An organized and dependable agent with strong customer service agent skills and telephone etiquette and a willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Member Service Representative
Anthem
Remote
09.2022 - Current
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Monitor client and patient feedback and communicate concerns and issues to the appropriate department
Assisted members with correcting account, service and system issues by educating on required forms and technical processes.
Learned internal systems and related service role duties to provide skilled team backup in handling customer demands.
Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
Conduct data entry and customer support for wellness and incentive programs
Manage all incoming communications with members
Proactively reach out to patients to confirm and update patient information in the Marathon Health portal
Member Service Representative
Robert Half (Centere)
Remote
11.2021 - 06.2022
Educated customers about billing, payment processing and support policies and procedures.
Verify the benefits of members and providers
Explanation of Benefits, Schedule of Benefits, Evidence of Coverage, and Summary of Benefits and Coverage, as well as claims inquiry, as authorized, escalation as necessary.
The following products are included: Omni, Avaya One-X, Teams, Outlook, Amisys Advance v6, TruCare Cloud, CVS Caremark
Schedule appointments with doctors for members
In response to the claim clarification, assist the provider in obtaining a successful claim processing
All interactions were documented
Front Desk Manager/Receptionist Administrator
EXSO
Houston, TX
03.2018 - 11.2021
Greeted visitors and customers upon arrival, offered assistance and answered questions to build rapport and retention.
Maintained transaction security by verifying payment cards against identification.
Reported facility and room maintenance problems to appropriate personnel for immediate remediation.
Prepared weekly employee work schedules for team members.
Managed agendas and calendars, boosting productivity and improving organizational initiatives.
Drove workflow improvements by streamlining processes.
Disaster Relief Intake Agent
Teltech
Houston, TX
09.2017 - 03.2018
Answer applicants' questions regarding benefits and procedures.
Documented the applicant's information in order to determine their eligibility for possible benefits.
The interpretation and explanation of information, such as eligibility requirements,
Provide referrals for SNAP benefits, local government assistance, and SBA loans.
Escalations should be submitted to the second tier.