Experienced Remote Call Center Representative with 5+ years of expertise in organization staffing needs. Proven track record of utilizing personal, communication, and organization skills to lead and enhance Inbound and Outbound departments.
Capable to perform effectiveness in my area of concentration or related areas of customer service satisfaction. Significant participation and collaboration in areas such as: Customer service, computer savvy, resourceful vision, adaptable to change and focused in details. Highly self-motivated team player committed to delivering high-quality work. Provides exceptional assistance and support to customers by addressing inquiries, issues, and requests. Ensures customer satisfaction through clear and effective communication while maintaining a good understanding of company products or services. Stays updated on changes and updates to provide accurate information. Actively listens to customer concerns and provides effective solutions. Collaborates with other departments to resolve complex problems while efficiently handling calls, emails, and chat inquiries.
Ability to communicate in English and Spanish with individuals and other providers' facilities.
Answer customer questions by phone and in written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
Analyze problems and provide information and solutions.
Managing and adjusting of claims.
Make calls to providers' offices to verify bills or information.
Answer questions regarding benefits and costs.
Submit bills to the claims department.
File member appeals and complaints, and investigate appeals and complaints with clinical and administrative departments.
Document all the information, activities, and changes in the database.
Thoroughly document consultation results for accurate follow-up and analysis.
Develop and maintain positive customer relationships, maintain a good attitude toward resolving member concerns
Research and analyze data to address operational challenges and customer service issues
Provide external and internal customers with requested information
Under immediate supervision, receive and make follow-up phone calls and emails to answer customer questions that are routine in nature.
Use computerized systems for tracking, information gathering, and problem-solving.
Helped a large volume of customers every day with a positive attitude and a focus on customer satisfaction.
Managed high call volume with exceptional professionalism and efficiency.
Responded to customer needs through competent customer service, and prompt problem-solving.
Assisted call-in customers with questions and orders.
Evaluated and identified opportunities to drive process improvements that positively impacted customer experience.
Answering calls, respond promptly to customer inquiries via phone calls.
Email and chat support provide assistance through email and chat channels as needed.
Collecting and tallying cash registers with large sums of money.
Handling complaints, addressing customer complaints professionally, and working towards a resolution.
Up-selling and cross-selling: Identify opportunities to promote additional products or services.
Adhering to policies, follow company policies and procedures in handling customer interactions.
Continuous learning helps you stay informed about product updates, industry trends, and customer service best practices.
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Provide direct care to patients, including monitoring vital signs, administering medications, and assisting with daily living activities.
Conduct comprehensive health assessments to identify patient needs, and develop care plans.
Work closely with physicians, other healthcare professionals, and support staff to coordinate patient care.
Educate patients and their families on health conditions, medications, and self-care practices.
Advocate for patients' rights, and ensure they receive appropriate and timely care.
Counseled patients and caregivers, providing emotional, psychological and spiritual support.
Maintain accurate and up-to-date patient records, documenting care plans, interventions, and outcomes.
Respond to emergencies, and provide immediate care in critical situations.
Utilized critical thinking skills to prioritize nursing interventions based on patients' acuity levels and individual needs.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians, and initiating appropriate interventions when necessary.
Administered medications safely according to established guidelines, while closely monitoring for side effects or adverse reactions requiring intervention.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Make calls to vendors, suppliers, or internal departments to gather and update inventory information.
Monitor and analyze inventory levels to identify potential issues or discrepancies.
Coordinate and place orders based on inventory needs and demand forecasts.
Build and maintain relationships with suppliers and vendors to ensure timely deliveries, and resolve any issues.
Enter and update inventory data in the system accurately.
Generate reports on inventory levels, order status, and any relevant metrics.
Ensure that orders are fulfilled accurately and on time.
Keep inventory management systems up to date with the latest information.
Managed high call volumes while providing exceptional customer support, and maintaining professional composure.
Handled escalated calls professionally, effectively resolving complex issues, and ensuring client satisfaction at all times.
Mastered multiple software systems for seamless navigation during calls, improving efficiency, and reducing hold times for customers.
Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
Computer knowledge:
Outstanding knowledge in Microsoft Software, Word, Power Point, Excel and
Microsoft Teams. Trained in customer service.
Outstanding knowledge in IDRS, AMS, IAT, VERINT, ITM, SKILLSOFT, RTR,
RCA, EUP, ELITE, ACSWEB, BEARS, ACURINT SERP
Google Teams
Google Meet
Keiser University
Associate of Science of Nursing RN
Associate of Medical Coding And Billing
May 2017
OSHA certification
CPR/AED/FIRST-AID) National CPR foundation license / certification
BLS Basic Life support certification
NECLEX license
OSHA certification
CPR/AED/FIRST-AID) National CPR foundation license / certification
BLS Basic Life support certification
NECLEX license