Summary
Overview
Work History
Education
Skills
Summary - Objective
Timeline
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Edward Lorentz

Palenville,NY

Summary

Customer Service Analyst/Administrative Specialist with extensive experience serving customers in several industries. Adept at processing customer sales, service orders, Customer returns, analyzing issues and assuring delivery in accordance with customer requirements with minimum supervision. An attentive, motivated professional who possess strong communication skills. Seeking a challenging position to enhance my existing skills while acquiring new skills.

Overview

7
7
years of professional experience

Work History

Empire Plan Customer Resolution Advocate

United Healthcare
10.2021 - Current
  • Performs Real time/ complex adjustments
  • Efficient in UNET, SOP Research and NDB
  • Experienced in advanced research of guidelines, reimbursement policies and SPI
  • Developed relationships with internal business partners to achieve resolution of customer issues
  • Maintains a professional and compassionate attitude in a continuously changing environment
  • Experience working with IRT and resolving complex provider and member issues
  • Excellent organizational skills and proficient in Microsoft

Empire Plan Health Advisor

United Health Group
10.2018 - Current
  • Identifies and resolves problems using a defined process, expertise, and judgement
  • Provides expertise and customer service support to members, customers, and/or providers
  • Advocate for members to provide lower out of pocket costs
  • Respond to members, providers, and clients regarding eligibility verifications for members and providers, explanation of benefits, coordination of benefits and claim inquiries

Receptionist

ETAIN LLC., Kingston, NY
10.2017 - 10.2018
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, verify patient information and updated client records.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Process intake of new patients
  • Take prescription orders
  • Data entry
  • Use various software including Biotracks, Microsoft Word/Outlook/Excel, Fullslate, and Smartsheet

Education

Bachelor of Science - Communications/TV Production

SUNY New Paltz
New Paltz, NY

Skills

  • Microsoft Word

  • Microsoft Excel

  • Microsoft PowerPoint

  • Microsoft Teams

  • Microsoft Outlook

  • ISET

  • UNET

  • IEX

  • BIOTRACKS

  • FULLSLATE

  • SMARTSHEET

Summary - Objective

Customer Service Analyst/Administrative Specialist with extensive experience serving customers in several industries. Adept at processing customer sales, service orders, customer returns, analyzing issues and assuring delivery in accordance with customer requirements with minimum supervision. An attentive, motivated professional who possesses strong communication skills. Seeking a challenging position to enhance my existing skills while acquiring new skills.

Timeline

Empire Plan Customer Resolution Advocate

United Healthcare
10.2021 - Current

Empire Plan Health Advisor

United Health Group
10.2018 - Current

Receptionist

ETAIN LLC., Kingston, NY
10.2017 - 10.2018

Bachelor of Science - Communications/TV Production

SUNY New Paltz

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Edward Lorentz