Alayna Sugar
LaRue
Summary
Dynamic customer service professional with extensive experience at Maximus, adept at resolving complex inquiries and enhancing client satisfaction. Proven expertise in call center operations and insurance verification, complemented by strong problem-solving abilities. Committed to maintaining high standards of professionalism while managing high-volume interactions effectively.
Overview
11
11
years of professional experience
Work History
Customer Care Representative
Maximus
Athens
08.2023 - Current
- Managed high volume of 100 inbound customer calls daily.
- Resolved customer inquiries and complaints swiftly while maintaining professionalism.
- Engaged in continuous training to remain informed on policies and procedures.
- Exhibited strong problem-solving skills by analyzing complex issues and implementing solutions.
- Maintained composure during high-pressure interactions with challenging customers.
Pre-Service Coordinator
Onehome
12.2020 - 07.2023
- Managed electronic communications including fax, e-fax, portal messages, and call center inquiries to ensure precise information exchange.
- Processed service orders and requests, demonstrating expertise in home care services and pharmacy/infusion.
- Supervised document management, ensuring accurate patient identification and verification of insurance eligibility.
Medical Insurance Verification Specialist
SCA Health
08.2017 - 11.2020
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
Cashier/ Stocker/ Service Desk
Walmart
Athens
02.2016 - 06.2017
- Executed scanning of coupons, applying discounts, and processing payments on computerized cash registers.
- Assisted with unloading shipments, constructing displays, and stocking shelves for optimal presentation.
- Managed transactions including money grams, money orders, bill pay, and check cashing services.
- Addressed customer complaints promptly to ensure satisfaction and retention.
Child Care Volunteer
Clear Creek Community Church
09.2014 - 01.2016
- Delivered quality child care for children aged three to five.
- Engaged children through crafts and interactive activities.
- Maintained cleanliness of play areas and sanitized toys.
- Performed additional related duties as required.
Education
High school or equivalent -
Skills
- Customer service and support
- Call center operations
- Insurance verification
- Problem solving
- Inbound call handling
Timeline
Customer Care Representative
Maximus
08.2023 - Current
Pre-Service Coordinator
Onehome
12.2020 - 07.2023
Medical Insurance Verification Specialist
SCA Health
08.2017 - 11.2020
Cashier/ Stocker/ Service Desk
Walmart
02.2016 - 06.2017
Child Care Volunteer
Clear Creek Community Church
09.2014 - 01.2016
High school or equivalent -
Similar Profiles
Jahzarra GibsonJahzarra Gibson
Call Center Representative at MaximusCall Center Representative at Maximus
Asia MikellAsia Mikell
Eligibility Specialist at MaximusEligibility Specialist at Maximus
Domingo Alberto Agramonte HernandezDomingo Alberto Agramonte Hernandez
Customer Service Representative at MaximusCustomer Service Representative at Maximus
Kyla ReineKyla Reine
Customer Service Representative at MaximusCustomer Service Representative at Maximus
Rachel ReynoldsRachel Reynolds
Director of Business Development at Enhabit Home Health & HospiceDirector of Business Development at Enhabit Home Health & Hospice