Dynamic professional with a proven track record at United Health Care Global, excelling in customer service and problem-solving. Skilled in CRM software and appointment setting, I effectively resolved provider inquiries, enhancing communication and satisfaction. Known for my positive attitude and teamwork, I consistently achieved service excellence in high-volume environments.
Overview
19
19
years of professional experience
Work History
Appointment Setter
Ogle School
10.2025 - Current
Conducted outbound calls to schedule appointments with prospective students.
Assisted in managing appointment calendar for admissions team.
Provided information about programs and services to potential clients.
Utilized CRM software to track leads and follow-up activities.
Developed rapport with prospects to enhance engagement and conversion rates.
Collaborated with team members to streamline appointment-setting processes.
Maintained accurate records of interactions and outcomes in database systems.
Provider Services Representative
United Health Care Global
02.2017 - 08.2025
Coordinated communication between healthcare providers and internal teams to resolve inquiries effectively.
Received inbound calls from providers needing assistance with claims inquiries, authorizations, and contractual questions.
Processed Authorizations.
Reached out to case managers regarding members and their benefits.
Assisted with setting up transportation.
Operated multiple chats with providers assisting with questions pertaining to contacts, claims, and payments.
Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
Member Service Representative
Amerigroup
09.2014 - 08.2016
Provided exceptional customer service by resolving member inquiries and concerns efficiently.
Assisted members with enrollment processes, ensuring accurate documentation and compliance.
Educated members on health plan benefits, enhancing understanding of available services.
Collaborated with internal teams to streamline communication and improve service delivery.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
Assisted members with account management, including updating personal information and setting up automated payments.
Regional Buyer
Goldwiser
10.2011 - 01.2013
Monitored supplier performance metrics to ensure compliance with quality standards and delivery timelines.
Maintained complete documentation and records of all purchasing activities.
Tested and appraised jewelry, coins, and antiques.
Made outgoing calls to existing customers who were interested in selling or buying gold.
I did marketing for the store by handing out business cards, flyers, creating blogs, and going door to door.
Handled all funds for my specific location that were deposited and withdrawn from the store.
Maintained maintenance and ran the store.
Made all bank runs for store
Handled all debit and credit card transactions.
Customer Service Rep
T-Mobile
10.2008 - 12.2010
Resolved customer inquiries efficiently, enhancing satisfaction and loyalty.
Guided customers through product features, fostering informed purchasing decisions.
Managed escalated issues, ensuring timely resolutions to maintain service quality.
Trained new representatives on system usage and best practices for customer interactions.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Responded to customer requests for products, services, and company information.
Sales Associate
Forever 21
07.2006 - 07.2008
Assisted customers with product selection and inquiries, enhancing overall shopping experience.
Maintained visual merchandising standards, ensuring appealing store presentation and layout.
Processed transactions accurately using point-of-sale systems, minimizing errors during checkout.
Collaborated with team members to achieve daily sales goals through effective communication.
Handled inventory management tasks, including stock replenishment and organization of merchandise displays.
Implemented loss prevention strategies, contributing to reduced shrinkage rates within the store.
Developed rapport with regular customers, fostering loyalty and repeat business through personalized service.