Marie Lindquist

Health Insurance Representative

Thousand Oaks,CA

Summary

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.

Overview

years of professional experience

Certification

Work History

Pharmacy Technician

Plaza Pharmacy

Thousand Oaks, CA

03.2018 - 05.2021

Answered incoming phone calls and addressed questions from customers and healthcare providers.
Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
Entered and processed patients' prescriptions into internal system.
Counted and labeled prescriptions with correct item and quantity.
Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy.
Maintained proper drug storage procedures, registries, and records for controlled drugs.
Collected co-payments or full payments from customers.
Processed incoming drug orders by checking deliveries against paperwork and updating computer system.
Processed over 300 prescriptions per day in busy pharmacy achieving decreased customer wait times and maintaining excellent customer satisfaction.
Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments.

Customer Service Representative Team Lead

Blue Cross Of California

Woodland Hills, CA

05.1997 - 03.2004

Provided administrative support to account executives and benefit administrators.
Investigated and resolved customer inquiries and complaints quickly.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Led projects and analyzed data to identify opportunities for improvement.
Developed team communications and information for meetings.
Coordinated with pharmacies by providing direct support to complete claims processing.
Eliminated inefficiencies by educating and training new employees on best practices and customer care procedures.
Cross-trained and backed up other customer service managers.
Trained new personnel regarding company operations, policies and services.
Answered average of 75 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
Managed appeals and grievances.
Reviewed provider coding information to report services and verify correctness.
Paid or denied medical claims based upon established claims processing criteria.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Researched claims and incident information to deliver solutions and resolve problems.
Provided primary customer support to internal and external customers.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.

Education

Bachelor of Science - Business Management

University of Phoenix

Woodland Hills, CA

Health Care Management And Organization

University of California Los Angeles - Extension

Los Angeles, CA

Associate of Arts - Social Sciences

College of The Canyons

Valencia, CA

Skills

Patient confidentiality
Building Customer Trust and Loyalty
Multitasking and Prioritization
Excellent Attention to Detail
Strong Analytical and Problem Solving Skills
Professional telephone demeanor
Excellent written and oral communication
Insurance claims analysis

Medical claims coding
Coding error resolution
Drug inventory management
Processing payments
Pharmacy and customer records management
Medical Terminology
Certified Professional Coder
Information Classification