PROFESSIONAL SUMMARY
Meticulous and detail-oriented customer service professional with over 10 years of experience in fast-paced environments. Adept in managing billing and coding inquiries, troubleshooting technical issues, and ensuring customer satisfaction. Experienced in high-volume call centers, with expertise in data entry, problem-solving, and maintaining a positive customer experience. Possesses exceptional communication skills, critical thinking, and the ability to handle complex customer inquiries related to health insurance billing, financial inquiries, and technical support.
KEY SKILLS
- Billing & Coding Support: Knowledge of medical billing processes and terminology.
- Customer Service Management: High-level proficiency in call handling, issue resolution, and customer satisfaction.
- Chat Support Expertise: Experience with online chat customer service, managing multiple live chats concurrently.
- Data Entry & Documentation: Strong focus on accurate data entry and documentation, ensuring all customer information is up to date and correct.
- Healthcare Terminology: Familiarity with insurance policies, claims processing, and coding.
- Problem Solving: Ability to troubleshoot complex inquiries and resolve issues promptly.
- Multitasking & Workflow Management: Ability to handle multiple tasks and prioritize effectively.
- Technical Proficiency: Proficient in CRM systems, predictive dialers, customer service management tools, and Microsoft Office Suite.
PROFESSIONAL EXPERIENCE
Customer Service Representative II Allied Benefit Systems LLC – Chicago, IL August 2022 – Present
- Managed customer inquiries regarding billing, coding, and claims issues, ensuring clear communication of account details.
- Collaborated with billing departments to resolve discrepancies and ensure accurate claim processing.
- Utilized customer service management systems to document, track, and resolve inquiries efficiently.
- Provided live chat support, handling up to 15 chats simultaneously, while maintaining high customer satisfaction.
- Educated customers on benefit plans, claims procedures, and insurance terms.
- Continuously met or exceeded service quality standards.
Cust Service Rep II Blue Cross and Blue Shield of Georgia – Midland, GA Nov 2019 – Aug 2022
- Delivered exceptional customer service by resolving customer billing issues, account inquiries, and technical problems.
- Acted as a liaison between customers and the billing department to ensure accuracy in claims processing.
- Managed high volumes of inbound customer calls and chats, maintaining a calm and professional demeanor.
- Trained new team members on billing procedures and handling complex customer queries.
- Successfully met performance metrics for call resolution, customer satisfaction, and response times.
Customer Service Representative I TSYS – Columbus, GA April 2018 – April 2019
- Answered inbound calls, providing support for billing and transaction inquiries.
- Assisted customers in navigating their accounts and resolving issues with online payment systems.
- Maintained detailed records of customer interactions and ensured timely follow-up on unresolved issues.
- Resolved complaints and billing discrepancies while adhering to company policies and procedures.
Customer Service Representative I Convergys – Columbus, GA June 2017 – November 2017
- Delivered support for both customer inquiries and technical troubleshooting in a high-volume call center environment.
- Managed billing inquiries, assisting customers with understanding charges and payments.
- Utilized CRM tools to track and document customer issues accurately.
Customer Service Representative I Staffing Connections – Columbus, GA January 2018 – April 2018
- Assisted with billing inquiries and customer account management, ensuring accurate documentation and updates.
- Provided chat support for customers, addressing concerns regarding account charges, payments, and technical issues.
Shift Manager KFC – Phenix City, AL August 2011 – October 2013
- Managed customer service operations and worked with the finance department to track daily sales and cash register reconciliations.
- Trained and supervised staff on providing exceptional customer service, focusing on resolving complaints in a professional manner.
- Promoted customer loyalty through excellent communication and proactive service.
EDUCATION
High School Diploma Central High School – Phenix City, AL
Associates of Science in Health Administration Services Colorado Technical University - Colorado Springs CO
CERTIFICATIONS AND TRAINING
- First Aid Certified
- Telephone Training Seminar Completion
- Customer Service Excellence Training
- HIPAA Training for Medical Billing and Coding (if applicable, consider obtaining certification for billing/coding)
TECHNICAL SKILLS
- Billing Software: Proficient in claims processing and medical billing tools.
- CRM Systems: Expertise in managing customer interactions through CRM platforms (e.g., Salesforce, Zendesk).
- Data Entry & Documentation Tools: Skilled in maintaining accurate data entries in a fast-paced environment.
- Microsoft Office Suite: Word, Excel, Outlook (32 WPM Typing Speed).
ADDITIONAL SKILLS
- Strong communication skills and a customer-focused attitude.
- Exceptional problem-solving capabilities in both customer service and billing inquiries.
- Ability to remain composed and professional while handling high-pressure situations.