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
18
18
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Everise
Independence-work From Home, Louisiana
11.2021 - Current
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Answered customer telephone calls promptly to avoid on-hold wait times.
Answered constant flow of customer calls with minimal wait times.
Offered advice and assistance to customers, paying attention to special needs or wants.
Answered average of 100+ calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
Quickly and accurately answered customer questions, suggested effective solutions and resolved issues to increase customer satisfaction 100%.
Utilization Review- Case Management
Lsu Lallie Kemp Medical Center
Independence, LA
01.2017 - 11.2021
Calling insurance companies to obtain authorizations for medications _ Faxing clinical to insurance companies if authorizations is needed _ Attaching referral to appointments _ Scanning documents into media manager _ Submitting payroll to HR
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Obtained authorizations from multiple insurance carriers for various levels of care.
Supervised and maintained all utilization review documentation through Excel software
Performed prior authorization review of services requiring notification.
Maintained excellent attendance record, consistently arriving to work on time
Used Microsoft Word and other software tools to create documents and other communications
Exceeded goals through effective task prioritization and great work ethic
Worked flexible hours across night, weekend and holiday shifts
Carried out day-to-day duties accurately and efficiently
Billing and Scheduling Clerk
Northshore Center for Wellness
Hammond, LA
05.2013 - 01.2017
Submit billing to insurance companies - Provide clinical info to insurance co
Schedule follow-up appts
Administrative Coordinator 3
Lsu Lallie Kemp Medical Center
Independence, LA
07.2011 - 01.2017
Experience in Out-patient clinic setting in scheduling appt and appt reminders mailed to patient
Experience in Inpatient admission, preparing chart, etc., filing charts
Multi tasking
Documenting inpatient and observation hours
Certified Nurse Assistant
Lsu Lallie Kemp Medical Center
Independence, LA
10.2008 - 07.2011
To care for patients admitted to the hospital and assist them care during their stay - Record vital sign, answering call light
Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
Facilitated personal hygiene management, feeding and ambulation.
Carried out day-day-day duties accurately and efficiently.
Worked flexible hours; night, weekend, and holiday shifts.
Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Crew Leader Assistant
UNITED STATES CENSUS BUREAU
Dallas, TX
03.2010 - 08.2010
To make sure enumerators document correct info from residents in and around the community
during 2010 census and verifying all data given by residents, verifying address, phone number and
the number of people in each household and getting info as accurate as possible and submitting all
paperwork to the regional office in Dallas, TX
Education
High school diploma -
ST HELENA CENTRAL
Greensburg, LA
05.1993
Skills
Microsoft Office, Microsoft Word, Excel
Medical Scheduling
Administrative Experience
EMR Systems
Nursing
Medical Office Experience
Employee Orientation
Microsoft Outlook
Medical Records
Medical Terminology
Medical Billing
Hospital Experience
Insurance Verification
Vital Signs
Epic
Critical Care Experience
ICD-10
Patient Care
Clerical Experience
HIPAA
Triage
Assessments
Scheduling — Proficient
July 2020
Cross-referencing agendas and itineraries to avoid scheduling conflicts
Full results: Proficient
Customer Focus & Orientation — Highly Proficient
Responding to customer situations with sensitivity