Results-oriented Customer Service Professional experienced in healthcare support, data analysis, and technical troubleshooting. Managed high-pressure situations while delivering exceptional service and resolving conflicts through effective communication. Contributed to operational efficiency and compliance by addressing complex healthcare inquiries and fostering strong relationships with customers and stakeholders.
Work History
Customer Care Representative (CCR)
1 Year 11 Months
Everise | 10.2024 - Current
Conducted inbound and outbound calls to doctors, pharmacies, and members to address prescription-related inquiries, refills, and coverage details.
Addressed and resolved customer concerns regarding prescription coverage, ensuring a high level of satisfaction and compliance with healthcare regulations.
Demonstrated excellent communication skills while handling inbound and outbound calls, maintaining professionalism, and meeting performance metrics.
Collaborated with healthcare providers and pharmacies to verify medication coverage and manage refills, improving patient account accuracy.
Verified and updated patient account information, ensuring accurate records and facilitating optimal service delivery.
Resolved customer concerns regarding prescription coverage, enhancing satisfaction and ensuring compliance with healthcare regulations.
Verified and updated patient account information to ensure accurate records and optimal service delivery.
Assisted in troubleshooting issues with medication access and provided guidance on available treatment options.
Remote
Engineering Analyst
3 Years
Capstone Logistics LLC | 10.2021 - 10.2024
Trained and mentored workforce, fostering positive work environment that enhanced project readiness.
Interpreted blueprints, technical drawings, schematics, and computer-generated reports to ensure accurate implementation and compliance with specifications.
Collaborated with team leads to identify and recommend process improvements, enhancing operational efficiency.
Developed and implemented action plans to address and resolve problematic processes and asset-related issues.
Reviewed technical drawings from CAD technicians and drafters, ensuring compliance with project requirements and standards.
Medical Office Assistant
2 Years 5 Months
Mallory Women Health | 03.2019 - 08.2021
Streamlined patient scheduling to enhance appointment management and reduce wait times.
Assisted with patient scheduling, ensuring efficient management of appointments and minimizing wait times.
Maintained accurate patient records, including updating medical histories and entering data into electronic health record (EHR) systems.
Facilitated communication between patients and healthcare providers, addressing inquiries and relaying messages efficiently.
Analyst
4 Years 2 Months
Exel | 11.2014 - 01.2019
Queried databases to extract necessary information for report processing, ensuring timely and accurate data delivery.
Developed and maintained reports to track key performance indicators and facilitate strategic planning.
Validated results and performed quality assurance checks to ensure alignment between policies and business outcomes.
Identified and resolved problems through comprehensive root cause analysis and research, improving operational efficiency.
Collaborated with cross-functional teams to gather insights, supporting informed, data-driven decision-making.
Assisted in the implementation of process improvements based on analytical findings, enhancing overall performance.
Communicated findings and recommendations to stakeholders, ensuring alignment with business objectives.
Eliminated or reduced confusion by clarifying processes, helping employees achieve their goals effectively.
Customer Service Representative (CSR) III
2 Years 1 Month
RevClaims | 11.2011 - 12.2013
Managed high-stress situations with professionalism, resolving disputes to enhance customer satisfaction.
Handled escalated calls efficiently, finding satisfactory resolutions that benefited both customers and the company.
Responded promptly to customer requests for products, services, and company information, ensuring a positive experience.
Responded promptly to customer inquiries about products and services, contributing to a positive customer experience.
Developed strong relationships with customers through active listening, fostering trust and loyalty.
Trained and mentored new team members on best practices for customer service and conflict resolution.
Collaborated with other departments to address complex issues and streamline processes.
Analyzed customer feedback to identify trends and recommend improvements to service delivery.
EDI Clerk/Analyst
5 Years 10 Months
IMS Autrans | 08.2005 - 06.2011
Transmitted records and files to customers, ensuring compliance with operational timelines and service level agreements.
Monitored EDI transactions for accuracy and resolved discrepancies as needed, ensuring data quality.
Reviewed and submitted daily reports, maintaining data integrity and ensuring timely delivery to stakeholders.
Transmitted records and files to customers efficiently, ensuring adherence to operational timelines and service level agreements.
Ran, reviewed, and submitted daily reports, ensuring data integrity and timely delivery to stakeholders.
Troubleshot EDI issues and implemented solutions to minimize disruptions in data transmission.
Supported cross-functional teams in EDI-related projects, fostering effective communication and collaboration.
Analyzed existing systems and databases, recommending enhancements to address business needs and optimize workflows.
Monitored EDI transactions for accuracy and resolved discrepancies, ensuring data quality.
Education
Associate of Applied Science - Medical Billing And Coding
Virginia College | Jackson, MS | 12-2019
High School Diploma
Yazoo County High School | Yazoo City, MS | 05-2003
Associate of Applied Science - Medical Billing And Coding
Holmes Community College | Ridgeland, MS | 05-2027
Skills
Customer Service Excellence
Communication
Interpersonal empathy
Conflict management
Medication Knowledge
Claims Processing
Data analysis
Data Analytics
Database Querying
Order processing
Prioritization
SQL Proficiency
First-contact resolution
Customer service
Timeline
Customer Care Representative (CCR)
Everise
10.2024 - CurrentRead More
Engineering Analyst
Capstone Logistics LLC
10.2021 - 10.2024Read More
Medical Office Assistant
Mallory Women Health
03.2019 - 08.2021Read More
Analyst
Exel
11.2014 - 01.2019Read More
Customer Service Representative (CSR) III
RevClaims
11.2011 - 12.2013Read More
EDI Clerk/Analyst
IMS Autrans
08.2005 - 06.2011Read More
Yazoo County High School
High School Diploma
Read More
Virginia College
Associate of Applied Science from Medical Billing And Coding
Read More
Holmes Community College
Associate of Applied Science from Medical Billing And Coding