Customer Service Professional - Healthcare/Enrollment
Resume:
Markeryea Pitts
Chicago, Illinois
Work Experience
Customer Service Rep.
Active Style
March 2025 to October 2025
• Answer incoming customer phone calls, email inquiries, and online chat (if applicable) in a timely and professional manner
• Assist customers in placing orders, verifying order details, recommending products, and explaining services
• Verify insurance coverage, eligibility, and obtain pre-authorizations as needed for home medical supplies
• Document all customer interactions and update records in company systems per standard operating procedures
• Resolve customer complaints or escalate complex issues to appropriate internal teams to ensure customer satisfaction
• Maintain knowledge of products, services, and system tools. Educate customers about available options. Enrollment Specialist Maximus ILCES, Remote
August 2024 to February 2025
• Answer calls from consumers, prospective enrollees, and others
• Help people enroll in programs
• Manage cases for programs
• Provide consulting services for programs
• Track and document all inquiries using the applicable systems.
• Complete associated tasks according to the established guidelines.
• Facilitate the fulfillment of caller requests for materials via mail, email, or download
• Searching for enrollee’s primary care providers
• Making outbound calls to prospective enrollees
• Handle a high volume of inbound and outbound calls from clients, providers, members 100-290 calls per day
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Customer Service Representative Broad Path Healthcare Solutions, Remote August 2021 to July 2024
• Making outbound calls to customers on prescription orders and payment issues.
• Ask appropriate questions and listen actively while documenting required information in computer systems.
• Identify issues and communicate solutions and steps to customers, pharmacies and physicians with prescriptions orders and reorders
• Respond to incoming calls from our customers on issues related to benefit eligibility questions and prescriptions status inquiries.
• Guide and educate callers on their prescription benefits, use of plan, premiums and status of orders and claims or inquiries.
• Handles patient prescription requests within HIPAA guidelines and enters refill orders for processing.
• Troubleshoots to obtain missing prescription information and interpret medical abbreviations (SIG CODES). Customer Service Representative Live Reps Call Center, Remote May 2021 to January 2023
• Handle a high volume of inbound and outbound calls from clients, providers, members, and customers; 75-100 calls per hour.
• Schedule appointments for different customers.
• Respond to the needs of customers in a professional and timely manner.
• Provide information on the products or services offer
• Process orders, forms, and applications. Tb
• Route calls to other teams and ensure they quest are connecting to the proper channels.
• Evaluate problems and complaints of the callers to determine the best course of action.
• Prepare insurance claims and determine benefit eligibility’s
• Verify members using HIPAA verification and update medical records
• Toggle between multiple interfaces to input accurate Track information to ensure adherence to agent KPls Customer Service Representative (part-time) LiveOps, Remote October 2019 to July 2022
• Handle a high volume of inbound and outbound calls from clients, providers, members, and customers; 75-100 calls per hour.
• Evaluate problems and complaints of the callers to determine the best course of action.
• Prepare insurance claims and determine benefit eligibility
• Verify members using HIPAA verification and update medical records
• Toggle between multiple interfaces to input accurate information to ensure adherence to agent KPls.
• Schedule appointments and make outbound calls to confirm appointments. Tester Operator Communications Test Design, Inc., Joliet,IL August 2018 to April 2021
• Operate test equipment to meet or exceed daily production goal at 90% or higher
• Check material to maintain satisfactory quality control and performance levels
• Package, unpackaged, sort, stage, and prepare units for production in high volume distribution center
• Checking material making sure everything is correct inside of box and that all labels are where they need to be placed.
• Taking the correct calculations of products and material that are on the floor and putting them inside the database for new orders.
• Stack material into a pallet wrapping it then putting it in the loading area.
• Input daily reports using Microsoft, Word, and Excel.
• Understand how to do a KPI, and PPL report and Payroll using Kronos. Dispatcher D&T Truc king, Crete, IL
October 2019 to August 2020
• Schedule and dispatch drivers, work crews, vehicles or equipment to appropriate locations.
• Respond to emergency and non-emergency calls while proactively offering solutions for any problems
• Oversee the route of field units by dispatching and receiving delivery orders through coordinated scheduling
• Update call logs and record call information in the shipping or emergency service department.
• Receive and dispatch orders in a timely manner.
• Assess the situation and prioritize calls.
Assembly Line Worker Clorox, University Park, IL
March 2017 to July 2018
• Inspect, weigh, prepare packaging materials for shipment and maintain an organized station in a fast-paced environment.
• Monitor the flow of products into processing machinery to produce at least 25 packages per hour.
• Ensure packages are free of damage and correctly labeled before loading them onto the designated docks. Education
High school diploma
Complete Rich East High School, Park Forest, IL
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