Summary
Work History
Education
Skills
Accomplishments
Timeline
CustomerServiceRepresentative

Lillie Love

Mount Airy,North Carolina

Summary

Dedicated Customer Service Representative with a strong background in healthcare billing and insurance claims. Skilled in managing customer interactions with professionalism, empathy, and urgency to ensure prompt issue resolution and high satisfaction. Experienced in accounts receivable processes, claim follow-ups, and payment collection within the health insurance sector. Proficient in investigating claim denials, resolving billing discrepancies, and collaborating across departments to streamline operations and improve payment turnaround. Committed to maintaining compliance with insurance guidelines and company policies while fostering positive relationships with clients and payers.

Work History

Customer Service Representative

Cigna Healthcare
10 2024 - Current

• Serve as the primary point of contact for Cigna members, providing empathetic and professional support
• Handle inbound calls and navigate multiple systems to access and update member information in real time
• Resolve inquiries efficiently, often within a single interaction, using independent problem-solving skills
• Meet performance goals related to accuracy, responsiveness, and customer satisfaction
• Actively listen to understand member needs and deliver clear, personalized solutions using product knowledge
• Adapt quickly to evolving procedures and maintain focus and professionalism in a remote work environment
• Collaborate with internal teams to address complex concerns and enhance the overall member experience.

Billing Representative - Accounts Receivable

Prism Medical Products, LLC
10 2021 - 09 2024
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
  • Reviewed and solved account and billing discrepancies.
  • Developed strong relationships with clients, fostering trust and confidence in the company''s billing procedures.
  • Contributed to company revenue growth by identifying potential billing errors and preventing revenue leakage.
  • Streamlined billing processes for increased efficiency and timely delivery of invoices to clients.
  • Trained new hires on company-specific billing software, policies, and procedures, promoting team cohesion and productivity.
  • Received incoming information and entered into database system.
  • Responded to customer concerns and questions on daily basis.
  • Collaborated with customers to resolve disputes.

Cashier

Snuff and Stuff
03 2021 - 09 2021
  • Greeted customers entering store and responded promptly to customer needs.
  • Operated cash register for cash and credit card transactions with excellent accuracy levels.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Built relationships with customers to encourage repeat business.
  • Stocked, tagged and displayed merchandise as required.
  • Addressed customer needs and made product recommendations to increase sales.
  • Contributed to store success by maintaining high standards of cleanliness throughout the facility.

Cashier

Walmart
06 2005 - 02 2007
  • Welcomed customers and helped determine their needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
  • Built relationships with customers to encourage repeat business.
  • Assisted customers with inquiries and provided exceptional service, resulting in positive feedback from shoppers.
  • Contributed to store success by maintaining high standards of cleanliness throughout the facility.
  • Handled multiple payment methods securely, minimizing discrepancies and potential losses.
  • Restocked and organized merchandise in front lanes.
  • Mentored new employees on cashier duties and best practices, improving overall staff performance.
  • Ensured compliance with company policies and procedures while processing transactions efficiently.
  • Exceeded productivity goals through consistent attention to detail and organization during busy shifts.
  • Improved store atmosphere with thorough and prompt cleaning of checkout area.

Education

Office Finance Certificate - Accounting

Surry Community College
05.2022

Office Administration Certificate - Office Administration

Surry Community College
05.2022

Skills

  • Insurance claims
  • Data entry experience
  • Customer relations skills
  • Staff education and training
  • Billing systems and software
  • Records organization and review
  • Billing statement review
  • Telephone etiquette
  • Recordkeeping
  • Greeting customers
  • Critical Thinking
  • Teamwork and Collaboration
  • Active Listening
  • MS Office
  • Problem-solving skills
  • Logging call information
  • Brand representation
  • Customer support
  • Answering questions
  • Inbound phone calls
  • Information protection using HIPAA guidelines

Accomplishments

  • Recognized for taking part and providing feedback in pilot group for Cigna's Verint Transfer Bot.
  • Medicare Training
  • Private Insurance Concepts Training -Commerical, BCBS, Medicaid
  • Trusted Professional Training
  • Certified Training Assistant Training

Timeline

Customer Service Representative

Cigna Healthcare
10 2024 - Current

Billing Representative - Accounts Receivable

Prism Medical Products, LLC
10 2021 - 09 2024

Cashier

Snuff and Stuff
03 2021 - 09 2021

Cashier

Walmart
06 2005 - 02 2007

Office Finance Certificate - Accounting

Surry Community College

Office Administration Certificate - Office Administration

Surry Community College
Lillie Love