FE'ARICA MILLER
Monroe,USA
Summary
Customer Service Representative with extensive experience in remote healthcare. Skilled in communication, problem-solving, documentation, while ensuring compliance with HIPAA guidelines. Demonstrates strong ability to educate members about health plan benefits and manage high call volumes with professionalism. Flexible hard worker ready to learn and contribute to team success.
Overview
4
4
years of professional experience
Work History
Remote Healthcare Customer Service Representative
Continuum Global Solutions
2024.10 - 2025.05
- Educated Medi-Cal and Covered CA members on health plan benefits, covered services, eligibility, general information
- Assisted members with selecting or changing primary care providers and accessing healthcare services.
- Responded to inquiries regarding provider networks, billing, referrals, authorizations, etc.
- Maintained effective communication while managing a high volume of incoming calls
- Documented customer interactions in the CRM system for effective tracking
- Collaborated with billing providers to resolve billing discrepancies
- Verified patient demographic information in order to ensure accuracy of data entry
- Adhered to HIPAA regulations when handling confidential patient information.
- Collected payments from Covered CA members and entered them into the billing system accurately
Remote Healthcare Customer Service Representative
Everise
2022.03 - 2024.01
- Educated Medicare Advantage members on health plan benefits, coverage, eligibility, etc.
- Responded to inquiries regarding provider networks, referrals, authorizations, claims status, etc.
- Addressed member concerns while ensuring compliance with CMS, Medicare, and company guidelines
- Assisted members with selecting or changing primary care providers that are in-network with health plan
- Collaborated with billing providers to resolve billing discrepancies
- Documented customer interactions in the CRM system for effective tracking
- Adhered to HIPAA regulations when handling confidential patient information
- Verified patient demographic information in order to ensure accuracy of data entry
Overnight Stocker
Walmart
Arlington, USA
2021.10 - 2022.05
- Stocked merchandise on sales floor shelves and displays during overnight shifts, ensuring a well-organized shopping environment.
- Executed inventory rotation and shelf replenishment, maintaining compliance with company standards.
- Utilized pallet jacks and equipment to transport merchandise within the store
- Maintained clean, organized, and safe work areas while adhering to safety guidelines
- Collaborated with team members to meet overnight productivity goals through strategic stocking
Education
High School Diploma -
Wossman High School
Monroe, LASkills
- HIPAA compliance
- Insurance Verification
- Call Handling
- Remote call center
- Data Entry
- CRM systems
- Multi-system Navigation
- Microsoft Office
- Computer skills
- Multitasking
- Adaptability
- Teamwork and collaboration
- Communication skills
- Policy Knowledge
Timeline
Remote Healthcare Customer Service Representative
Continuum Global Solutions
2024.10 - 2025.05
Remote Healthcare Customer Service Representative
Everise
2022.03 - 2024.01
Overnight Stocker
Walmart
2021.10 - 2022.05
High School Diploma -
Wossman High School