Customer Service Desk
Resume:
Debra Glenn
********@*****.***
PROFESSIONAL SUMMARY:
Reliable Prior AuthorizaƟon Specialist with over 43 years of experience working in fast-paced, hospital/clinical environments. Skill in prior authorizaƟon for paƟents, Įnding soluƟons to issues and tackling work tasks in busy oĸce. Dedicated to execuƟng on prescribed medical funding guidelines and policies. Maintains compassionate and sympatheƟc relaƟons with consumers. SKILLS
Explaining PaƟent BeneĮts
Retro-AuthorizaƟons
AcƟve Listening
Computer ProĮciency
Customer Service in Grocery Seƫng
Team player
Welcomes change
Quick learner
Love a challenge
WORK HISTORY
Hy-Vee
CUSTOMER(GUEST) SERVICE DESK 07/03/2023 to Present In this posiƟon I am responsible for duƟes listed below: Process returns and adjustments
Minimum cashiering
Freeport, IL
Sell and pay out on loƩery
Complete Money Order requests
Submit Western Union Funds
Selling of stamps
AssisƟng baggers if needed
Selling of giŌ cards
AssisƟng cashiers with needed overrides
Mayo Clinic Health System La Crosse, WI
PRIOR AUTHORIZATION SPECIALIST 12/2015 to 12/2022(ReƟred) Provided prior authorizaƟon support for physicians, healthcare providers and paƟents in accordance with payer guidelines.
Contacted insurance companies to obtain prior authorizaƟon for upcoming procedures.
Interviewed applicants and explained scope of diīerent opƟons available to them.
Developed and maintained producƟve working relaƟonships with healthcare providers.
Researched denied prior authorizaƟon requests and contacted insurance companies to resolve these issues.
Custom BeneĮt Administrators La Crosse, WI
CLAIMS EXAMINER 07/2010 to 12/2015
Custom BeneĮt Administrators La Crosse, WI
Processed medical and dental claims according to plan document beneĮts.
Insured that authorizaƟons were in place for said claims before processing.
Communicated with subscribers regarding their beneĮts and explained processing of their claims.
Midwest Security Onalaska, WI
CUSTOMER SERVICE REPRESENTATIVE/CLAIMS EXAMINER 02/2007 to 06/2010 Maintained up-to-date knowledge of product and service changes. Provided primary customer support to internal and external customers. Developed highly empatheƟc client relaƟonships and earned reputaƟon for exceeding service standard goals.
Oīered advice and assistance to customers, paying aƩenƟon to special needs or wants.
Became claims examiner and processed claims according to plan document.
EDUCATION Associate of Arts AdministraƟve Assistant 05/1975 Western Wisconsin College, La Crosse, WI
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