Customer Service Medical Records
Resume:
Sabrina Francis
*************@*****.***
*** * * ***** ** Jarrell TX 76537
Dependable employee seeking opportunity to expand and contribute to the company success. Considered hard working, ethical, detail oriented. Extensive background in call center environment, medical records, Medicare, Advantage plans, and individual insurance knowledge and enrollment.
Professional Experience:
Nescoe Resources – Sedgwick – Amazon Workers Compensation (Remote)
September 2024 to January 2025
Customer Service Representative
*Answer incoming call to answer questions about workers compensation claims, payments, and policies for the claimant or provider’s offices.
*Address claimant issues, complaints, and concerns by providing solutions or escalation to relevant departments.
Strive to provide excellent customer service to build rapport through active listening.
Employment Solutions – Solix – BCBS of Alabama (Remote)
July 2022 to January 2024
Enrollment Specialist/Licensed Health Insurance Agent
*Engage with new and potential customers to determine their individual or family needs and guide them through the entire enrollment process.
*Educate new and potential customers about available benefits and answer any questions they may have.
*Escalate problems or concerns to the appropriate supervisor and check in with customers to ensure their questions have been fully answered,
*Ensuring that all HIPAA rules and regulations are adhered to at all times.
Indian Oaks Living Center Harker Heights TX
April 2018 to July 2021
Medical Records Clerk/Central Supply
*Responsible for processing requests for information and release information from medical records to persons or agencies according to HIPAA rules and regulations.
*Retrieved patient records from physicians, technicians, and staff in order to file and upload into computer systems through the scanning process.
*Prepared records for offsite storage and destruction as needed.
*Ordered supplies and distributed through the facility as needed.
Teleperformance/Humana Killeen TX
September 2013 to April 2018
Team Lead/Customer Service Representative
*Handled and carefully responded to all customer inquiries for Humana Medicare Advantage Plans. This included explaining medical claims and billing, prescription drug coverage, receiving payments by phone, and explaining the appeals process.
*As team lead, I assisted in answering questions from other representatives on the floor as needed to assist in resolving members concerns with a first call resolution, and took over escalated calls as necessary.
*Handled confidential member information while provided excellent customer service through active listening.
Education:
Copperas Cove High School
400 S 25th St Copperas Cove TX
Attended August 1987 to May 1991
Diploma
Skills:
Licensed Health Insurance Agent
Medicare
Receptionist
Multiline phone system
HIPAA Guidelines
Clerical
Computer Skills
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