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 and providing customized solutions to build loyalty. Dedicated PCA highly effective at getting patients connected with valuable resources. Technologically savvy and successful managing large caseloads. 2+ years of success career experience in large hospital environments versed in collaborating with insurance companies and completing paperwork. Passionate about patient care.
Overview
10
10
years of professional experience
Work History
Patient Care Advocate II
Cigna/Accredo
10.2022 - Current
Handle inbound and outbound member, provider and physician calls
Answer questions related to pharmacy benefits, while maintaining productivity standards and
performance guarantees where applicable
Work with other operational departments to research and resolve mail order and claims issues and
respond to members within performance agreement guidelines
Maintain accurate and complete documentation of all inquiries in order to continuously improve the
customer service process and reduce potential legal concerns
Identify and escalate in a prudent manner, concerns received from patients and/or clients so that
corrective action can be pursued and expedited to take care of their needs
Responsible for good housekeeping techniques, adhering to quality and production standards while
complying with all applicable company, state and federal safety
Other duties as needed.
Customer Service Representative
VXI Global Solutions
08.2021 - 05.2022
Created customer appointments
Provided assistance to clients
Explained products and benefits
Confirmed payments, refunds, etc
Operated the live chat
Provided excellent technical support
Resolved payment and order disputes
Scheduled reservations for customers
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Security Officer
Allied Universal
Greensboro, NC
03.2021 - 06.2021
Preventing illegal or inappropriate actions by maintaining a high visibility presence
Performing access control procedures on vehicles, personnel, and visitors
Patrolling the buildings, facilities, and perimeters of the premises
Informing personnel and visitors of security procedures, as well as acting upon non-compliance
Monitoring alarm systems and video surveillance systems
Teacher Assistant
City Year
Philadelphia, PA
08.2019 - 03.2021
Assist school administrators and teachers in identifying students who would benefit from participating in City Year programs
Plan tutoring sessions and provide small group and one-to-one literacy and/or math tutoring
Support student academic success in the classroom
Reinforce the teacher's classroom routines and expectations
Create, support and/or co-lead literacy and/or math focused class content and events to enrich learning
Create, support and/or co-lead events or programs recognizing and appreciating growth and/or achievements
Record content focus and time spent with students providing small group and one-to-one tutoring.
Participate in and/or lead facilitated data review and student progress monitoring meetings.
Participate in leadership development training and coaching programs provided by the school
Facilitate programming and coaching sessions for individual or small groups of focus list students on building social emotional skills and overcoming attendance challenges
Promote a positive learning environment and school atmosphere by modeling positive peer behaviors.
Support and/or conduct extended day and virtual programming through facilitation of enriching activities for students before, during and after school.
Create an engaging classroom space in collaboration with the teacher
Create, support and/or co-lead events or programs that recognize and appreciate significant growth and/or achievement
Record time spent with students providing social-emotional development programs and attendance coaching.
Customer Experience Specialist
COMMUNITY NATIONAL BANK & TRUST
Montrose, PA
05.2019 - 03.2021
Welcome customers warmly when they call the bank; calling them by name (if known)
Help customers over the phone; answering on the first ring if available
Serve customers in opening new accounts, updating current accounts, and closing accounts
Assist customers with routine account-related requests such as Funds transfers and availability,ATM & Debit Card usage and limits,Checking and savings account transactions,Bank interest rates,Internet banking including bill pay and mobile banking, ETC.
Research and resolve customer problems, acting as the customer liaison between other bank departments when necessary
Evaluate customer requests for service charge refunds and process necessary paperwork to refund customer service charges as necessary
Ensure and maintain excellence in front-line coverage to greet and assist walk-in customers and cover the phones
May input, maintain, and/or delete ATM and Debit Cards within system
Contact customers to obtain necessary signatures and documentation on accounts due to an exception or missing information
Actively participate in training programs to maintain and acquire additional job knowledge and skills
Maintain the highest level of confidentiality with all information obtained
Represent the Bank in a manner that maintains and expands positive relations with all customers, potential customers, and co-workers
Perform as a team member in allocating and coordinating the work flow
Contribute to the fulfillment of department and company objectives and goals
Comply with all department and company policies and procedures.
Medical Receptionist/Medical Assistant
Temple Hospital
Philadelphia, PA
01.2019 - 02.2021
Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts
Keeps patient appointments on schedule by notifying provider of patient’s arrival, reviewing service delivery compared to schedule, and reminding providers of service delays
Comforts patients by anticipating patients’ anxieties, answering patients’ questions, and maintaining the reception area
Ensures availability of treatment information by filing and retrieving patient records
Maintains patient accounts by obtaining, recording, and updating personal and financial information
Obtains revenue by recording and updating financial information, recording and collecting patient charges, controlling credit extended to patients, and filing, collecting, and expediting third-party claims
Helps patients in distress by responding to emergencies
Protects patients’ rights by maintaining confidentiality of medical, personal, and financial information
Maintains operations by following policies and procedures, reporting needed changes
Contributes to team effort by accomplishing related results as needed.
Dental Assistant/Receptionist
American Family Dental Care
Philadelphia, PA
09.2019 - 12.2019
Greet patients when they arrive at the dentist's office
Schedule appointments for patients
Maintain patient accounts and records
Prepare and send patient bills
Submit patient claims to insurance companies
Assist patients in filling out required intake and medical forms
Confirm appointments with patients via phone or email
Manage and organize specialist referrals
Inform patients of payment options if applicable
Keep track of office supplies and place orders for more supplies when necessary
Perform basic accounting tasks such as taking patient payments and preparing billing statements
Update patient insurance information
Ensure all dental office equipment is functioning properly
Sort and organize incoming and outgoing mail
Maintain petty cash available in the dental office
Ensure reception area is maintained and professional in appearance
Cashier and Customer Service
Family Dollar
Philadelphia, PA
03.2019 - 09.2019
Provides a positive customer experience with fair, friendly, and courteous service
Registers sales on a cash register by scanning items, itemizing and totaling customers’ purchases
Resolves customer issues and answers questions
Processes return transactions
Itemizes and totals purchases by recording prices, departments, taxable and nontaxable items; and operating a cash register
Enters price changes by referring to price sheets and special sale bulletins
Collects payments by accepting cash, check, or charge payments from customers and makes change for cash customers
Balances cash drawer by counting cash at beginning and end of work shift
Maintains checkout operations by following policies and procedures and reporting needed changes
Maintains a safe and clean working environment by complying with procedures, rules, and regulations
Contributes to team effort by accomplishing related results as needed.
Cashier/Customer Service
Toys 'R' Us
Philadelphia, PA
06.2017 - 01.2018
Greet every customer in a polite manner
Courtesy Desk
Search for and complete money transfers
Return merchandise
Assist customers with online purchases
Perform money transactions and register duties
Maintain cleanliness of service desk
Customer Service Associate
Assist customer with issues and complaints
Assist special needs customers with shopping and purchases
Retrieve shopping carts
Front Desk Receptionist
Clarion Hotel by Choice Hotels
Columbus, GA
07.2015 - 10.2016
Greeted guests at front desk and engaged in pleasant conversations while managing check-in or out process.
Answered telephonic and in-person queries related to hotel services and resolved any issues
Liaised with other departments of hotel
Handled payments through cash, checks and credit cards
Coordinated successful check in and check out procedures for all guests
Responsible for billing to ensure guests are being charged appropriately
Assisted guests with registration in the rewards program and explain the procedures of use
Ran daily credit card transactions through a settlement process
Recorded daily room occupancy and rate totals
Recorded revenue totals for cash, checks, and credit card transactions
Generated automated accounting reports for the manager's review
Handled 3rd party reservations and ensuring proper processing
Settled Corporate Accounts and sending reports to those entities for billing purposes
Home Health Aide
Healthcare Services Group
Philadelphia, PA
01.2013 - 08.2015
Providing housekeeping and laundry services; shopping for food and other household requirements; preparing and serving meals and snacks; running errands
Providing personal services, such as, bathing, dressing, and grooming
Helping care for themselves by teaching use of a cane or walker, special utensils to eat, special techniques and equipment for personal hygiene
Being sure that Patients take medicines on time daily
Being sure that patients partake in activities both physically and non-physically
Education
High school diploma -
Benjamin Franklin High School
Skills
Technical Supportundefined
Additional Information
Authorized to work in the US for any employer
Timeline
Patient Care Advocate II
Cigna/Accredo
10.2022 - Current
Customer Service Representative
VXI Global Solutions
08.2021 - 05.2022
Security Officer
Allied Universal
03.2021 - 06.2021
Dental Assistant/Receptionist
American Family Dental Care
09.2019 - 12.2019
Teacher Assistant
City Year
08.2019 - 03.2021
Customer Experience Specialist
COMMUNITY NATIONAL BANK & TRUST
05.2019 - 03.2021
Cashier and Customer Service
Family Dollar
03.2019 - 09.2019
Medical Receptionist/Medical Assistant
Temple Hospital
01.2019 - 02.2021
Cashier/Customer Service
Toys 'R' Us
06.2017 - 01.2018
Front Desk Receptionist
Clarion Hotel by Choice Hotels
07.2015 - 10.2016
Home Health Aide
Healthcare Services Group
01.2013 - 08.2015
High school diploma -
Benjamin Franklin High School
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