Management professional with over 10 years in call center and customer service. Proven leadership and communication skills enhance team performance and customer satisfaction. Adaptable in fast-paced environments, consistently delivering results.
Overview
13
13
years of professional experience
Work History
Claims Specialist
ACCREDO HEALTH GROUP
02.2018 - 06.2025
Examining insurance claims
Collecting and analyzing patient data
Confirming filling procedures are completed correctly
Electronic record experience
Experienced with insurance payers including Medicaid, Medicare, and other Commercial and Private payers
Contacted insurance companies for claim follow ups
Benefit Agent
CONNEXION POINT
01.2015 - 01.2018
Conducts customer retention activities.
Implements process improvements for customer satisfaction and efficient reporting.
Maintains client industry relationships.
Meets project milestones while adhering to campaigns.
Trains call center staff on daily operations and campaigns.
Reviews productivity reports daily.
Suggests script improvements for operational efficiency and cost reduction.
Customer Service Representative
ACE CHECK CASHING
01.2012 - 01.2015
Operated software systems for data entry and cash handling.
Knowledgeable in accounting procedures including accounts payable, receivable, deposits, and credit card authorizations.
Wrote daily reports on financial discrepancies, refunds, and account deferrals.
Supervised and scheduled employees in supervisory roles.
Maintained high standards for customer service and quality assurance.
Collaborated with departments to ensure effective communication.
Researched retail financial overages and shortages for company functionality.
Education
High school or equivalent -
West Memphis High School
West Memphis, AR
05-2007
Skills
Verbal communication
Claims investigation
Eligibility determination
Data entry
Prior authorization processing
Account management
Payment and investigation escalations
Computer proficiency
Claims processing
Documentation review
Teamwork and collaboration
Multitasking Abilities
SKILLS
RXHome
45 WPM
Computer (Apple and PC)
Microsoft Word, ADP, Citrix, Web Based Applications