Desiree R. Parker
Baton Rouge,LA
Summary
Obtain a position as a customer service representative with a company that allows for the application of strong organizational, communication and customer retention skills when interacting with clients and providing them with the level of support they expect.
Overview
14
14
years of professional experience
Work History
Provider Services Representative
United Healthcare Group
11.2022 - 11.2025
- Facilitated provider onboarding processes, ensuring compliance with regulatory requirements and organizational policies.
- Managed provider inquiries, resolving issues promptly to enhance satisfaction and improve service delivery.
- Developed training materials for new team members, promoting knowledge sharing and operational consistency.
- Collaborated with cross-functional teams to streamline workflows, increasing efficiency in provider services operations.
- Inform the provider about the member's eligibility and benefits.
- Explain to the provider about the claim and appeal status.
- Check CPT codes to see if they are valid and billable.
- Review the claim status and decide if the claim needs to be reprocessed, or if it needs to be addressed further.
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Increased efficiency by accurately entering provider data into company systems and databases.
- Perform provider searches to see if the provider is INN or OON.
- Checking the billing history of CPT codes.
- Check to see if prior authorization is required for CPT codes.
- Complete prior authorization on behalf of the provider.
Certified Lube Technician
Take 5
08.2020 - 08.2021
- Change the engine oil, inspect the clutch fluid level
- Inspect the transmission oil level
- Check brake pedal, clutch pedal, and parking brake
- Check tire pressure
Server
Waffle House
02.2017 - 06.2020
- Promptly reported complaints to a member of the management team
- Recorded customer orders and repeated them back in a clear, understandable manner
- Took necessary steps to meet customer needs and effectively resolve food or service issues
- Correctly received orders, processed payments, and responded appropriately to guest concerns
Cashier
Chick fil A
07.2015 - 12.2016
- Provided excellent customer service to guests
- Received payments by cash, credit cards, vouchers, or automatic debits
- Issued receipts, refunds, credits, or change due to guests
- Answered guests’ questions and provided information on procedures or policies
Customer Service Representative
Circle K
02.2014 - 05.2015
- Responsible for operating and balancing a cash register on my shift
- Assisted customers with any issues they may have
- Trained new sales associates
- Stocked and replenished merchandise according to store merchandising layouts
Stocker
Walmart
02.2012 - 02.2014
- Stocked and rotated items as needed assisted with inventory control, loaded, unloaded, and moved product
- Checked shipments for the out-of-date and damaged products to ensure freshness and quality of products
- Ensured integrity of shelf tags and signage in the department; created/prepared signage, as needed
- Maintained standards in shrink, safety, inventory control, and sanitation
Education
High School Diploma - General Studies
Glen Oaks High School
Baton Rouge, LASkills
- Customer and Personal Service
- Active Listening
- Quality Control Analysis
- Judgement and Personal Service
- HIPAA compliance
- Goal-oriented mindset
- Call center experience
- Data entry proficiency
- Insurance verification
- Provider relations
- Teamwork
- Problem-solving
- Multitasking Abilities
Section name
Computer Skills: Microsoft Office (Word, Excel, Power Point, SharePoint), Outlook
Timeline
Provider Services Representative
United Healthcare Group
11.2022 - 11.2025
Certified Lube Technician
Take 5
08.2020 - 08.2021
Server
Waffle House
02.2017 - 06.2020
Cashier
Chick fil A
07.2015 - 12.2016
Customer Service Representative
Circle K
02.2014 - 05.2015
Stocker
Walmart
02.2012 - 02.2014
High School Diploma - General Studies
Glen Oaks High School