Data Entry & Customer Support Specialist

SHATILYA BARKSDALE

************@*****.*** 843-***-**** Bennettsville, SC 29512

Summary

Highly skilled and experienced professional with expertise in data entry and customer service roles. Proven ability to effectively communicate with customers, patients, physicians, and colleagues. I am proficient in insurance claims, benefits eligibility, and white glove customer service. Strong attention to detail, accuracy, and problem-solving skills. Demonstrated commitment to providing exceptional customer service and support in a fast-paced banking environment.

Skills

• Excellent Customer Service

• Microsoft Office Proficiency

• Multitasking Skills

• Analytical Skills

• Empathy

• Data Entry & 10 Key Proficiency

• Adherence

• Medical Terminology

• Active Listening Skills

• Time Management & Organization

• Complex Problem-Solving Skills

• Type 60 PM

Work Experience

Pharmacy Support Representative 01/2023 – 01/2025

Ciox Health (Remote)

Assisted members with pharmacy benefit inquires.

Supported the organization’s mission and purpose by providing front-line customer support for a diverse portfolio of customers.

Handled inbound telephone inquiries from members, pharmacies, and prescribers in our National Customer Care Center.

Provided real-time support to pharmacies with point of service inquiries.

Educated prescribers on formulary and prior authorization processes.

Entered customer data and other relevant information into our documentation tool. Customer Support Specialist 02/2020 – 12/2022

Omni Interactions (Remote)

Suggested generic alternatives for medications to patients to help save on prescription copayments.

Completed medical and/or pharmacy benefit investigations.

Identified and requested submission of required documentation for payer/plan.

Maintained a high level of ethical conduct regarding confidentiality and privacy.

Reviewed for prior authorization, step edit identification and appeals according to program standard operating procedures.

Maintained knowledge of the different types of payers including private, commercial, and government insurances. Customer Service Representative 01/2017 – 01/2020

Hire Dynamics

Navigated through multiple computer applications with speed and accuracy.

Built rapport with customers through active listening, empathy, and personalized interactions.

Handled billing inquiries including payment processing, refunds, adjustments, and account updates accurately and efficiently.

Kept records of all conversations in call center databases in a comprehensible manner.

Maintained an organized system to keep up with case deadlines and processing timeframes. Customer Service Representative 11/2015 – 11/2017

iQor

Adhered to HIPAA policies and protocols, becoming HIPAA certified.

Answered incoming calls from patients calling to schedule appointments.

Provided information to patients about referrals to other doctor’s offices, specialists, and surgeons.

Resolved patient complaints and explained why certain services aren’t covered.

Explained copays, deductibles, coinsurance, and out of pocket maximum to members. Education

Cheraw High School - High School Diploma

NETC – Certified Nursing Assistant Certificate, Phlebotomy Certificate - 2024

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