Experienced with handling customer interactions and resolving issues promptly. Utilizes communication and empathy to build strong customer relationships. Track record of maintaining high customer satisfaction and fostering loyalty.
Overview
7
7
years of professional experience
Work History
CUSTOMER SERVICE REPRESENTATIVE
Highmark Health Options
02.2025 - Current
Handling incoming calls from members
Verifying member information
Submitting appeals and grievances
Updating medical insurance information
Confirming prior authorizations
Viewing claims and payment information
Providing drug formulary
Navigating through multiple systems on dual monitors
Advising deductible and co-payments
Updating orders and client’s accounts through CRM data base
MEMBER REPRESENTATIVE
IBX, Philadelphia
04.2024 - 02.2025
Handling incoming calls from members
Processing invoices
reviewing claims
Updating medical insurance information
Navigating through multiple systems on dual monitors
Advising deductible and co-payments
Handled high call volumes calmly and professionally, ensuring prompt assistance for each member inquiry.
Cultivated an empathetic approach when dealing with frustrated customers, diffusing tension while finding solutions to their problems.
CUSTOMER SERVICE REPRESENTATIVE
Hit Promotional Products, Bellmawr, NJ
01.2023 - 03.2024
Answering incoming calls
Navigating through multiple systems using multiple screens
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Assisted customers in navigating company website and placing online orders, improving overall user experience.
PHONE BANKER
Carol Blood Political Campaign, Nebraska
06.2022 - 12.2022
The position I held was a phone banker
I was responsible for calling off a call list to registered voters
I followed a script designed by Carol Blood to do different tasks each week
This was her governor campaign for election of November 2022
PATIENT CARE ADVOCATE
Express Scripts-Cigna Accredo
12.2021 - 06.2022
Maintained confidentiality of patient data and condition to safeguard health information.
Developed strong relationships with local pharmacies to expedite prescription refills and prevent gaps in medication therapy.
Demonstrated empathy toward diverse patient populations, building trust through compassionate interactions.
Resolved problems with communication and billing to foster seamless services.
CUSTOMER SERVICE REPRESENTATIVE
Xtend Healthcare/Navient
02.2021 - 09.2021
Vaccination hotline
Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
SCHEDULING COORDINATOR
FREEDOM MORTGAGE
02.2020 - 01.2021
Worked with manager and supervisor to plan and coordinate production schedules.
Utilized advanced software tools like Excel, Outlook, and scheduling-specific platforms to effectively manage comprehensive appointment calendars.
Working alongside loan advisors regarding important documents.
MEDICAL CALL CENTER REPRESENTATIVE
Ra Pain Services, Mount Laurel, NJ
06.2018 - 12.2018
Scheduling appointments
Updating charts through the system
Improved patient satisfaction by efficiently handling inbound calls and addressing their medical concerns.
Promoted patient retention by building rapport during interactions and providing compassionate assistance throughout the call.
Educated patients on available resources, such as financial assistance programs or support groups relevant to their conditions.
Streamlined appointment scheduling process, ensuring timely access to care for patients in need.
Education
Bachelor of Arts - Early Childhood Education Administration
Ashford University
San Diego, CA
04-2015
Master of Arts - Psychology
Ashford University
San Diego, CA
01-2026
Skills
Time management
Patient care
HIPPA
Member account management
Customer service
Medical scheduling
CPT codes
Data entry
Phone and email etiquette
Inbound call management
Call documentation
Customer relationship management (CRM)
50 wpm typing speed
Remote office availability
Timeline
CUSTOMER SERVICE REPRESENTATIVE
Highmark Health Options
02.2025 - Current
MEMBER REPRESENTATIVE
IBX, Philadelphia
04.2024 - 02.2025
CUSTOMER SERVICE REPRESENTATIVE
Hit Promotional Products, Bellmawr, NJ
01.2023 - 03.2024
PHONE BANKER
Carol Blood Political Campaign, Nebraska
06.2022 - 12.2022
PATIENT CARE ADVOCATE
Express Scripts-Cigna Accredo
12.2021 - 06.2022
CUSTOMER SERVICE REPRESENTATIVE
Xtend Healthcare/Navient
02.2021 - 09.2021
SCHEDULING COORDINATOR
FREEDOM MORTGAGE
02.2020 - 01.2021
MEDICAL CALL CENTER REPRESENTATIVE
Ra Pain Services, Mount Laurel, NJ
06.2018 - 12.2018
Bachelor of Arts - Early Childhood Education Administration
Market Partnership Implementation Specialist - Substance Use Recovery at Highmark Health Options WayspringMarket Partnership Implementation Specialist - Substance Use Recovery at Highmark Health Options Wayspring