Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues.
Enthusiastic client services professional with strong background directly interfacing with industry customers. Well-versed in products, services and consumer trends. Dependable achiever committed to holding highest ethical standards and maintaining customer trust.
Customer-focused professional with a background in customer service roles. Known for providing top-notch client support while maintaining high levels of customer satisfaction and loyalty. Strengths include exceptional communication, problem-solving skills, and ability to handle multiple tasks simultaneously. Proven track record of consistently improving operational processes to enhance the overall customer experience.
Overview
7
7
years of professional experience
Work History
Customer Service Representative
Kelly Connect Services
Houston, TX
10.2023 - Current
Achieved 30% increase in customer satisfaction scores while leading a team of over 15 customer service representatives.
Resolved complex problems by working with other departments to provide solutions that meet customer needs.
Answered customer inquiries and provided accurate information regarding products and services.
Answered inbound calls, chats and emails to facilitate customer service.
Reduced new hire ramp-up time by 40% through development and implementation of onboarding programs.
Maintained resolution rate exceeding 95% by managing escalations and resolving high-level complaints.
Collaborated with sales and operations teams to enhance service delivery and ensure consistent customer experience.
Patient Support Center Representative
Optum
Houston, TX
08.2021 - 10.2023
Answer and manage up to 100+ inbound calls daily, assisting patients with scheduling, billing questions, and provider referrals.
Verify insurance coverage and obtain prior authorizations when required, reducing billing issues by 20%.
Document all patient interactions accurately in the EHR system to ensure up-to-date records.
Educate patients on procedures, appointment preparation, and follow-up care instructions.
Provided customer service by answering product and service-related questions.
Collaborated with colleagues in other departments to ensure that all customer needs were met effectively.
Consistently met daily performance goals set by management team members.
Worked closely with human resources to support employee management and organizational planning.
Healthcare Customer Service Representative
CVS Pharmacy
Houston, TX
07.2018 - 08.2021
Handle an average of 80–100 inbound and outbound calls daily regarding prescription refills, insurance coverage, claims issues, and member eligibility.
Provide clear guidance to patients and members about prior authorizations, pharmacy benefits, and out-of-pocket costs.
Use multiple systems (Salesforce, internal pharmacy systems) to research, document, and resolve inquiries accurately and promptly.
Maintain 98% accuracy in call documentation, and consistently meet quality, adherence, and customer satisfaction targets.
Educate customers on mail-order pharmacy services, and assist with registration and portal navigation.
Processed paperwork related to medical claims processing including authorizations, referrals, pre-certifications.
Maintained client confidentiality according to HIPAA regulations at all times.