Summary
Overview
Work History
Education
Skills
Timeline
CustomerServiceRepresentative

Delta Hudson

Lancaster,United States

Summary

Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.

Overview

17
17
years of professional experience

Work History

Customer Service Representative

HealthNet Of California
01.2023 - 11.2023
  • Validates patient and medical provider demographic information including correct selection of medical providers by specialty for healthcare service.
  • Determines whether patients are eligible to receive health care benefits under insurance program by determining patients status/eligibility Primary Care Manager (doctor) type, and appropriate referral/authorization path.
  • Contacts medical provider offices by telephone, and makes confirmation calls to patients for all urgent requests. Uses sound judgment in making decisions in order to keep referral/authorization process moving forward in accordance with contractual timeliness standards.
  • Follows step-by-step instructions, including redirecting into provider patients network for care, as required by contractual standards.
  • Generates letters and reviews to validate that they are going to correct providers/patients, and that provider/patient demographics and reason(s) for services to be rendered are correct.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Responded to 50+ customer requests, offering excellent support and tailored recommendations to address needs.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Communicate with management and team members through Microsoft team chat or Skype.

Postal Carrier

USPS
12.2013 - 04.2016
  • Communicated customer complaints, requests and feedback to company management for swift resolution.
  • Greeted customers and answered questions regarding mail pick up times, postal regulations and delivery costs.
  • Used portable devices to maintain system records by scanning items delivered to homes and businesses.
  • Maintained energy and enthusiasm in fast-paced environment.
  • Distributed mail on foot to residences and businesses, delivering to approximately 500+ customers per shift
  • Followed Postal Service policies and procedures to maintain integrity of mail and protect customer information
  • Monitored weather conditions regularly to adjust delivery routes accordingly

Receptionist

Vista Medical Group
05.2007 - 11.2013
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Handled cash transactions and maintained sales and payments records accurately.
  • Managed multiple tasks and met time-sensitive deadlines.

Education

Associate of Arts - Health Administration

University of Phoenix
Lancaster, CA
11.2015

Skills

  • Complaint resolution
  • Professional telephone demeanor
  • Service standard compliance
  • Medical terminology knowledge
  • Money handling abilities
  • Recordkeeping strengths
  • CRM
  • Administrative support
  • Microsoft: power point,excel, word, microsoft team
  • Online fax
  • Report preparation

Timeline

Customer Service Representative

HealthNet Of California
01.2023 - 11.2023

Postal Carrier

USPS
12.2013 - 04.2016

Receptionist

Vista Medical Group
05.2007 - 11.2013

Associate of Arts - Health Administration

University of Phoenix

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Delta Hudson