Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Alexandrea Byrum

Montgomery,TX

Summary

Dynamic, customer-centric professional with extensive experience in customer service, claims investigation, and problem resolution within healthcare and retail sectors. Recognized for exceptional decision-making, communication, and conflict resolution abilities, consistently enhancing customer satisfaction and operational efficiency. Proven track record of thriving in high-volume environments while delivering outstanding front-line service. Committed to fostering positive customer experiences and driving continuous improvement in service quality.

Overview

13
13
years of professional experience

Work History

Customer Care Representative

Optum
10.2023 - Current
  • Delivered exceptional customer service by assisting members, providers, and insurance carriers with inquiries regarding healthcare claims, benefits, and coverage.
  • Demonstrated strong-problem solving skills, attention to detail, and ability to work in a high-volume, fast paced healthcare environment.
  • Collaborated with internal teams to streamline claims workflows and improve overall customer satisfaction.
  • Research and resolve claim discrepancies related to coding using ICD-10, Revenue Codes, HCPCS codes, and CPT codes.
  • Provided exceptional explanations of billing procedures, policy benefits, and claims outcomes to providers and members while documenting proper notes for claims status, adjustments, and resolutions in claims system.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.

Customer Service Representative

The Home Depot
12.2020 - 08.2021
  • Delivered outstanding customer service by assisting shoppers with purchases, returns, exchanges, and product inquiries.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business with customers through active listening, showing empathy, and executing their needs.
  • Managed approximately 50 calls daily efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Supported store operations by working overtime, multitasking in high-volume environments, and collaborating with team members.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.

E1

United States Army
06.2015 - 10.2015
  • Demonstrated discipline, adaptability, and strong work ethic while serving in high pressure and structured environments.
  • Developed strong leadership while applying advanced problem solving and critical thinking skills to make effective decisions under pressure.
  • Maintained high standards of organization, accuracy, and compliance with detailed procedures and policies.
  • Developed excellent communication skills by coordinating across teams, leaderships, and battalions.

Office Assistant

Town & Country Plastic Surgery
08.2012 - 09.2014
  • Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
  • Arranged supplies and instrumentation to meet needs of individual surgeons and enhance team efficiency.
  • Provided compassionate care to patients throughout their surgical experience, easing anxiety and ensuring comfort.
  • Maintained confidentiality in handling sensitive information while performing administrative tasks.
  • Provided excellent customer service by greeting patients, answering calls, and addressing questions with professionalism and compassion.
  • Elevated executive productivity, managing complex calendars and arranging travel itineraries.

Education

High School Diploma -

Memorial High School
Houston, TX
03.2015

TX- All-Lines Insurance Adjuster License - Insurance Adjuster

MOCAT
Houston, TX
08-2023

Skills

  • Decision-making
  • Data entry
  • Call center experience
  • Attention to detail
  • Claims investigation
  • Friendly, positive attitude
  • Problem-solving and critical thinking
  • Customer service
  • Organization and time management
  • Excellent communication
  • Knowledge of ICD-10, CPT, HCPCS and Revenue Codes

Websites

Timeline

Customer Care Representative

Optum
10.2023 - Current

Customer Service Representative

The Home Depot
12.2020 - 08.2021

E1

United States Army
06.2015 - 10.2015

Office Assistant

Town & Country Plastic Surgery
08.2012 - 09.2014

High School Diploma -

Memorial High School

TX- All-Lines Insurance Adjuster License - Insurance Adjuster

MOCAT

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