Dynamic professional with a proven track record at Renown Regional Medical Center, excelling in high-stress customer engagement and maintaining patient confidentiality. Skilled in computer proficiency and critical thinking, I consistently enhanced trust and efficiency. Achieved notable customer service ratings by leveraging problem-solving abilities and active listening to exceed performance targets.
Overview
9
9
years of professional experience
Work History
Specialty Pharmacy Scheduler/Claims
OptumRx
11.2024 - 06.2025
Addressed discrepancies between prescribed medications, alerting medical professionals when necessary to prevent adverse reactions or negative outcomes.
Maintained high levels of data accuracy by meticulously updating patient records and ensuring HIPAA compliance.
Increased efficiency of prescription refill processes, implementing automated systems that saved time for both patients and staff members alike.
Supported pharmacists in providing optimal patient care, handling insurance claims, and managing medication inventory.
Logged, allocated and managed claims.
Diligently filed and followed up on third party claims.
Reduced errors in claims adjudication through diligent review of policies and thorough investigation of claims.
Managed multiple claims simultaneously while maintaining organization and attention to detail.
Customer Engagement Representative
Renown Regional Medical Center
11.2019 - 11.2024
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Answered constant flow of customer calls with minimal wait times.
Established strong relationships with healthcare professionals, resulting in increased trust and credibility for the organization.
Maintained patient confidentiality by strictly adhering to HIPAA regulations while handling sensitive personal information.
Managed complex schedules for multiple healthcare providers, ensuring timely patient care and provider availability.
Participated in ongoing training opportunities to stay current on industry trends, best practices, and new technologies related to appointment scheduling processes.
Reservation Agent/PBX Operator
Nugget Casino Resort
06.2018 - 11.2019
Provided high level of customer service to each person by engaging customer and using active listening and effective interpersonal skills.
Managed online booking inquiries and assisted guests and travel partners with questions throughout entire booking cycle.
Handled billing information over phone.
Resolved various issues and discrepancies for customers.
Consistently met performance targets in both call handling time and customer service ratings, contributing to the overall success of the reservations department.
Maintained high levels of efficiency by managing multiple phone lines and email correspondence for reservation requests and adjustments.
Cashier/Floor Associate
Walgreens
09.2016 - 10.2017
Built relationships with customers to encourage repeat business.
Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Maintained up-to-date knowledge of product and service changes.
Assisted customers with returns, refunds and resolving transaction issues.