Customer Service Manager
Resume:
LATRESE MILLER
Houston, Texas 77042
Phone 281-***-****
E-mail: *************@*****.***
OBJECTIVE
To obtain an administrative position where my commitment and experience will be used and progressed.
EXPERIENCE
United Health Care
Customer Service/Claims February 2008 to Present
Resolving complex behavioral health claims issues from both providers & members to bring clarity for both parties, in regards to proper payments. Review accounts to assure proper billing to the correct payer. Assure that the members and providers get reimbursed at the contractual rate for certain CPT codes. Handling overpayments and reviewing appeals. In addition to providing benefit verification for the members as well as providers. Research/resolve escalated and complex claims and benefit inquiries to completion. Resolve customer issues and communicate resolution to appropriate parties. Provide timely and friendly service. Served and trained new hires.
TG Printing
Office Manager-Receptionist January 1999-2008
Greet customers, maintain control of six incoming telephone lines and direct them according to their needs. Assist customers via telephone with account inquiries, mail prospective customers new account information, prepare invoices for review by Office Manager, process check orders requests for accounting office, monitor business reply for open accounts, open, sort and log daily mail, balance QuickBooks for daily business, order all office supplies, perform other tasks as assigned by Office Manager, update client’s accounts.
Excel Communications INC., February 1996-2000
Customer Service Representative (call center)
Processed inbound inquiries and enrollment pertaining to long distance products and services. Facilitated the activation of client’s long distance services. Gathered and assessed confidential client information for service eligibility status. Handled and diffused customer escalations. Acted as a subject matter expert for my assigned area.
SKILLS
Microsoft Word, Excel, PowerPoint, Customer Service,
Data Entry, Verbal Communications, Multi-tasking; Problem Solving
EDUCATION
Undergraduate
Houston Community College
03/2011- Present
REFERENCES
Upon request
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