Kimberly Tuohy
Garden Grove,Ca
Summary
Dynamic customer service professional with extensive experience at Memorial Care, excelling in claims processing and patient navigation. Proven ability to resolve conflicts and enhance customer satisfaction through effective communication and technical troubleshooting. Recognized for strong attention to detail and a high-energy attitude, ensuring seamless patient experiences and efficient appointment scheduling.
Overview
3
3
years of professional experience
Work History
Customer Service Representative
Eastridge Job Agency
04.2024 - 07.2024
- Help candidates with claims questions
- Help candidates with updating their health profile
- Help candidates with questions they have with insurance and candidates' profile
- Make sure candidates feel comfortable
Partnered with Covered Ca Agent representative/Eligibility Representative
Volt agency/ Western Growers
09.2023 - 03.2024
- Answer calls for Agents
- Help agents with delegations
- Help reset passwords for agent portal’s
- Verify agent’s information before assisting agents
- Troubleshoot with agent portal and how to use the portal
- Help members with their claims
- Help members with understanding the eligibility process
Patient Navigator
Memorial Care
03.2023 - 07.2023
- Answer incoming calls 60 to 90 calls
- Create new patient charts
- Used Epic system
- Help schedule appointments
- Help patients understand HMO and PPO insurance
- Fast track referrals for patients
Client service representative 2
Accurate Background
06.2021 - 03.2023
- Take disputes over the phone
- De-escalate calls
- Take inbound calls 60 to 100 calls
- Schedule drug test for new hires
- Tech support/ ATM system was used for the background checks
- Follow hippa rules
Education
High School Diploma -
Elsinore High
Wildomar, CA06-2007
Skills
- Customer service
- Epic system
- Claims processing
- Technical troubleshooting
- Insurance eligibility
- Call handling
- Conflict resolution
- Data entry
- Communication skills
- Time management
- Attention to detail
- Problem solving
- Patient scheduling
- Empathy and patience
- Active listening
- Positive and professional
- Adaptability and flexibility
- Strong teamwork
- Problem-solving
- Multitasking and organization
- Critical thinking
- Call center experience
- Inbound and outbound calling
- Computer proficiency
- High-energy attitude
- Customer relations
- Creative problem solving
- Decision-making
- Microsoft outlook
- Typing proficiency
- Call center procedures
- Problem resolution
- Adaptive team player
- Follow-up skills
- Email management
- De-escalation techniques
- Scheduling
- Live chat support
- Microsoft Office Suite
- Complaint resolution
- Appointment scheduling
- Microsoft PowerPoint
- Dispute resolution
- Multi-line phone talent
- Complaint handling
Timeline
Customer Service Representative
Eastridge Job Agency
04.2024 - 07.2024
Partnered with Covered Ca Agent representative/Eligibility Representative
Volt agency/ Western Growers
09.2023 - 03.2024
Patient Navigator
Memorial Care
03.2023 - 07.2023
Client service representative 2
Accurate Background
06.2021 - 03.2023
High School Diploma -
Elsinore High
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