Members Services Representative offering 4 years of experience resolving member and provider concerns. Focused on surpassing expectations and driving team success. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance. Effective at operating within department guidelines to manage telephone calls, emails, letters and in-person requests for assistance. Motivated to maintain customer satisfaction and contribute to company success.
Overview
13
13
years of professional experience
Work History
Members Services Representative
Midwest Operating Enginners
Countryside, IL
12.2017 - Current
Helped large volume of members and providers every day with positive attitude and focus on satisfaction.
Assisted members with benefit and claim inquiries and issues by educating on required forms, technical processes and plan doc rules.
Learned and maintained in-depth understanding of benefits to offer knowledgeable and educated responses to members and providers.
Followed up with members regularly.
Researched and rapidly resolved member and provider issues.
Delivered prompt service to prioritize member and provider needs.
Delivered exceptional customer service to every member and provider by educating extensive knowledge of benefits available and creating welcoming, positive experiences.
Quickly and accurately answered member and provider questions, suggested effective solutions and resolved issues to increase satisfaction.
Exhibited high energy and professionalism when dealing with members, providers and staff.
Office Manager
Dr. Sawsan Asfour DDS
Orland Park, IL
07.2009 - 12.2017
Scheduled patients.
Worked directly with insurance companies to ensure patients utilized maximum benefits accurately.
Verified patient benefits and eligibility.
Credentialed new and existing dentists.
Assisted the dentist with all procedures.
Billed PPO & Public Aid insurance.
Ordered office and dental supplies.
Worked directly with laboratories ensuring accuracy and timeliness for patient cases.
Hired and trained employees about office policies and to assist the dentist, made employee schedule.
Implemented state-of-the-art procedures and equipment services and conducted personalized patient consultations to explain treatment potions and discuss additional preventative care practices.
Managed 2 office facilities and staff of 5+ dentists and 10 support staff.