Customer Service Representative
Resume:
Experience
Accenture/State of La Medicaid New
Customer Service Representative(Remote) 10/2023 - Present Responsible for providing customer service support according to the scope of work and service level requirements, including ensuring call quality and quantitative standards are observed in meeting customer care needs and resolving them in a timely fashion
Responsible for receiving all inbound calls and providing information relative to Medicaid programs. Responsible for promoting and facilitating enrollment and retention in the Louisiana Children’s Health Insurance Program
(LaChip) and Medicaid program through statewide MSD. Tulane Medical Center New Orleans, LA
Authorization Representative 07/2018 - 10/2023
Perform pre-registration and insurance verification for both inpatient and outpatient services. Explained eligibility details and affordability options to patients with kindness and respect. Contact patient via phone to confirm or obtain missing demographics information, and quote patient cost share. Analyzed information from interviews, educational, and medical records, consultation with other professionals, and diagnostic evaluations to assess clients' abilities, needs, and eligibility for services. Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support.
Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information.
Recognized by management for providing exceptional customer service. Walmart Marrero, LA
OTC Pharmacy Department Manager 11/2014 - 12/2018 Ensures customer satisfaction by greeting and answering customer questions. Tours my department to ensure it meets our customers' expectations. Works hand-in-hand with sales associates to get the job done. Prepares and plans for upcoming events that will impact my department. Communicates, takes directions at all levels, and turns it into action. Utilizing basic math skills in order to maintain accurate inventory levels. Earl K. Long Medical Center Baton Rouge, LA
Patient Registrar 12/2011 - 04/2013
Greeted patients and guest in a courteous manner whether via telephone contact or in person. Scheduled appointments or completed the check-in process/admission for patients; obtained and verified accurate identification and demographical data for the patient's permanent medical record. Verified insurance information and updated patient demographics as necessary. Collected co-payments and payments for services at the beginning and end of each patient visit. Tulane Medical Center New Orleans, LA
Customer Service Coordinator 12/2009 - 12/2011
Was responsible for ensuring that all phases of the clinic registration process (interviews, pre-admissions, verification of insurance coverage, pre-certification of insurance coverage, and collection of co-pays) are completed in an accurate and timely manner in order to guarantee that maximum collection is achieved. Verified patient diagnosis and procedure codes were assigned properly prior to claim submission. Informed customers about billing procedures, processed payments and provided payment option setup assistance. Consulted with customers to determine best methods to resolve service and billing issues. De-escalated problematic customer concerns, maintaining calm, friendly demeanor. Documented conversations with customers to track requests, problems and solutions. Delivered service and support to each customer, paving way for future business opportunities. Tulane Medical Center New Orleans, LA
Environmental Service Worker 12/2008 - 12/2010
Daydriane Chirlow-Robins
504-***-**** ****************@*****.*** Gretna, LA Maintained environmental and infection control standards within the established policies and procedures of the healthcare center.
Performed a variety of general cleaning tasks to maintain patient rooms, offices, hallways and other assigned areas of the facility.
Skills
Customer service, Microsoft word, Microsoft excel, Communication skills, Leadership, Documentation review, Time management
Education
Unitech Training Academy Metairie, LA
Medical Billing and Coding/Administrative Medical Assistant 05/2018 Technical Diploma
Kenner Institute Kenner, LA
Coursework in Anatomy & Physiology and Cardiovascular 05/2014 Technical Diploma
West Jefferson High School Harvey, LA
College Prep Coursework 05/2008
High School Diploma
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