Experienced and Reliable customer service professional with 5+ years of customer service experience and proven commitment to increase company productivity and customer satisfaction and exceling at managing multifaceted projects in faced-paced environments with a strong positive character trait of determination and preservation.
Overview
7
7
years of professional experience
Work History
Pharmacy Customer Service Representative
UnitedHealthcare
Dallas,Texas
10.2024 - Current
Established and maintained patient profiles, updating organizational database with current information.
Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations
Verify patient information, insurance details, and referral documentation
Delivered exceptional customer service to every customer by leveraging extensive knowledge of prescriptions,and services and creating welcoming, positive experiences
Occasionally required to make outbound calls to internal / external partners
Authorization Specialist
Evolent Health
Virginia Beach, VA Remote
02.2024 - 08.2024
Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Facilitated communication between patients and various departments and staff.
Answered incoming calls, scheduled appointments and filed medical records.
Verified patient insurance eligibility and entered patient information into system.
Helped address client complaints through timely corrective actions and appropriate referrals.
Complete all required documentation associated with the handling of calls and maintain complete and accurate records.
customer service Representative
Sutherland
Dallas
04.2019 - 04.2023
Coordinated insurance billing activities, reducing discrepancies and streamlining workflows across departments.
Reduced errors in data entry tasks by implementing thorough quality control
Verified insurance of patients to determine eligibility.
Streamlined the billing process, resulting in faster reimbursements from insurance companies.
Education
Associate Degree In Communications - undefined
Navarro College
Irving, Texas
01.2016
Skills
Demonstrated strong decision-making skills to drive effective outcomes
Assisted teams in achieving project goals through effective collaboration Supported team members in completing tasks on schedule Contributed to a positive team environment by fostering open communication
Demonstrated advanced computer proficiency across various software applications
Demonstrated unwavering commitment to ethical standards and integrity
Executed accurate data entry processes to ensure information integrity
Demonstrated unwavering commitment to achieving high-quality results in all tasks
Assisted in resolving conflicts through effective communication techniques Supported team members in managing stressful situations Facilitated discussions to promote understanding and cooperation
Assisted in organizing and maintaining data for various projects Supported teams in tracking project progress and updates Contributed to data entry and management tasks to ensure accuracy