Customer Service & Billing Operations Specialist

*** * ******** *** **, Cedar Hill Tx

214-***-**** ******@*****.***

Linda Wilcots

Objective

To acquire a position in an innovative department and utilize my more than twelve years of customer service sales experience as well in billing operations and system conversions with a variety of complex clerical, accounting, and regulatory functions for billing discrepancies, including tariff and contract interpretation, verification of invoices, maintenance of third-party billing records, resolving a variety of issues. Operate Xerox 4112 printer, Pitney Boise insertion machine DI600 and Pitney Boise mail meter 800.

Key Words: Excel, MS Word, Microsoft Office, MS Outlook, Customer Service/Sales, Trainer/Mentor, Supervisor, Analytical, Fraud Prevention, Billing Analyst, Bill Verification-Revenue Assurance, Billing Specialist, Collections, Regulatory Tariffs

EXPERIENCE

11/2023-05/2024 CarelonRX Pharmacy

Pharmacy Care Associate

Take incoming Calls and make outgoing calls to and from members, providers and

internal departments and insurance.

Check prescription status and place refill orders as needed.

Verify member demographics and update as needed.

Consult with other departments; pharmacy tech, pharmacist...etc.

Create follow-up cases, create call back requests, and create escalation cases.

Process and apply payments and update payment method.

04/201*-**-**** Conifer Health Solutions

Patient Services Center Rep I

Answer incoming calls and make outbound calls to patients.

Pre-register patients for their upcoming appointments; complete pre-certification.

Verify demographic information and update systems as necessary.

Verify patient insurance information and liability.

Complete patient financial clearance process: including educating patients on liability and collection of patients liabilities / out of pocket amount due.

06/2017-02/2018 BSN Sport via Pride Staff

Accounts Receivable/MTS Dept.

Download MTS payment report, reconcile, process fundraiser credits.

Worked CSR Notification emails and process the refund and credit request sent in by CSR and Sale’s Pro.

Process new fundraiser credits.

Process 3.0 FBL5N Balances and properly notate accounts,

work CC refund tag for newest ageing to review and process credits and discounts.

11/2015–02/2017 AmerisourceBergen

Customer Care Representative II

Customer’s first point of contact; answer incoming customer calls.

Verify the account and the contact via Salesforce and customer eligibility to order certain medications.

Work ABC company email queue.

Create cases, add contacts, and send formatted emails to the customer and internal departments via Salesforce.

Document customers complaints

Place customer orders, alt-serv orders, drop ship orders, and emergency orders, and enter return authorization request and claim request in SAP.

Cancel, change, and update customer orders in SAP.

Locate invoices, credit memos and returns in SAP and email or fax copies to the customer.

Provide product information and replenishment dates using SAP.

Work with National Accounts and Specialty Accounts

BCP member, emergency work from group, contingency plan group

2 12/2006–08/2015 AT&T Mobility Plano, TX

R Reseller Tech Support/Billing Ops Analyst

Reviewed contract billing information via SAP and made corrections or updates as needed.

Generated monthly invoices, created specialty invoices, roll-up invoices and mailed them to the customer by month end deadline or sent via email if required.

Process decommits via SAP and VPM.

Work to resolve customer invoice issues and provide customer account statements as needed.

Act as backup for our customer service person and process return mail.

Answered incoming calls from resellers and verified account information via Telegence system.

Resolve reseller technical mobility issues (BlackBerry, Data/Laptop Connect, wireless device, roaming, porting, and billing issues).

Expert on Snooper (switch control), ODIE (CTN, ICCID, IMSDN, IMSI validation process), MTI Map Tool (coverage validation process), Clarify (issue tracker and create trouble ticket for the customer) BORG (create Network Issue Tickets etc.).

Educated customers on use and capability of devices.

Work special projects and back-office assignments

08/2004–06/2006 E F Johnson Irving, TX

Order Administrator

First point of contact; answered incoming calls from customers, dealers, and sales reps.

Setup, updated, and corrected accounts.

Provided written and verbal price quotes, discounts, and product information.

Processed complex orders for handheld, mobile, and base station radios for city, state, federal and military use, as well as some schools and universities.

Audited city, county, state, and federal sales orders for accuracy.

worked with DOI, GSA, and DOJ contracts.

Processed documentation for international orders.

Ran weekly and quarterly reports.

Trained new employees and assisted other departments in resolving issues.

Verified, processed, and submitted dealer commission payment request forms.

Researched and resolved billing and payment discrepancies and issues.

01/2002–05/2004 TXU via RHI/ACCOUNTEMPS. Irving, TX

Billing Analyst

Analyzed, researched, and resolved system billing errors.

Determined root cause of billing issues and corrective action needed.

Verified accuracy of each invoice and corrected tax issues.

Worked with several billing systems and in customer service as needed.

Worked on special projects and testing as needed.

Worked with manager on system testing.

Setup areas to have access to TX

Checked in system to see if meter was installed correctly.

Education: I graduated

Terrell High School in Terrell Tx

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