Deborah Pough
North, SC *****
**********@*****.***
Seeking to secure a position that will allow me to use my strong multitasking skills and fast learning abilities to become a valuable asset to your team. Abilities:
• Operate Multiline Telephone.
• Insurance Eligibility.
• Committed to maintaining data integrity.
• Schedule appointments and relay messages.
• Assist with supervisory duties; assist in the training process of new employees.
• Receive and enter data into multiple systems.
• Help Desk/Mentor/Assist with Supervisor Calls
• Post online credit card/check payments.
• Answer e-mails on Navigation system.
• Assist with the enrollment process for new members and current members.
• File and fax.
Authorized to work in the US for any employer
Work Experience
Data Entry Specialist
TEKsystems-North, SC
September 2023 to Present
• Process Medicaid claims.
• upload and print documents into several systems.
• review information for accuracy.
• occasionally call members to verify the information we have is accurate.
• Make sure daily and weekly quota has been met.
• Pay close attention to detail.
Customer Service Representative
Aflac-Columbia, SC
December 2015 to November 2020
• Answer approximately 75 inbound calls for members and providers daily, mail, fax, and e-mail requested documents.
• Refer escalated issues to leads and supervisors.
• Confer with other departments when there is an issue that needs immediate attention.
• Assist the claims department in retrieving the correct documents for payment.
• Calculate premium payments, advice of lapse and termed policies.
• Participate in focus groups to develop new strategies for customer service.
• Assist in de-escalation of calls by diffusing angry situations and setting up callbacks for management.
• Met all guidelines, service levels, and handle time.
• Responded to all customer requests concerning products and services.
• Submitted claims and initiated claims to be processed for the policyholders.
• Hipaa Certified.
Customer Service Representative
Aetna
January 2005 to October 2014
• Answer approximately 80 inbound calls daily, defuse the angry caller, and assist with help desk and supervisor calls.
• Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments.
• Refer unresolved customer grievances to designated departments for further investigation.
• Confer with customers by telephone to provide information about products or services, cancel accounts, or obtain details of complaints.
• Responded to all customer requests concerning products and services.
• Submitted claims and initiated claims to be processed for the policyholders.
• Hipaa Certified.
Education
diploma
North High School
Skills
• Insurance Verification
• Multi-line Phone Systems
• Microsoft Office
• Customer service
• Communication skills
• Microsoft Word
• Typing
• 10 key typing
• English
• Microsoft Outlook
• Time management
• Windows
• Clerical experience
• Customer support
• Medical records
• Phone etiquette
• Data entry
• Computer skills