Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Hi, I’m
Lori Cruikshank
Customer Service Professional
Independence,OR
Summary
Overview
13
years of professional experience
Work History
LoriBelle BoutiqueIndependence, United States
Owner/Operator
09.2018 - Current
Job overview
- Created and maintained online retail boutique business.
- Established, optimized and enforced business policies to maintain consistency and high-quality standards across operations.
- Managed day-to-day business operations, including accounting, finance, HR, marketing and public relations.
- Developed key operational initiatives to drive and maintain substantial business growth.
- Stayed current with market trends to determine optimal pricing of goods and services and to capitalize on emerging opportunities.
- Met goal of $10,000 in gross sales in first year of business, doubled sales in second year and maintained sales in third year.
Cambia Health SolutionsSalem, OR
Customer Service Professional
06.2022 - 03.2024
Job overview
- Listened to customer inquiries and responded with appropriate solutions.
- Resolved customer complaints in a timely fashion.
- Ensured customer satisfaction through follow-up communications.
- Collaborated with other departments to resolve customer inquiries quickly and effectively.
- Updated client records according to changes in contact details or preferences.
- Answered incoming customer calls regarding product inquiries, orders, complaints and general customer service.
- Assessed customer needs and provided solutions to resolve their issues in a timely manner.
- Provided accurate information about products or services to customers.
- Maintained records of customer interactions and transactions for future reference.
- Researched required information using available resources.
- Identified and escalated priority issues as needed.
Marion County Health DepartmentSalem, OR
Office Specialist
11.2017 - 02.2018
Job overview
- Input data from health department visits into computer system.
- Scan and archive files.
- Pull and refile charts for health department visits.
- Prepare paperwork for school exclusions and immunizations.
- Check figures, postings, and documents for correct entry, mathematical accuracy, and proper codes.
- Comply with federal, state, and company policies, procedures, and regulations.
- Perform general office duties such as filing, answering telephones, and handling routine correspondence.
- Responded to inquiries from callers seeking information.
Oregon Health AuthoritySalem, OR
Human Services Specialist II
05.2015 - 10.2016
Job overview
- Processed assigned applications to determine eligibility for Oregon Health Plan, Citizen Alien Waived Emergency Medical and Children's Health Insurance Program.
- Review initial applications for completeness.
- Create new case records as needed.
- Complete case narratives in real time.
- Provide written and verbal communication to clients regarding application process.
- Used systems- DHR, MMIS, OregonONE
- Described procedures, requirements and benefits to clients and interested parties.
- Processed applications and ensured that sensitive data was kept confidential.
- Met or exceeded daily goals.
Cover OregonSalem, OR
Customer Care Representative
02.2014 - 02.2015
Job overview
- Provided customer service to the public through phone and email.
- Reviewed applications for completeness and analyzed application data based on criteria provided by Cover Oregon.
- Entered customer application data into computer system.
- Gathered information regarding laws, rules, policies, procedures, and/or services, and explained that information to the public (in person, in writing, and/or on the telephone).
- Learned specific agency programs or operations affecting assigned work.
- Used policy and procedure manuals, handbooks, or specialized reference materials for answering questions.
- Prioritized work and maintained work flow under pressure.
- Entered data efficiently while maintaining communication with clients.
- Communicated regularly with health and dental insurance companies to assist clients in understanding benefits.
Back To Health Chiropractic Keizer, OR
Billing Manager
01.2011 - 07.2013
Job overview
- Responsible for verifying charges, diagnosis codes, CPT and HCPCS codes for accuracy.
- Submitted all private insurance and Medicare claims both paper and electronic.
- Acquired insurance authorizations for procedures and tests ordered by attending physician.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Evaluated accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
- Completed appeals and filed and submitted claims.
- Posted charges, payments and adjustments.
- Applied payments, adjustments and denials into medical manager system.
- Carefully prepared, reviewed and submitted patient statements.
- Meticulously tracked and resolved underpayments.
Education
Valley Medical CollegeSalem OR
Certification from Medical Assisting
05.2009
University Overview
Skills
- Relationship building
- Verbal and written communication
- Project management
- Client service
- Report preparation
- Complaint resolution
- Bookkeeping
- Data entry
- Call center environment
- Administrative support
- Time management
- HIPAA compliance and regulations
Timeline
Customer Service Professional
Cambia Health Solutions
06.2022 - 03.2024
Owner/Operator
LoriBelle Boutique
09.2018 - Current
Office Specialist
Marion County Health Department
11.2017 - 02.2018
Human Services Specialist II
Oregon Health Authority
05.2015 - 10.2016
Customer Care Representative
Cover Oregon
02.2014 - 02.2015
Billing Manager
Back To Health Chiropractic
01.2011 - 07.2013
Valley Medical College
Certification from Medical Assisting