Professional with a solid background in healthcare, customer service, and data entry. Skilled in coordinating with insurance companies to secure timely prior authorizations, enhancing patient satisfaction through effective inquiry resolution. Committed to applying expertise in a position that fosters growth and development.
Overview
12
12
years of professional experience
Work History
Intake Specialist / Room Support
Cohere Health
Philadelphia
09.2023 - Current
Coordinated with insurance companies to secure prior authorizations for services, ensuring timely access to care for patients.
Partnered with healthcare providers to gather necessary clinical information for prior authorization approvals, facilitating patient treatment.
Submitted prior authorization requests through online portals, fax, or phone calls.
Handled high call volume, delivering exceptional customer service and resolving inquiries efficiently.
Addressed complaints and issues to provide excellent customer service and maintain professional relationships.
Assisted customers in navigating company website or application during support interactions.
Maintained strict confidentiality of all patient information according to HIPAA guidelines.
Customer Service Representative
CVS
Pittsburgh
08.2021 - 08.2023
Managed high volume of inbound and outbound calls, ensuring timely response to customer inquiries.
Answered phone calls from patients, doctors, and insurance companies regarding prescription inquiries.
Resolved account issues and prescription problems for customers via telephone and at counter, improving customer satisfaction.
Assisted customers with delivery of their medication.
Operated pharmacy computer systems to process prescription orders and track patient records.
Documented all conversations in call center database, enhancing clarity and accessibility of information.
Customer Service Representative (Temp)
Direct Interactions
01.2022 - 03.2023
Answered customer inquiries via phone, email, and chat.
Utilized CRM systems, order management tools, and communication platforms to enhance customer service processes.
Maintained customer records by updating account information in the database.
Updated customer records with interaction details to ensure information accuracy and improve follow-up efficiency.
Navigated multiple computer systems and utilized search tools to find information.
Set up customer accounts in the system and updated details to reflect current information.
Documented customer interactions and transactions to maintain accurate records and support service quality.
Certified Nursing Assistant
Magee Rehabilitations Center
Philadelphia
01.2019 - 09.2021
Monitored patient conditions and promptly reported changes to nursing staff to ensure timely interventions.
Assisted with activities of daily living to enhance patient comfort and promote independence.
Changed bed linen regularly to ensure patient comfort and hygiene. regularly to maintain comfort and prevent skin irritation.
Transferred patients between beds, wheelchairs, and other locations.
Documented care actions, vitals, and orders in company software.
Worked alongside registered nursing staff and followed care plans.
Lead Customer Service Representative (Temp)
Inspire Tech
Philadelphia
05.2019 - 09.2019
Managed team of customer service representatives, ensuring efficient workflow.
Resolved complex customer issues by providing comprehensive solutions.
Supported customer service representatives in defusing escalated issues, collaborating directly with customers for effective resolution.