Leenette Bunch
Tulsa
Summary
Driven customer service representative committed to assisting customers/vendors in a timely and accurate manner. Successful in problem solving with clear concise communication and flexible interpersonal skills ensuring customer satisfaction by providing exceptional service and unmatched support. Adept at exploring different solutions to address customer needs effectively.
Overview
7
7
years of professional experience
Work History
Senior Recovery resolutions reprsenative
United Health Group / Optum
02.2024 - Current
- Knowledge and ability to analyze accounts and identify user and system errors
- Work independently to resolve these accounts and reach out/schedule meetings with appropriate staff if further review is required
- Built rapport with debtors through professional communication, gaining trust and facilitating smoother negotiations.
- Increased successful collections, utilizing persuasive negotiation tactics and thorough knowledge of client policies.
- Met or exceeded individual performance targets consistently through diligent work ethic and strong problem-solving skills.
- Responded to customer inquiries and provided detailed account information.
Clinical Administrative Coordinator
United Health Group
09.2022 - 02.2024
- Respond to incoming provider calls
- Receive Care Coordination notification cases for non-clinical assessment/intervention and provide appropriate triage
- Set up / documents / triages cases for (CCR) Clinical Coverage Review
- Ensures all potential member needs are identified and forwarded to the appropriate Care Coordinator for risk validation when applicable
- Daily use of Facets, Macess, Icue, Q Care.
Customer Service Rep Sr
United Health Group
06.2021 - 09.2022
- Provides detailed customer service to internal and external customers
- Assist Providers and third-party callers with inquiries about eligibility, benefits, medical claims, and authorizations for Medicare/Medicaid members in timely and accurate manner
- Research of claim denials and options for resubmission
- Daily use of Facets, Doc 360, Echo, Macess
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions
- Exceeded goals through effective task prioritization and great work ethic.
Customer Advocate II
Blue Cross Blue Shield Of IL, MT, NM, OK & TX
01.2019 - 06.2021
- Responding to telephone and written inquiries in prompt, accurate and objective manner
- Assisting commercial plan providers with setting up authorizations, gap exception requests
- Accessed multiple databases to investigate customer questions and concerns
- Assist with member enrollment
- Answer providers and members with questions regarding eligibility.
Patient Service Representative
Aspen Dental
10.2017 - 09.2018
- Obtain copayments and compiled daily financial records
- Assisted patients with appointment and inquiries via telephone
- Balanced deposits and credit card payments daily
- Compiled and reviewed medical charts
- Followed document protocols to safeguard confidentiality of patient records
- Insurance/Benefit verification.
Education
Certificate - Legal Administrative Assistance
Tulsa Technology Center - Peoria
Tulsa, OK05.2010
Certificate - Medical Receptionist
Career Point Institute
Tulsa, OK05.2003
High School Diploma -
East Central High School
Tulsa, OK05.2001
Skills
- Company Guidelines
- Interpersonal Communication Skills
- Customer Relationships
- Courteous with Strong Service Mindset
- Calm and Professional Under Pressure
- Issue and Complaint Resolution
- Understanding Customer Needs
- Responding to Difficult Customers
- Efficient and Detail-Oriented
- Operating Systems: Windows, QCare,Client Letter
Timeline
Senior Recovery resolutions reprsenative
United Health Group / Optum
02.2024 - Current
Clinical Administrative Coordinator
United Health Group
09.2022 - 02.2024
Customer Service Rep Sr
United Health Group
06.2021 - 09.2022
Customer Advocate II
Blue Cross Blue Shield Of IL, MT, NM, OK & TX
01.2019 - 06.2021
Patient Service Representative
Aspen Dental
10.2017 - 09.2018
Certificate - Legal Administrative Assistance
Tulsa Technology Center - Peoria
Certificate - Medical Receptionist
Career Point Institute
High School Diploma -
East Central High School
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