Eboni Robinson
Stone Mountain,GA
Summary
Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.
Overview
5
5
years of professional experience
Work History
Dental Insurance Coordinator
Smoke Rise Dental
2022.12 - Current
- Skilled in establishing and maintaining effective working relationships with clients, insurance payors and DCS team members
- Extensive knowledge of dental insurance verification, codes and terminology
- Accurate notation of updated insurance
- Payor website utilization
- Providing necessary information and documentation in relation to full breakdowns of benefits
- Ensuring timely and most up to date insurance information is provided
- Work closely with the billing teams on updated insurance benefits
- Utilizing HIPAA guidelines at all times
- Provide professional and timely communication
- Used data entry skills to accurately document and input statements.
Customer Service Representative
CVS Health
2020.04 - 2022.12
- Answers questions and resolves issues based on phone calls/letters from providers. Triages resulting rework to appropriate staff. Documents and tracks contacts with members, providers and plan sponsors.
- Explains member's benefits, rights and responsibilities in accordance with contract to our providers.
- Educates providers on our self-service options; Assists providers with credentialing and re-credentialing issues.
- Determines applicable coverage provisions and verifies member plan eligibility relating to incoming correspondence and internal referrals.
- Handles incoming status requests for appeals and pre-authorizations not handled by Clinical Claim Management .
- Performs review of member/provider claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible.
- Uses applicable system tools and resources to produce quality letters and spreadsheets in response to inquiries received.
Client Support Specialist I (Part-Time)
Incheck Technologies
2020.02 - 2021.06
- Promptly handle all outbound client calls and emails and obtain resolution in a timely and accurate way
- Identify common problems and escalate them to management, along with possible suggestions for improvement
- Operations and authorization follow-ups
- ETA client follow-ups
- Follow-up on client files
- Maintaining a polite, helpful, and professional manner at all times
- Completion of special projects, as assigned
- Maintain confidentiality and security rules in all aspects of the job
- Learn, retain, and apply PBSA accreditation standards to all tasks
Dental Receptionist
Intown Smile Studio
2018.11 - 2020.04
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Helped patients complete necessary medical forms and documentation.
- Provided excellent customer service to create positive experiences and build patient trust.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Scheduled, rescheduled, and cancelled appointments for dental patients.
Education
Esthetics Botox and Dermal fillers Level 1 -
American Academy Facial
09.2019
- EFDA Certification And High School Diploma -
United Education Institution
2016
Skills
- Critical Thinking
- Conflict Mediation
- Prioritization
- Shipping and Receiving Understanding
- Grammar
- Call Center Operations
Timeline
Dental Insurance Coordinator
Smoke Rise Dental
2022.12 - Current
Customer Service Representative
CVS Health
2020.04 - 2022.12
Client Support Specialist I (Part-Time)
Incheck Technologies
2020.02 - 2021.06
Dental Receptionist
Intown Smile Studio
2018.11 - 2020.04
Esthetics Botox and Dermal fillers Level 1 -
American Academy Facial
- EFDA Certification And High School Diploma -
United Education Institution
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