Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.
Hi, I’m
June Simpson
Remote Customer Service Rep
Hayward,CA
Summary
Overview
10
years of professional experience
Work History
Circus Circus Hotel and Casino
Human Resource Benefits Payroll Coordinator
2023.01 - 2024.06 (1 year & 5 months)
Job overview
- Conducted benefit administration
- Addressed inquiries from employees and management regarding new-hire activity and ongoing employee relation issues
- Provided email, phone, web and in person support for all employees; primary contact for all online vacation scheduling, tracking and deferrals
- Processed all I-9 employment verifications for new hires, update I-9, and ensure compliance, participate in E-Verify
- Performed calculations in overtime, vacation, and sick hours to provide accurate data to payroll processing database.
- Verified and submitted timekeeping information for accurate and efficient payroll processing.
- Uploaded time records into computer system and made adjustments to create accurate database for payroll processing functions.
North Las Vegas Care Center
Unit Clerk
2022.02 - 2023.01 (11 months)
Job overview
- Handled incoming calls professionally, providing relevant information or transferring inquiries as needed to maintain efficient communication channels within unit.
- Answered multi-line telephone system, provided information, and directed calls.
- Provided excellent customer service while responsibly managing sensitive patient data in accordance with HIPAA guidelines.
- Documented updates to patient information in medical charts while maintaining HIPAA compliance protecting confidentiality of records.
- Assisted nurses and physicians with patient care, improving overall quality of service provided to patients.
- Enhanced patient satisfaction by efficiently managing medical records and maintaining strict confidentiality standards.
- Collected accurate insurance and billing information from patients, maximizing reimbursement rates for hospital.
United Healthcare Services/Optum Specialty Pharmacy
Remote Patient Care Coordinator
2016.04 - 2022.02 (5 years & 10 months)
Job overview
- Demonstrated and navigated prior authorization and appeal process with commercial and government payers
- Accurately assisted in member plan benefit information, checking medical codes to insure valid/billable documentation received
- Provided one call resolution standard
- Responsible for ownership of customer issues and ensuring 100% follow-up to process all order changes including, order cancellations, return authorizations, reships and request for credits
- Developed and maintained working knowledge of internal policies, procedures, and services (both departmental and operational)
- Utilized automated systems to log and retrieve information
- Performed accurate and timely data entry of electronic faxes
- Received inquiries from customers and or providers by telephone, email, fax, or mail and communicated response within required turnaround times
- Responded to telephone inquiries and complaints in a prompt, accurate, and courteous manner following standard operating procedures
- Interacted with hospitals, physicians, beneficiaries, or other program recipients
- Identified and escalated difficult situations to the appropriate party
- Met or exceeded standards for call volume and service levels per department guidelines
- Initiated files by collecting and entering demographic, provider, and procedure information into the system
Education
Grace M. Davis High School Modesto, CA
High School Diploma
06.1995
University Overview
Skills
- Strong communication and interpersonal skills.
- Excellent planning, organizational and time management skills.
- Keyboarding and data entry.
- Knowledge of Opera PMS, Epic, EMR, Passkey, MS Office Word, Excel PowerPoint.
- Strong listening skills with ability to multitask. Compliance understanding.
- Reporting abilities
- Exceptional Microsoft Excel skills
References
References
References Available on RequestTimeline
Human Resource Benefits Payroll Coordinator
Circus Circus Hotel and Casino
2023.01 - 2024.06 (1 year & 5 months)
Unit Clerk
North Las Vegas Care Center
2022.02 - 2023.01 (11 months)
Remote Patient Care Coordinator
United Healthcare Services/Optum Specialty Pharmacy
2016.04 - 2022.02 (5 years & 10 months)
Grace M. Davis High School
High School Diploma
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