Organized Customer Service Representative with 6+ years of experience in Customer service. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Customer Support Specialist
Sagility Healthcare-Orlando, FL
01.2022 - 05.2024
Process and assist with all Medicaid pharmacy claims
Start and assist with prior authorizations for medications that require one
Contact pharmacies to assist with rejected claims.
Maintained confidentiality and security of all information, ensuring compliance with data protection regulations.
Updated and maintained customer information, documents and records.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Responded to customer requests for products, services, and company information.
Inside Sales Support Specialist
Alorica
03.2018 - 02.2020
Managed customer accounts, responding to inquiries and resolving customer service issues
Answered customers' questions regarding products, prices, and availability.
Set up new accounts, established customer credit and set up payment methods.
Used CRM software to maintain detailed contact logs and account records.
Monitored and amplified sales pipeline to maintain flow of potential leads and prospects.
Responded proactively and positively to rapid change.
Healthcare Customer Service Representative
Centene Corporation
05.2015 - 02.2018
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.
Sought ways to improve processes and services provided.
Met customer call guidelines for service levels, handle time and productivity.
Delivered prompt service to prioritize customer needs.
Investigated and resolved customer inquiries and complaints quickly.
Education
High School Diploma -
Saints Academy
Orlando, FL
05.2015
Skills
Customer service excellence
Prioritization
Tracking complaints
Problem-solving skills
High-volume call centers
CRM documentation
HIPPA
Organization
Microsoft Excel
Data Entry
Research
Order verification
Microsoft Office Suite
Certification
Class D Security, 07/01/24, 07/01/26, FL, Registered in the state of FL as an Unarmed Class D Security Officer.