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 - April 2025

● 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 preparations

● 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 timely 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 Various Contracting Agencies, Plano, TX 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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