Call Center Support Specialist

Sheryl Spirling

Cell: 214-***-****) • Email: ****************@*****.***

OVERVIEW

Service Professional - Operations

Client Service professional with expertise in delivering exceptional service to internal and external clients. Results driven, dependable professional, bring strong problem-solving abilities and efficient customer relations skills to deliver high client satisfaction and retention.

Skills

Expertise with MS Office Suite

Outlook

Fast Learner/Adaptable

Complex Problem Solver

EXPERIENCE

Iventurus Knowledge Solutions IKS Health Care, Coppell, TX

Patient Support Specialist April 2024 - Present

Provide detailed analysis of Explanation of Benefits via inbound call center service

Service 60-100 clients daily providing all servicing needs including deduction & co-pay education, payment analysis, adjust self-pay discounts, phone payments, HIPPA forms, and process statement request

Outbound support following. Up with clients to provide updates regarding escalated claim inquiries

Support various internal partners with special project task assignments

King Health Insurance, Irving, TX

Member Advocacy November 2023 – April 2024

Verify Hippa

Facilitate the resolution for members

Educate members about their policy

Provide personalized support and guidance to the members addressing their issues in a timely manner

Innovative Steps HCS, Little Elm, TX

Group Home Caregiver October 2022 – October 2023

Administered medication to clients

Transportation services for clients

Housekeeping and meal preperations

Companionship

Mint Dentistry, Irving, TX

Billing Specialist November 2021-September 2022

Enter insurance payments and explanation of benefits into patient charts with attention to detail and tinely entry

Monitor aging insurance reports to avoid further delay in processing

Assist Clients with insurance claims, end to end processing and provide additional documentation as requested

Humana, Irving, TX

Order Entry Clerk February 2014-June 2019

Works within defined parameters to identify documents required to fulfill prescription needs

Enter orders into the system within a timely manner, as defined by the Department Supervisor or Manager

Utilized as an Escalations back-up to assist with overflow calls sent to Escalations

Capital One Bank, Plano, TX

Sr. Case Management Associate January 2012-March 2018

Resolve customer concerns/complaints by balancing customer expectations against company and government policies and procedures.

Clearly communicate (flagging orders) print/sort any and all special client requirements to ensure clients order are processed within the guidelines set forth by the company

Assist with department clerical work and/or any other duties assigned by management

Various Contracting Agencies, Plano, TX Customer Service/Administrative July 2003-January 2014

Assist customers in an inbound call center environment in friendly, courteous, and timely manner

Adhere to company policy and quality assurance guidelines. 90% Higher Quality consistently

Clerical and Data Entry; 60WPM

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