Customer service professional with proven ability to handle inquiries, resolve issues, and ensure positive client experiences. Skilled in communication, problem-solving, and adaptability. Strong team collaborator focused on achieving targets and maintaining high standards. Reliable and flexible, ready to meet changing needs and deliver results.
Overview
1
1
Certification
16
16
years of professional experience
Work History
Bartender
The Cross Eyed Bear
Marion, IL
05.2026 - Current
Mixed and served drinks to enhance guest experience
Scheduled and coordinated entertainment to engage customers
Money management
Cleaning
Prepared ingredients for menu items in a timely manner.
Handled financial transactions to ensure precise record keeping.
Customer Service Associate
Blue Cross and Blue Shield of IL
Marion, IL
06.2013 - Current
Throughout my time with HCSC I covered a variety of different roles, ranging from provider and member services.
Duties included but were not limited to, benefit and eligibility, claims processing and adjudicating, primary and secondary COB update, EOB disbursement, and many other related tasks for provider services.
For our Members i have spent brief time enrolling and explaining the different plans with coverage options best for patient needs and criteria and what medical treatment they have projected for a policy that offers the most benefit to the Member.
I've also served as a "round table" collaborator, provided feedback to CA’s, and their management.
Special project work is also assigned to me to work through more effective workflows and processes for improvement and development of company goals.
Resolved customer inquiries efficiently through multiple communication channels, enhancing overall satisfaction.
Bartender
Pin Oak Pub
Carterville, IL
07.2020 - 05.2022
Led bartending operations, overseeing staff and ensuring quality service.
Managed store access and security during shifts
Money Management
Processed orders from distributors, maintaining inventory levels and product availability.
Provided assistance to customers in a friendly manner
Handled cash transactions and balanced registers daily
Conducted opening and closing procedures for daily operations
Managed bar inventory, reducing waste and optimizing stock levels.
Trained and mentored junior bartenders on mixology techniques and customer service best practices.
Developed seasonal drink menus, enhancing customer engagement and satisfaction.
A/R Specialist
Southern Orthopedic Associates
Marion, IL
10.2019 - 04.2020
Responsible for billing insurance companies for patient care, including secondary coverage.
Applied payments to patient accounts from insurance checks and vouchers.
Adjusted provider billing to reflect services rendered.
Handled phone and email inquiries to assist patients
Submitted medical records to ensure accurate patient information
Performed targeted collections on past due accounts aged over 28 days.
Collaborated with insurance companies to verify patient coverage and expedite claims processing.
Implemented process improvements that reduced billing errors and improved cash flow.
Claims Processor
WPS Health Solutions
West Frankfort, IL
01.2019 - 08.2019
Engaged with the veteran claim processing contract to create a comprehensive approach for claim processing, covering tasks such as billing, invoicing, authorization, adjustments, recoups, and referral verification.
Processed and adjudicated insurance claims efficiently to ensure timely resolution and accuracy.
Analyzed claim data to identify discrepancies and initiate corrective actions for improved outcomes.
Collaborated with cross-functional teams to streamline claims processing workflows and enhance service delivery.
Processed claims accurately, ensuring compliance with regulatory guidelines and internal policies.
Mentored junior staff on best practices for claims submission and troubleshooting complex cases.
CNA - Certified Nursing Assistant
SI Podiatry
Herrin, IL
07.2012 - 05.2013
Assisted doctor with patient consultations
Delivered compassionate patient care, addressing needs and concerns to ensure comfort
Managed incoming phone calls for scheduling
Conducted insurance verification for patient eligibility
Monitored vital signs and documented changes in patient conditions to support clinical decision-making.
Educated patients on post-treatment care and preventive measures to enhance recovery outcomes.
Streamlined appointment scheduling processes, reducing patient wait times and enhancing clinic efficiency.
Led initiatives to maintain a clean, organized environment, adhering to health regulations and standards.
Customer Service Representative
Hyatt
Marion, IL
01.2011 - 03.2012
Answered phone calls to assist customers
Provided customer service at hotel reception
Performed duties as a Customer Assistant II
Delivered exceptional customer service by promptly addressing guest inquiries and resolving issues.
Collaborated with team members to enhance overall guest experience through effective communication.
Education
High School Diploma - CNA
Marion High School
Johnston City
05.2007
High School Diploma -
Johnston City High School
Johnston City, IL
05.2007
Skills
Medical billing
Beverage knowledge
Point of sale
Patient billing
Inventory management
Medical office experience
Order processing
Conflict resolution
ICD-10
Client communication
Medical records management
Appointment scheduling
Drink preparation
Clinical office experience
Point of sale software
Cash handling
Collaborative work
Customer service techniques
Medical explanation of benefits reviews
Insurance medical billing
Order documentation
Customer confidentiality
Surgical procedures
CPT coding
Service recovery
EOB reviews
Documentation review
Report preparation
Customer communication
Collaborate with healthcare professionals
Active listening
Support for cognitive disabilities
Patient Care
EHR management
Phone answering
Data research
Payment posting
Answering Phones
Customer transactions
Data Entry
10 key typing
Typing
Computer operation
Technical Proficiency
Computer literacy
Insurance communication
Microsoft Outlook
Transaction processing
Sales reporting
Customer verification
Research
Administrative experience
Guest services
Processing cash transactions
Customer interaction
Oral surgery
Documentation analysis
Dental insurance
HCPCS
DRG
Mobile devices
Beverage sales
Analysis skills
Empathy
Appeals
Medical Records
Insurance billing
Insurance communication
Insurance prior authorization
Patient triage
Customer engagement
Medical software
Front of house
Experience with individuals with cognitive disabilities
Analytical thinking
ICD-10
POS systems
Typing
Computer operation
Empathy
Service verification
Collections management
Certification
CNA, May 2007 to Present, Basic nursing functions, Driver's License, Certified Nursing Assistant (CNA), CPR
Additional Information
Willing to relocate: Anywhere
Personal Information
Work Permit: Authorized to work in the US for any employer