Dedicated and tenacious customer service professional with a proven track record of exceeding expectations and delivering on commitments. Highly organized Client Service Representative possesses strong communication, problem-solving, and multitasking skills. Skilled in building strong relationships with clients and providing quality service.
Overview
9
9
years of professional experience
Work History
Program Specialist II
Eversana Life Science Services
04.2022 - Current
Provide dedicated, personalized support delivered via online portal
Taking 60+ calls daily
Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs
Assist with prior authorization and medical necessity processes, benefit verification and prior authorization assistance
Administer comprehensive searches for alternate reimbursement resources, such as state and federal assistance programs, and enrollment assistance for qualified patients
Respond to inquiries from customers, sales representatives and business partners, and follow up on requests in a timely, courteous and professional manner
Maintain positive attitude and a helpful approach to customers and clients
Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions
To include maintaining logs and records as required
Process patient assistance applications according to business rules of program
Other tasks and projects as assigned.
Conducted thorough needs assessments to identify gaps in service delivery and inform program development efforts.
Received incoming phone calls and contact form submissions and provided timely responses to inquiries.
Client Service Representative I
Ciox Health
04.2023 - Current
Processing of Legal, Patient, and Insurance request
Receives incoming request for information pertaining to medical records
Data time and date stamps all requests and highlights pertinent data to facilitate processing
Validates requests and authorizations for release of medical information according to established procedures and HIPAA guidelines
Complete release of information requests; including retrieving medical charts and returning charts, copying/scanning medical records
Electronically transmit medical records to processing operations departments
Performing quality checks on all work to assure accuracy of all release
Insure proper invoicing of Patient's request.
Handled sensitive client information with discretion, ensuring confidentiality at all times.
Driver
Lyft
10.2018 - 05.2023
Greet customers upon their exit and entry into vehicle
Maintain vehicle sanitation to ensure high levels of customer service
Comply with all traffic laws while transporting customers
Maintain a log to track mileage and gas expenses.
Accounts Receivables Specialist
First Data
01.2018 - 09.2019
Handled high volume of in-bound calls pertaining to delinquent merchant accounts 100+ calls daily
Managed emails
Document all account activities via tracking system
Utilized skip tracing to maintain account information
Processing credit memos and refunds.
Posting payments to customer accounts.
Raising and sending invoices to customers.
Follow-up on overdue Invoices
Assisted in new hire training.
Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
Negotiated payment arrangements with customers to establish timely receipt of payments.
Store Manager
Affordable Cell
02.2015 - 01.2018
Develop and implement operational policies and procedures to enhance productivity
Increased sale orders through upselling additional products and services
Handled communications with clients via phone, email and/or mail regarding delinquent accounts
Responsible for leading the team in key daily managerial tasks by opening/closing the store location
Ensured appropriate sanitation and disinfecting activities at end of shifts
Addressed and resolved customer complaints as needed.
Assisted with hiring, training and mentoring new staff members.
Managed store employees successfully in fast-paced environment through proactive communication and positive feedback.
Improved customer satisfaction through staff training in customer service and product knowledge.
Managed inventory control, cash control, and store opening and closing procedures.
Education
High School Diploma -
Cerritos High School
Cerritos, CA
06.2002
Skills
HIPAA
Accounts Receivable
Medical Records
Upselling
Medical Terminology
Office Management
Order Entry
Epic
Customer Support
Call center experience
Customer Focus
Data Entry
Customer Service
Payment Processing
Microsoft Office
Transaction Processing
Timeline
Client Service Representative I
Ciox Health
04.2023 - Current
Program Specialist II
Eversana Life Science Services
04.2022 - Current
Driver
Lyft
10.2018 - 05.2023
Accounts Receivables Specialist
First Data
01.2018 - 09.2019
Store Manager
Affordable Cell
02.2015 - 01.2018
High School Diploma -
Cerritos High School
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