Hi, I’m
Crystal Williams
CSR/PCA
Sneedville,TN
Summary
Elevance Health - CarelonRX Pharmacy - Mail Order
Centene Health - Wellcare -Medicare
call scores has an average of 94% - 96%, process medication refills, answer any and all questions. Processed New Prescription Requests. Managed approximately 30 incoming calls, emails and faxes per day from customers. Skilled in medical terminology and patient services, delivered efficient healthcare options and solutions. Friendly, Professional, proficient, and on time. Build rapport and empathizing with Patients. Answered patient calls, assessed needs and offered support. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Document all calls.
Answered Member's questions regarding Medicare D-SNP, Original Medicare, Medigap, Medicare Advantage plans, and OTC questions.
Overview
2
year of professional experience
5
years of post-secondary education
Work History
CarelonRX Pharmacy - Mail OrderRemote
Pharmacy Care Associare - PCA
03.2024 - 07.2024
Job overview
- Processed refills and corrected Members information as needed, Accepted payments, Checked to see if and when Member's medication had been sent or when it was scheduled to be sent.
- Documented each call with whatever the call was about.
- Improved patient comfort by providing compassionate and attentive care.
- Answered patient assistance calls, assessed needs, and offered qualified support.
- Administered medications as prescribed, preventing adverse reactions or complications.
- Address any discrepancies and concerns.
- Documented patient information and care activities in electronic health record.
- Maintained professionalism when Interacting with Member's.
Results Customer Solutions WellCare Remote
Customer Service Agent
11.2023 - 01.2024
Job overview
- Delivered personalized support by tailoring interactions based on individual customer preferences and needs.
- Adapted seamlessly to new systems and processes as needed, maintaining consistent productivity levels throughout transitions.
- Maintained high level of professionalism when interacting with customers, ensuring positive experiences.
- Addressed customer account discrepancies and concerns.
- Handled customer inquiries and suggestions courteously and professionally.
- Updated account information to maintain customer records.
- Answered constant flow of customer calls with minimal wait times.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Responded to customer requests for products, services, and company information.
- Processed customer service orders promptly to increase customer satisfaction.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Educated customers about billing, payment processing and support policies and procedures.
- Maintained up-to-date knowledge of product and service changes.
- Maintained a high level of professionalism when interacting with customers, ensuring positive experiences.
- Respond to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
Education
Hancock County HighSneedville, TN
High School Diploma
08.1995 - 05.2000
Ultimate Medical AcademyClearwater, FL
Associate of Science from Medical Billing And Coding, HealthCare Associate
09.2024 - Current
Walters State Community CollegeMorristown, TN
Associate of Science from Medical Billing And Coding
08.2024 - 08.2024
University Overview
- Completed professional development in [Subject]
Skills
- HIPAA Compliance
- Medical terminology knowledge
- Patient Services
- Empathy and Compassionate Care
- Problem-solving abilities
- Multitasking
- Excellent Communication
- Organizational Skills
- Patient relationship building
- Client documentation
- Electronic Recordkeeping
- Bookkeeping
- Active Listening
- Customer Relations
- Order Fulfillment
- CRM Software
- Medical Terminology Knowledge
- Office Equipment Proficiency
- Order Processing
- Coordination
- Research
- Prioritization
Work Preference
Work Type
Full TimeWork Location
RemoteAvailability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certification
Certified in Medicare D-SNP, Medicare Advantage Plans, Original Medicare, Medicare RX plans to answer any and all questions and sign members up for medicare.
Timeline
Ultimate Medical Academy
Associate of Science from Medical Billing And Coding, HealthCare Associate
09.2024 - Current
Walters State Community College
Associate of Science from Medical Billing And Coding
08.2024 - 08.2024
Pharmacy Care Associare - PCA
CarelonRX Pharmacy - Mail Order
03.2024 - 07.2024
Customer Service Agent
Results Customer Solutions WellCare
11.2023 - 01.2024
Hancock County High
High School Diploma
08.1995 - 05.2000
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