Angelou Nagy
SELMA,NC
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
9
9
years of professional experience
Work History
Sr. Configuration Solution Analysts
MedCost LLC
Winston-Salem, NC
08.2023 - Current
- Participates in development of business requirements and solution design. Analyzes requirements to determine the best approach for configuration design, testing, and implementation
- Translates configuration rules, provider data, code sets and benefits into system parameters to support accurate downstream operations for enrollment, billing, and claims processing
- Work with coding specialist to evaluate opportunities to update benefit categories based on compliance, regulatory or industry changes
Configuration Specialist
MedCost LLC
Winston-Salem, NC
06.2022 - 08.2023
- Create new and existing billing rates in HRP
- Configures the HealthRules benefit from development into testing and deploying to the production environment
- Design, develops, and maintains user system documentation
- Support IT Department on importing and exporting files into Production
- Create and audited overall clients’ account setup
- Setup clients’ Rx cost sharing accumulators into MBS Utilities
- Create documentation for embedded and non-embedded groups
- Review claims that cannot be auto adjudicated
- Create PBM Crosswalk Accumulators using MBS Utilities
- Assisted with audits by preparing accounts and providing information.
- Analyze claims' adjudicating issues and provide testing and resolution
- Utilize JIRA to create and track work progress
Senior Customer Service Representative
Cardinal Health
Twinsburg, OH
11.2021 - 06.2022
- Answer high volume of inbound calls from customers, caregivers, doctors’ offices, and applicable referrals
- Navigate multiple computer programs and tools
- Process orders for new and existing customers, collecting the necessary information for insurance billing; collect payments as needed
- Consult with Supervisor or Team Lead on complex and unusual problems
- Ensure customer satisfaction and provide professional customer support
- Knowledge about ICD-10 medical Coding, insurance verification, prior authorization, Medicare/Medicaid
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Set up and activated customer accounts.
Customer Service Representative
Ria Financial Services
Buena Park, CA
02.2021 - 11.2021
- Manage inbound customer calls and make outbound calls to provide updates
- Assist customers with international money transfers
- Enter, modify, and correct customer data within the company’s proprietary platform
- Craft emails to answer customer queries and resolve internal concerns
- Resolve agents’ and correspondents’ requests to keep back-office logs clear
Administrative Office Assistant
Raleigh Plumbing & Heating Company
Raleigh, NC
11.2019 - 01.2021
- Processed invoices and customer orders through NolaPro accounting software
- Answered phones and responded to customer inquiries
- Generated purchase orders and returned forms through Cougar Mountain Software
- Updated pricing and inventory lists
- Created customer quotes and transacted customer payments over the phone via Square
Office Assistant/School Librarian
MUNICIPALITY OF SANTA CRUZ Sta. Cruz
Laguna, PH
01.2017 - 09.2018
- Organized reports from all schools in the district by using Microsoft Word & Excel
- Prepared and submitted teachers’ documents to the division office each month
- Inventoried all donated and newly delivered books to the library
- Monitored and helped faculty, staff, and students when they used the library’s facilities
Macy's Customer Service Representative
Alorica
Lipa, Batangas, PH
08.2015 - 11.2016
- Consistently in the top 10 of over 100 collection agents
- Negotiated settlements and collected payment from customers with delinquent accounts
- Investigated and solved customers’ questions and disputes relating to their accounts
- Updated and maintained customers’ confidential account information
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
Team Leader
01.2016
- Managed a group of 10 customer service agents
- Ensured all team members were trained in product knowledge
- Listened to the team’s recorded calls and coached them on improvement
- Prepared and distributed reports to monitor the team’s daily improvements
Education
Bachelor’s - Civil Engineering
LAGUNA STATE POLYTECHNIC UNIVERSITY
01.2016
Skills
- Maintenance & repair
- Communication
- Analytical
- Problem resolution
- Good work ethic
- Best practices and standards
- Project documentation
- Microsoft Office
- Customer service
- Active listening
- Computer skills
- Organization
Timeline
Sr. Configuration Solution Analysts
MedCost LLC
08.2023 - Current
Configuration Specialist
MedCost LLC
06.2022 - 08.2023
Senior Customer Service Representative
Cardinal Health
11.2021 - 06.2022
Customer Service Representative
Ria Financial Services
02.2021 - 11.2021
Administrative Office Assistant
Raleigh Plumbing & Heating Company
11.2019 - 01.2021
Office Assistant/School Librarian
MUNICIPALITY OF SANTA CRUZ Sta. Cruz
01.2017 - 09.2018
Team Leader
01.2016
Macy's Customer Service Representative
Alorica
08.2015 - 11.2016
Bachelor’s - Civil Engineering
LAGUNA STATE POLYTECHNIC UNIVERSITY
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