Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Crystal Garner

Mesa,AZ

Summary

Compassionate Member Care Representative known for high productivity and efficient task completion. Possess specialized skills in customer service, conflict resolution, and data entry. Excel in communication, empathy, and problem-solving to enhance member satisfaction and loyalty.

Overview

4
4
years of professional experience

Work History

Member Care Representative

Solidarity HealthShare
Tempe , AZ
02.2023 - 07.2024
  • The Member Care Representative will provide assistance and guidance to Solidarity HealthShare members and providers by responding to inquiries and resolving issues or complaints
  • Upheld and Integrated Solidarity’s Catholic and Christian identity and fostered the teachings of the Church in all aspects of my job responsibilities
  • Complied with company guidelines particularly those related to the quality of service
  • Received and effectively processed a high volume of inbound calls
  • Communicated effectively with members and providers via telephone and email in a professional manner
  • Provided product and service information to existing members as it pertains to the sharing guidelines
  • Updated members’ accounts including address changes, payment options, and program level
  • Provide information related to repricing, medical needs, medical need processing, and medical need status
  • Verified member eligibility and assist with pre-notification intake
  • Maintained an accurate member account by documenting interactions with detail of inquiry, concern, and resolution
  • Performed other related duties as assigned

Office Assistant

Innovative Primary Care Clinic
Gilbert, AZ
09.2022 - 01.2023
  • Organized office operations and procedures, such as managing calendars, scheduling appointments, preparing reports and maintaining records.
  • Answered incoming calls in a professional manner and directed callers to the appropriate personnel.
  • Performed data entry tasks into various computer systems accurately and efficiently.
  • Assisted with special projects as needed by researching information on the internet or through other sources.
  • Created spreadsheets using Microsoft Excel to track expenses and other financial data related to the office budget.
  • Assisted with scheduling appointments for clients and visitors.
  • Managed incoming and outgoing mail, courier services, faxes and other correspondence.
  • Performed data entry into computer systems to maintain accurate records of customer information.
  • Processed invoices and payments accurately and promptly.

Retail Associate

Ross Dress for Less
Phoenix, AZ
06.2022 - 08.2022
  • Greeted customers and provided excellent customer service.
  • Assisted customers in finding products, answered questions, and made product recommendations.
  • Maintained store appearance by stocking shelves, organizing merchandise displays, and cleaning counters.
  • Operated cash register to process payments from customers.
  • Resolved customer complaints in a professional manner.
  • Tracked inventory levels for restocking purposes.
  • Organized backroom storage areas for efficient access to merchandise.
  • Performed price checks on items requested by customers.
  • Handled returns and exchanges according to company policy.

Broker Service Representative

Populus/Centene
Tempe , AZ
08.2020 - 05.2022
  • Assisted Brokers with comissions status.
  • Provided benefit and coverage details for the members insurance policy.
  • Took High volume inbound calls.
  • Worked with dual monitor systems.
  • Assisted clients with the completion of applications and other paperwork related to their insurance policies.
  • Provided customers with product information and advice on selecting the most suitable coverage for their needs.
  • Explained coverage details such as copay’s, in and out of network benefits.
  • Conducted regular reviews of customer accounts to identify opportunities for additional coverage or services.

Member Service Representative

Cognizant
Mesa, AZ
02.2020 - 04.2020
  • Answered high volume incoming calls regarding membership benefits and services.
  • Provided benefit details such as copays, deductable status, in and out of network benefits, located providers
  • Assisted in initiating Prior authorizations.
  • Maintained accurate records of member interactions and transactions.
  • Adhered to all applicable policies, procedures, regulations, and laws.
  • Handled calls for new sign-ups, service cancellations and cross-selling opportunities.

Education

High School Diploma -

Coconino High School
Flagstaff, AZ
05-2002

Skills

  • Healthcare knowledge
  • Financial Transactions
  • Dispute Resolution
  • Service Recommendations
  • Member retention
  • Issue Resolution
  • CRM Software
  • Javelina Software
  • Shareable Software
  • Service Upselling
  • Complaint Handling
  • Customer Service
  • Client Education
  • Product Recommendations

Accomplishments

  • Awarded for my ability to go above and beyond for customers.

Timeline

Member Care Representative

Solidarity HealthShare
02.2023 - 07.2024

Office Assistant

Innovative Primary Care Clinic
09.2022 - 01.2023

Retail Associate

Ross Dress for Less
06.2022 - 08.2022

Broker Service Representative

Populus/Centene
08.2020 - 05.2022

Member Service Representative

Cognizant
02.2020 - 04.2020

High School Diploma -

Coconino High School

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Crystal Garner