Summary
Overview
Work History
Education
Skills
Timeline
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Kadesjah Samuels

Lexington,SC

Summary

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

7
7
years of professional experience

Work History

Rx Clinical Programs Pharmacy Technician Represent

Humana
01.2021 - 01.2024
  • Improved provider satisfaction by analyzing adjudication to decide whether or not claim processed correctly.
  • Streamlined prescription processing with accurate data entry and verification of patient information.
  • Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Processed faxed and verbal refill requests with accuracy and empathy.
  • Expedited insurance claim resolutions by liaising with healthcare providers and insurance companies on patients'' behalf.

Chat Support Representative

Aflac
11.2019 - 08.2020
  • Used ticketing systems to manage and process support actions and requests.
  • Created help desk tickets, troubleshot and resolved desktop issues.
  • Determined hardware and network system issues using proactive troubleshooting techniques.
  • Assisted customers in identifying issues and explained solutions to restore service andfunctionality.

Inbound Contact Representative

UPS
08.2018 - 10.2019

• Processed international transportation orders and quotes time in transit for services.
• Communicated with internal/external customers daily via phone, fax, and e-mail.
• Analyzed data and responding to customer communications timely.
• Processed international shipments; ensuring specific customer requirements are followed.
• Followed up on requests, reviewing rates as needed, tracking and routing shipments and orders, preparing reports, customer set ups, updating customer files and profiles.• Resolved problems and maintained an ongoing professional relationship with the customer and vendors.

Customer Service Representative

United Health Care (Teleperformance)
01.2018 - 08.2018

• Answered incoming calls promptly to avoid on-hold wait times.
• Answered constant flow of customer calls with up to eighty calls in queue per minute.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Provided information to customers regarding benefits and loyalty program and helped to open and activate new accounts.• Assisted customers with setting appointments, shipping, and special-order requests, and arranging medication pick-up at other locations.

Medical Debt Collector

Price Water House Coppers
06.2017 - 12.2017

• Prevented impending loss and increased profitability by enforcing scheduled collection campaigns consistently achieving targeted recovery rate.
• Maintained high volume of calls to meet demands of busy groups.
• Monitored accounts for compliance with established payment plans and flagged those in violation.
• Delivered exceptional customer service on all calls while maintaining calm and professional demeanor in challenging circumstances.

• Produced, distributed, and tracked more than fifty monthlies.


Education

Bachelor of Science - Education

South Carolina State University
Orangeburg, SC
05.2017

Skills

  • Formulary Management
  • Workflow Optimization
  • Healthcare regulations
  • Customer Service
  • Adjudication Process Review

Timeline

Rx Clinical Programs Pharmacy Technician Represent

Humana
01.2021 - 01.2024

Chat Support Representative

Aflac
11.2019 - 08.2020

Inbound Contact Representative

UPS
08.2018 - 10.2019

Customer Service Representative

United Health Care (Teleperformance)
01.2018 - 08.2018

Medical Debt Collector

Price Water House Coppers
06.2017 - 12.2017

Bachelor of Science - Education

South Carolina State University
Kadesjah Samuels