Summary
Overview
Work History
Education
Skills
References
Timeline
BusinessAnalyst
Andrea Hart

Andrea Hart

Bakersfield,CA

Summary

Dedicated and compassionate customer service professional with over 10 years of experience in healthcare, sales, and customer service. Able to remain calm and professional in high-stress situations, resolving customer inquiries effectively. Exceptional communication, organizational, and multitasking skills. Committed to providing the highest quality service and creating a positive customer experience. Proven track record of timely resolution of customer issues while upholding the highest standards of satisfaction and adhering to HIPAA guidelines. Extensive experience in utilizing various communication channels such as phone, email, and web chat. Strong interpersonal skills and the ability to lead and motivate a team to success.

Overview

19
19
years of professional experience

Work History

Customer Service Advocate

United Health Care
Bakersfield
10.2023 - Current
  • Resolved customer inquiries and complaints via phone, chats, digital channels, and email, providing excellent support

Collaborated with other departments internally and externally to troubleshoot and resolve complex issues for customers

Maintained detailed records of customer interactions, ensuring accurate and timely resolution of issues

Utilized problem-solving skills to handle escalated customer concerns with professionalism and empathy

Maintained high customer satisfaction ratings through proactive service and attention to detail

Resolved customer inquiries efficiently and effectively in a remote work environment

Utilized strong written communication and verbal skills to provide exceptional support to customers via phone, chats, digital channels, and email

Proficient in utilizing CRM systems, and Microsoft software to accurately track and manage customer interactions using dual monitors

Experienced in troubleshooting technical issues and providing solutions to customers remotely

Navigates a computerized system for responding and/or troubleshooting to customers questions. Trained in handling escalated customer inquiries and resolving complaints effectively

Exceptional communication skills, fostering strong relationships and collaboration with remote team members

Proficient in utilizing virtual collaboration tools such as Microsoft, Slack, Zoom, and Trello, for seamless workflows

Demonstrated ability to work independently, meet deadlines, and stay organized while working remotely

Successfully managed remote projects, ensuring timely delivery and exceeding client expectations.

Tracked performance metrics such as response time and resolution rate for continual process improvement.

Performed account maintenance activities such as updating contact information and billing details.

Collaborated with cross-functional teams such as sales, marketing, technical support and operations to ensure quality service delivery.

Assisted customers in navigating website features for successful completion of online transactions.

USPS

Bakersfield
  • Delivered mail accurately and efficiently in all weather conditions on assigned route
  • Maintained customer satisfaction through friendly interactions and problem-solving skills
  • Sorted mail and packages for timely delivery in accordance with USPS regulations
  • Trained on safety procedures and use of equipment to ensure job preparedness
  • Experienced in navigating various neighborhoods efficiently and effectively
  • Successfully managed a high volume of mail and packages for timely delivery
  • Developed strong customer service skills through daily interactions with recipients
  • Implemented safety protocols to ensure secure handling and delivery of mail.

Caregiver

IHSS
Bakersfield
04.2005 - 09.2018
  • Personal Care: Assisting with activities of daily living such as bathing, dressing, grooming, and toileting
  • Mobility Assistance: Helping clients with mobility issues to move around safely, including transferring from bed to wheelchair
  • Medication Management: Ensuring clients take their medications as prescribed, including administering medication if necessary
  • Meal Preparation: Planning and cooking nutritious meals according to dietary needs and preferences
  • Companionship: Providing emotional support and companionship, engaging in conversation, and participating in activities together
  • Transportation: Driving clients to appointments, errands, or social outings
  • Housekeeping: Performing light housekeeping tasks such as tidying up, laundry, and changing bed linens
  • Monitoring Health: Observing and reporting any changes in the client's health or behavior to medical professionals or family members
  • Respite Care: Providing relief to family caregivers by taking over caregiving duties temporarily
  • Safety Supervision: Ensuring a safe environment for the client, including fall prevention and emergency response readiness.

Front Office Receptionist

Riverside Community Health Center For Change
Riverside
09.2015 - 06.2017

Managed phone and email inquiries efficiently and promptly

Greeted and assisted guests in a professional and friendly manner

Scheduled appointments and kept track of calendars for smooth operations

Maintained clean and organized reception area for a welcoming atmosphere.

Managed the front desk operations including answering phones, scheduling appointments, and directing inquiries.

Organized files, records, and documents according to established procedures.

Monitored stock levels of supplies in order to maintain adequate inventory levels.

Developed relationships with vendors to ensure timely delivery of materials needed for office operations.

Created spreadsheets to track customer orders or account updates accurately.

Proficient in Microsoft Office Suite.

Provided support to staff members regarding administrative issues or questions.

Scheduled meetings with clients as requested by management team.

Entered data into company software system.

Handled billing procedures

Scheduled appointments and maintained and updated appointment calendars.

Assisted with check-in and check-out procedures including verifying insurance coverage, collecting payments and updating records.

Utilized electronic medical record system to enter, update and maintain accurate patient data.

Assisted with scheduling laboratory tests for patients in accordance with their physician's orders.

Developed a thorough understanding of coding guidelines for billing purposes in order to accurately submit claims to insurance carriers.

Tracked medical records requests from other healthcare facilities or attorneys offices.

Reconciled accounts receivable on monthly basis ensuring accuracy of all charges billed out.

Performed administrative duties such as typing letters and reports using Microsoft Office Suite applications.

Processed incoming mail, faxes, scanned documents into EMR system while maintaining accuracy of patient data.

Resolved any outstanding balance issues between payers and providers promptly and effectively.

Verified patient eligibility for services by calling insurance companies or obtaining online authorization prior to appointment.

Greeted and registered patients, verified insurance information and collected co-payments.

Reported any discrepancies in charge entry and billing process immediately upon discovery.

Screened incoming phone calls, taking messages or forwarding to appropriate staff.

Processed payment transactions for cash, checks, and credit and debit cards.

Scanned and documented new patient information in electronic health records for registration purposes.

Updated patient records, medical histories, and contact information for traceability.

Education

Completed coursework towards Medical Billing and Coding -

Ashworth College
Norcross, GA

Completed coursework towards Bachelor of Science -

Full Sail University
Winter Park, FL

Completed coursework towards High School Diploma -

James Madison High School
Norcross, GA

Skills

  • Proven ability to remain calm and professional in high-stress situations while being able to quickly and effectively resolve customer complaints
  • Possesses exceptional communication, organizational and multitasking skills
  • Dedicated and knowledgeable individual with vast experience providing exceptional customer service to a wide variety of clients
  • Skilled in resolving customer issues, managing customer relations, and providing detailed health insurance knowledge
  • Data entry
  • Customer service
  • Attention to detail
  • Time management
  • Team collaboration
  • Call center
  • Microsoft Office
  • Medical terminology
  • Claims
  • Prior authorizations
  • Referral services
  • HIPAA guidelines and restrictions
  • Salesforce, Zendesk, and Google Suite proficiency

References

References available upon request

Timeline

Customer Service Advocate

United Health Care
10.2023 - Current

Front Office Receptionist

Riverside Community Health Center For Change
09.2015 - 06.2017

Caregiver

IHSS
04.2005 - 09.2018

USPS

Bakersfield

Completed coursework towards Medical Billing and Coding -

Ashworth College

Completed coursework towards Bachelor of Science -

Full Sail University

Completed coursework towards High School Diploma -

James Madison High School
Andrea Hart