Megan Voges
Kempner,TX
Summary
Well-trained Customer Advocate, offering vast experience in healthcare customer service, excellent interpersonal communication skills and comfortable in building working relationships with our clients and customers.
Overview
4
4
years of professional experience
Work History
Customer Advocate Specialist
Baylor Scott And White Health Plan
Temple, TX
10.2022 - Current
- Responsible for resolving basic/escalated internal and external benefits, claims and member inquiries.
- Data entry, process and finalize claims.
- Performed claim adjustments for Marketplace, Medicare, HMO and PPO products.
- Investigate and submit requests through Financial Suspense System to recuperate financial overpayments.
- Inform the policies and procedures to the members.
- Update membership and prescription inquires.
- Update Secondary insurance Information.
- Assist with Retirees with Medicare Coordination of Benefit inquiries and updates.
- Performed various tasks in a timely manner.
- Handle written correspondence from members and providers.
- Communicate with Healthcare professionals to resolve issues.
- Promote Wellness Programs.
- Participate in Annual Open Enrollment meetings.
- Researched and resolved account and service problems with friendly, knowledgeable support.
- Documented customer concerns and inquiry resolutions in internal computer system.
Customer Service Advocate
Omaha Steaks
Killeen, TX
09.2019 - 10.2022
- Provide exceptional and professional customer service to our customers, clients and peers in a prompt and efficient manner.
- Resolve internal and/or external escalated issues for benefits, claims and customer inquiries within the require timeframe.
- Perform extensive and precise research for any benefit,claim and/or pharmacy inquiries required by CSP and claim adjusters to perform their duties with fewer delays.
- Focus on our client and customers needs and expectations to ensure the best possible information and/or resolution is provided.
- Request Access to care updates for both active and retiree customers.
- Assist and promote various Wellness programs.
- Engage and/or conduct weekly meetings with CSP,manager and peers to bring forth any concerns, issues or possible trends with the City of Houston account.
- Face to face interaction with client and customers on a daily basis.
- Provide support to interal/external peers, CSP, Sales etc.
- Establish and maintain good working relationship with client and customers
- Excellent computer skills and knowledgeable with various software programs. (Oneview, Argus, CED, CPF, ICMS, MHS, MSS, Word, Excel, Outlook etc)
- Built long-term, loyal customer relations by providing top-notch service and detailed order, account, and service information.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
Education
Certificate - Massage Therapy
04.2008
Associate of Arts - Child Development
02.2008
Skills
- 14 years of experience as a health care customer advocate
- Excellent problem solving and communication skills, both verbal and written
- Ability to sustain work pressure in an efficient way
- Exceptional interpersonal skills
- Well organized, detail oriented, possitive attitude and strong work ethics
- Honest, hard working, respectable and caring
- Excellent team player
- Fast learner and flexible with work timings
Additional Information
SKILLS
Customer Service and Assistance
Courteous with Strong Service Mindset
Customer Relationship Management
Information Updates
Customer Data Confidentiality
Data Entry and Maintenance
Upbeat and Positive Personality
Calm and Professional Under Pressure
Efficient and Detail-Oriented
Responding to Difficult Customers
Credit Card Payment Processing
Answering Customer Questions
Computer Proficiency
Microsoft PowerPoint
Patient and Empathetic
Proactive Self-Starter
Document and Records Management
ADDITIONAL INFORMATION
- Omaha Steaks remote work from home universal employee. ( 4 years) Customer service Sales Name of Employer Omaha steaks- 4 years Log cabin academy 2 years Aptitude Habilitation services 3 years 2. There are gaps in my work history due to military and raising my children.
Timeline
Customer Advocate Specialist - Baylor Scott And White Health Plan
10.2022 - Current
Customer Service Advocate - Omaha Steaks
09.2019 - 10.2022
Everest College - Certificate , Massage Therapy
Green River Community College - Associate of Arts, Child Development
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