Summary
Overview
Work History
Education
Skills
Timeline
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Ameshia Spencer

Petal,MS

Summary

Well-versed in the field of customer service with background as Member Service Representative. Experienced in providing top-tier service, resolving complex issues and fostering positive relationships with clients. Strengths include strong verbal communication, problem-solving skills and ability to maintain composure under pressure. Made significant impact in previous roles by improving client satisfaction and retention rates.

Overview

5
5
years of professional experience

Work History

Member Service Representative

Prime Therapeutics LLC
Eagan, MN
03.2024 - Current
  • Answered incoming calls regarding membership benefits and services.
  • Updated system with order specifics and customer details, preferences, and billing information.
  • Assisted customers with prescription refills, requests for over-the-counter medications and other health care products.
  • Prepared and evaluated CRM reports to identify problems and areas for improvement.
  • Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
  • Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
  • Ensured compliance with applicable laws and regulations governing financial institutions.

Patient Access Specialist

AmerisourceBergen
Conshohocken, PA
09.2022 - 03.2023
  • Collaborated with clinical staff to ensure timely processing of orders for tests, treatments and procedures.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Participated in ongoing training sessions related to new technologies or software updates impacting the registration process.
  • Explained various admission forms and policies, acquiring signatures for consent.
  • Served as a liaison between patients and third party payers ensuring that all necessary documents are submitted in a timely manner.
  • Assembled registration paperwork and placed identification bands on patient.

Technical Support Specialist

Alorica
IRVINE, CA
03.2022 - 06.2022
  • Assisted customers with installation of new hardware and software applications.
  • Recommended upgrades or additional features that could enhance user experience.
  • Evaluated software or hardware to recommend improvements or upgrades.
  • Installed and performed minor repairs to hardware, software or peripheral equipment.
  • Documented all customer interactions and resolutions in the ticketing system for future reference and reporting.
  • Assisted customers with various types of technical issues via email, live chat, and telephone.
  • Trained new support representatives on troubleshooting techniques and company support protocols.

Claims Processor

Robert Half
Menlo Park, CA
12.2021 - 03.2022
  • Entered claim information accurately into database systems.
  • Verified claim data correctness in preparation for processing.
  • Worked closely with appraisers, rental facilities, body shops and salvage vendors.
  • Analyzed contracts and claim systems to apply appropriate benefit amounts.
  • Evaluated the validity of assigned claims by verifying that services are medically necessary according to established guidelines.
  • Documented decisions on each claim based on research findings and applicable benefit plans.

Customer Service Representative

SaviLinx
Hattiesburg, MS
04.2020 - 07.2021
  • Utilized job-related software to prepare change of address records and issue service discontinuance orders.
  • Provided accurate information about products and services to customers.
  • Answered customer inquiries via phone, email, and chat.
  • Used approved scripts to de-escalate angry customers during telephone interactions.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Answered inbound calls, chats and emails to facilitate customer service.

Education

High School Diploma -

FCAHS
Brooklyn, MS
05-2014

Skills

  • Call center operations
  • Relationship building
  • Strong empathy
  • Workflow management
  • Service support
  • Active listening
  • Issue troubleshooting
  • Complaint resolution

Timeline

Member Service Representative

Prime Therapeutics LLC
03.2024 - Current

Patient Access Specialist

AmerisourceBergen
09.2022 - 03.2023

Technical Support Specialist

Alorica
03.2022 - 06.2022

Claims Processor

Robert Half
12.2021 - 03.2022

Customer Service Representative

SaviLinx
04.2020 - 07.2021

High School Diploma -

FCAHS
Ameshia Spencer