Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Enrollment Representative II
Optum
03.2020 - Current
Maintained detailed and accurate records between multiple databases and programs.
Investigated issues and created solutions for customers.
Created tickets for missing ERAs.
Fostered new business relationships through inbound lead follow-up.
Compiled documentation gathering for clients to link to the Clearinghouse to submit claims and receive ERAs.
Educated clients on payer requirements and how to use external sites (PaySpan, Instamed, Availity).
Fostered new business relationships through inbound lead follow-up.
Managed enrollments for providers and billing services.
Communicated weekly updates via phone and/or email to providers/billing services.
Facilitated enrollments by providing forms, instructions, and aiding with online enrollments.
Analyzed forms completed by providers and/or billing services ensuring that everything is properly filled out.
Processed documents and payments to complete enrollment procedures.
Advised providers of approvals or denials with their enrollments.
Provided information about EDI/ERA enrollment procedures.
Scheduled appointments with clients to gather information and explain enrollment processes.
Managed time efficiently in order to complete all tasks within deadlines.
Trained new hires on enrollment processes.
Customer Service Representative
Sedgwick
03.2019 - 03.2020
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered constant flow of customer calls with minimal wait times.
Answered customer telephone calls promptly to avoid on-hold wait times.
Updated account information to maintain customer records.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Responded to customer requests for products, services, and company information.
Processed new claim intakes for numerous vendors.
Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
Exhibited high energy and professionalism when dealing with clients and staff.
Met customer call guidelines for service levels, handle time and productivity.
Participated in team meetings and training sessions to stay informed about process updates and changes.
US Cellular Agent
US Celluar
04.2015 - 03.2019
Followed up on customers' inquiries to assess satisfaction with provided solutions.
Established strong customer relationships, building recommendations and loyalty.
Advised customers about new products and assisted customers in determining best cellular product for their needs.
De-escalated and resolved customer complaints with punctual, polite and professional service.
Handled and promptly resolved customer complaints to maintain professional relationships.
Resolved caller issues quickly and thoroughly.
Maintained comprehensive product and service knowledge for accurate, informative customer advice.
Processed customer orders quickly and accurately for timely delivery.
Called prospective clients in market area to explain products offered and qualify leads.
Managed and filed contracts, invoices and other documents associated with talent.
Facilitated communication between agents, talent and clients by using interpersonal skills.
Troubleshooted cellular issues with clients.
Walked client through set up of the cellular devices ensuring they are able to comfortable use their device once they leave.
Third Key Manager
Claire's Stores
03.2012 - 10.2017
Directed employees to create displays, upsell featured items and tidy store during assigned shifts.
Counted registers and cleaned and secured shop at end of shift.
Listened to and addressed customer concerns using creative problem-solving in accordance with company guidelines.
Developed professional relationships to improve retention of key customers.
Assisted with scheduling, interviewing and other administrative tasks to boost success successful store.
Maintained focus during busy times and delegated tasks to employees to keep business running smoothly.
Implemented daily operating procedures to keep store clean, adequately stocked, and well-organized.
Trained team members in successful strategies to meet operational and sales targets.
Walked through department multiple times each shift to evaluate and correct issues such as cleaning and stock replenishment needs.
Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
Examined incoming inventory, merchandised shelves and prevented shrinkage.
Marked-down clearance items and relocated merchandise to proper store areas.
Mentored new sales associates to contribute to store's positive culture.
Kept close eye on department employees and customers to assess theft risks and maintain loss prevention goals.
Set and updated weekly work schedules to meet coverage demands by considering factors like expected customer levels, planned promotions and individual employee strengths.
Decreased inventory shrinkage, drive-off and daily cash discrepancies by closely monitoring daily operations.