Technology
Medtech Institute - Indianapolis, IN
January 2015 to May 2016
Skills
• Time management
• Active listening
• Insurance verification
• Customer support
• ticketing systems
• Multitasking
• Training & development
• Staff training Performance improvement Report preparation Multitasking Critical thinking Quality assurance Coordination
• live chat support
• Clerical experience
• Multi-line phone systems
• Communication skills
• conflict resolution
• Call handling
• Empathy
• ICD Coding
• Research
• Organizational skills
• CRM software
• Customer service
• Conflict management
Certifications and Licenses
Medical Technologist
Certified Medical Assistant
Driver's License
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