Receptionist and Customer Service Specialist
Resume:
Monisha Sharp
Benton, AR *****
Phone: 501-***-****
E-Mail: **********@*****.***
Summary
Knowledgeable and professional Receptionist adept at administrative support and customer service. Three years' experience managing company reputation with customers. Strong planning, problem solving and communication skills with an efficient approach. Skills
Multitasking and prioritization, time management, and proficiency with Microsoft Office suite. I type at 35 words per minute.
Experience
UAMS Hospital Little Rock AR
Aug 2025-Present
● Checking patients in and out of their Dr. appointments.
● Working on the work ques.
● Taking calls from patients if they would like to cancel their appointments.
● Sending out Medicaid Referrals.
Blue Cross Blue Shield Little Rock AR
May 2023-May 2025
● Taking sup calls or team lead for escalated calls
● One of the top call center trainers
● Developed business specifications to support these modifications.
● Provided leadership and work guidance to less experienced personnel.
● Communicate orally the reason for positive or negative decisions on claims as provisioned by regulation.
● Identify causes of incorrect payments and provide billing facilities with proper codes and regulations to correct errors and avoid errors in the future.
● Provide optimal notes of actions taken to provide requested information to providers by phone and email. Determine, initiate and complete appropriate actions to appeal and reconcile accounts previously denied by payer as well as understanding 3rd party billing requirements.
● Reviewed and adjudicated health insurance claims by speaking with providers to ensure accurately paid claims.
● Use quality assurance to analyze and evaluate medical codes to ensure claim meets benefit guidelines and regulations.
● Reset passwords and release lock on provider’s account in portal for the EDI Que. ● Knowledge of the Processing of Third-Party planned payments for Medicare claims.
● The ability to listen to and understand information and ideas presented through spoken words and sentences.
● Keep information confidential according to HIPAA guidelines. Southeastern Transport
November 2018- March 2023
Senior – Lead Rep; Special Service Representative
● Arrange rides for Medicaid members going to dialysis and therapy appointments.
● Answer phones for customers and address all needs. FIS
July 2022- May 2023
Fraud Support Associate
● Resolving member problems if they have activity on their debt or credit card.
● Close members debit or credit cards if they expect fraud.
● Participate in department initiatives to improve efficiencies. Department of Finance and Administration Little Rock, AR November 2014 to October 2017
● Customer Service Representative.
● Cross-trained and provided back-up for other customer service representatives when needed.
● Handled clients accounts pertaining to insurance.
● Issue out license plates for 18 wheelers.
McAlister's Deli Little Rock, AR
June 2017 to 2019
● Developed and maintained a staff that provided hospitable, professional service while adhering to policies and business initiatives.
● Exhibited thorough knowledge of foods, beverages, supervisory duties, service techniques, and guest interactions.
● Regularly updated computer systems with new pricing and daily food specials. ● Assigned tasks and oversaw the direction of employees to ensure compliance with food safety procedures and quality control guidelines.
● Recognition for best customer service 2016.
Rainbow Shops Little Rock, AR
Sales Associate
April 2010 to November 2014
● Maintained knowledge of current promotions, policies regarding payment and exchanges, and security practices.
● Listened to customer needs and preferences to provide accurate advice. ● Facilitated monthly and quarterly physical inventory counts. ● Trained all new sales employees on effective techniques. Education and Training
High School Diploma 2004
McClellan Magnet High School Little Rock, AR
References
Shayvone Jordan
1900 west 7th St.
Supervisor for the dept. of finance and administration 501-***-****
Stacy Jackson
8415 W. Markham St.
Little Rock, AR 72227
Supervisor for Kroger Grocery Store
Rashanee Brown
2600 W. Markham
Department of Human Services
Helen Hughes
1400 Old Forge Dr
Little Rock, AR 72227
Gainwell Technologies, AR Medicaid
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