Customer Service Data Entry

Conni Young

***********@*****.*** 832-***-**** Houston, TX

SUMMARY Provide exceptional customer service by proactively communicating with members, team members, and leadership to ensure accurate information and a positive experience.

Ensure customer expectations are clearly communicated and consistently through reliable follow-up and service delivery.

Project confidence in every interaction by applying process knowledge accurately and following all client-specific guidelines.

Balance inbound customer service calls with accurate data entry and thorough review of member-submitted health documentation to support efficient claims and enrollment processing.

Handling sensitive information with confidentiality.

Deliver strong individual results while fostering a collaborative environment that supports the achievement of team-wide goals.

Apply analytical thinking and collaborative problem-solving to deliver personalized, high-quality solutions that address client needs and enhance satisfaction.

WORK EXPERIENCE

BC FORWARD/ACCENTURE Nov 2022-Aug 2025

Aug 2024 - Aug 2025

State of Massachusetts

Intelligent Citizen Care Associate

Reviewed patient accounts to identify cases requiring combined billing in accordance with payer payment window regulations.

Performed billing system edits to ensure accurate submission of premium payments, including those that were paid, due, or approaching termination.

Completed client applications to verify income, household size, and location to determine eligibility for insurance coverage.

Locating and extracting data from databases as needed.

Responded to incoming telephone calls regarding provider enrollment and claim errors.

Making corrections to data entries when necessary.

Keeping records current with updates or changes.

Provided high volume empathetic support for Medicaid and Medicare members resolving inquiries related to healthcare benefits, eligibility and coverage.

Clearly explained complex insurance policies, co-pays, deductibles and out-of-pocket cost to members, improving customer understanding and satisfaction.

Checking for errors or missing information.

Reviewing data for accuracy and completeness before entering it.

Maintained a strong understanding of state and federal healthcare regulations to support compliance and effective customer service.

State of Louisiana

Medicaid Intake Specialist (Application/Renewals Mar 2023 - Jun 2024

Conducted detailed evaluations of Medicaid cases to ensure full compliance with Louisiana state guidelines, maintaining accuracy and integrity in eligibility determinations.

State of Texas

Site Visit Coordinator Nov 2022 – March 2023

Ensured regulatory compliance by scheduling site assessments, conducting on-site reviews, and verifying caregiving credentials.

Led remediation efforts with providers, securing required documentation to meet recertification deadlines.

Handled Medicaid applications and renewals, maintaining precise client data using SharePoint for streamlined tracking and reporting.

Uber/Lyft

Driver Apr 2018 - Feb 2022

Recognized as a top-tier diamond driver for consistently exceeding service expectations and earning high customer satisfaction scores.

Maintained a five-star rating through dependable, on-time performance and commitment to excellent rider experiences.

Acosta Inc/Advantage Solutions

Merchandiser Nov 2013 - Nov 2021

Consistently met merchandising objectives by managing stock replenishment, executing planograms, and supporting retail partners to drive product visibility and sales.

Oscar M. Telfair III P.C

Law Office Administrator (Contract position) Sep 2002 - Dec 2018

Oversaw case management, client relations, and legal documentation for a busy law office, maintaining high levels of organization and ensuring timely support for legal proceedings.

Exponent Inc

Administrative Assistant II Oct 2007 - Apr 2010

Oversaw scheduling, travel, and records management while facilitating cross-departmental communication to support executive productivity and operational efficiency at Exponent Inc.

EDUCATION Houston Community College Houston, TX

Associate of Science, Paralegal Studies

Programs Used:

Salesforce; NICE IEK; Microsoft Office; Outlook; OneNote; Teams; Amazon Web Services (AWS); Sticky Notes

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