Customer Service Sales Associate
Resume:
Debbie Baith
Fullerton, CA 714-***-****
***********@*****.***
EXPERIENCE
Walmart
Cosmetic Sales Associate – March 2019 – Current
●Deliver customer service standards in all customer contact.
●Achieve individual sales goals daily.
●Cashier and product security responsibilities.
●Merchandising and stock area.
Western Dental Service Inc.
Member Services – April 2013 – June 2018
●Assist HMO patients with their eligibility, approve covered benefits, break down procedures, and assist Western Dental offices, and contracted providers with patient eligibility.
●Assist members and offices in regards to referrals and claims inquiries.
●Assist Employers and Insurance companies with updating members files.
●Email and mail out members providers list, benefits schedules.
●Assist Group services department with members payment plans and termination letters.
PPO Coordinator – June 2010 - April 2013
●Enroll Dentists to various DHMO and PPO plans.
●Ensure all credentials are current and accurate for enrollment.
●Correspond with insurance companies and dental offices via letter, e-mail, phone and fax.
●Maintain accurate reporting to Provider information Database and spreadsheets.
●Assist with project enrollment status and provide up-dates to dental offices.
●provider enrollment to PPO plans and update doctor credentials
●Customer service rep assisted members of PPO plans, government programs & dental offices.
●Develop relationships with Operation Director / Regional Managers / Office Manager to
Enrolled in PPO plans & government programs.
●Works closely with the Quality Management Department to verify current dentist credentials.
●Provide on-going support to team members.
●Partner with peers and management to communicate various duties required to complete.
●Provide administrative support to the PPO department for existing processes.
California Dental Network
Referral Coordinator – June 2004 - May 2010
●Assisting dental director with all apex of processing referrals.
●Preparing 40-50 referrals per week, generating authorization numbers.
●Prepared letter for patient approval requested by the dental director.
●Assisting member, specialist, and provides office with information regarding co-payments, and benefit coverage.
●Generate 4 and 72 hours emergency calls, maintain emergency referral files and regular referral files / update all files when needed.
●Handle customer inquiries, complaints, billing questions and benefit coverage, co-payments.
●Assist providers, and specialist offices with eligibility letters.
Talbots Part-Time
Store Sales Associate – November 2003 – June 2006
●Deliver customer service standards in all customer contact.
●Achieve individual sales goals daily.
●Maintain customers personal business binder.
●Cashier responsibilities.
Ideco Inc.
Processing Coordinator – February 2001 - August 2003
●Performing inquiries / site history for customers.
●Generate a 4 hour emergency for gas stations service.
●Processing service reports.
●Answer incoming calls / generate phone orders.
●Data entry all cycled parts using accent.
●Dispatch calls when needed.
●Review service reports for parts used.
●Update service reports using vendor web sites.
●Research and update service report.
●Filing service reports.
Northrop Grumman Corporation
Service Center Specialist May 1987 – December 2000
●Processed engineering data.
●Analyzed and selected the appropriate system.
●Maintained assigned file according to schedule.
● Update / revalidated engineering drawings.
●Prepare monthly reports for staff meeting
●Cross trained personnel on various equipment.
●Operated various Xerox copy machines (5100,1090 5080), plotter, printer.
Contact this candidate