
Compassionate and service-oriented Customer Service Professional with a strong background in healthcare and call center environments. Skilled in handling high call volumes, scheduling appointments, verifying benefits, and resolving complex inquiries with patience and professionalism. Experienced in supporting members with care coordination, medication refills, and benefit education while maintaining confidentiality and compliance. Known for delivering empathetic, solution-focused support that builds trust and enhances the overall patient and member experience.
• Respond to high volumes of incoming calls on a multi-line phone system, providing prompt and courteous assistance to members.
• Process and coordinate refill requests for mail-order prescriptions accurately and efficiently.
• Educate members on their prescription plan benefits, coverage details, and available options.
• Assist members with questions regarding deductibles, out-of-pocket maximums, and copay responsibilities.
• Submit and manage pharmacy overrides to resolve rejected or denied prescription claims.
• Assist members with locating the proper pharmacy in network to their insurance plan and participate in 90 Day Supply Refill program.
• Managed a high volume of inbound calls to support customers with credit card inquiries, payments, and account maintenance.
• Processed payments, resolved billing discrepancies, and guided customers through understanding their monthly statements.
• Educated members about Apple promotions, exclusive offers, and financing options to enhance customer engagement.
• Established and negotiated payment arrangements to help customers manage account balances effectively.
• Ensured accuracy and compliance with company policies and financial regulations in every transaction.
• Delivered clear, empathetic communication that built trust and improved customer satisfaction.
• Assisted clients with daily living activities including bathing, grooming, dressing, and mobility support.
• Administered prescribed medications and documented intake according to care plans and medical guidelines.
• Supported clients with meal preparation, light housekeeping, and maintaining a clean, safe environment.
• Transported or accompanied clients to medical appointments, pharmacies, and errands as needed.
• Provided emotional support, conversation, and companionship to promote mental and emotional well-being.
• Communicated regularly with healthcare professionals and family members to ensure continuity of care.
• Handled high volumes of inbound and outbound customer calls in a fast-paced call center environment.
• De-escalated upset or frustrated customers by actively listening, showing empathy, and resolving concerns professionally.
• Processed account updates, service requests, and billing inquiries accurately and efficiently.
• Met or exceeded performance goals, including call quality, handle time, and customer satisfaction metrics.
• Collaborated with team members and supervisors to improve communication and service processes.
De-escalation & Conflict Resolution
Empathetic & Active Listening
Clear and Professional Communication
Customer Retention & Relationship Building
Problem Solving & Critical Thinking
Multitasking in Fast-Paced Environments
High-Volume Call Handling
Inbound & Outbound Customer Support
Appointment Scheduling & Follow-Up
Quality Assurance & Call Metrics
CPR/AED certification