Astute Call Center professional offering polished communication skills. Brings excellent organizational skills and talent for overcoming customer objections. Self-motivated and true team player.
Overview
13
13
years of professional experience
Work History
Customer Service Associate/ Cashier
Lowes
02.2021 - Current
Assist customers with finding product needed
Answer customer questions
Assist customers with quotes and submitting orders for product
Stock product on shelves, make sure product is organized and neat
Remove trash, boxes, and sweep area to ensure cleanliness and safety for customers and staff
Stock and bring down product from inventory on hand
Assist cashiers when help is needed with customers
Assist in all areas of store that need help
Call customers to follow up on quotes given to see if customer is still interested in ordering product
Use machine to cut blinds to size for customers
Use power equipment to pull stock down from top inventory
Do safety reviews to ensure safety for staff and customers
Do inventory of product
Tasked with projects to work on from Store Manager
Assist customers with checking out and paying for merchandise
Stocking of drinks and snacks
Assisting when needed to do propane exchanges
Help bring shopping carts back into store
Wash windows when needed
Assist customers with concerns as needed
Assist with putting returned product back in correct location
Assist in training new cashiers when hired
Assist customers when needed to load merchandise purchased
Helped large volume of customers every day with positive attitude and focus on customer satisfaction
Responded proactively and positively to rapid change
Maintained clean and orderly checkout areas by mopping floors, emptying trash cans and wiping down surfaces
Complex Authorization Specialist
TriWest
07.2015 - 01.2021
Ensures accurate data entry and completion of authorization data from customer information,medical records, referral/authorization forms, assist Patient Service Represenatives in obtaining consult reports within required turnaround times
Review all returned medical documentation to ensure it meets contract requirements for content accuracy and identify critical findings
Work with standard coding systems including standard medical taxonomy, International Classification for Disease, Current Procedural Terminology
Review and respond to complex referral requests from VA and civilian providers with appropriate coding and provider selection
Take appropriate measures to comply with HIPPA regulations to protect privacy of Veteran’s health information
Assesses documents, to ensure appropriate entry into medical management system
Verify and ensure procedures are followed for referrals for various VA eligible beneficiaries, also based on Veteran geographical location and provider’s request
Identify potential quality of care or safety issues
Meet department productivity and performance metrics
Perform other duties as assigned: Train employees on Authorization Entry, VA Uploads, Med Docs, assist in Auditing newly trained staff when in training
Participate in meetings and projects when assigned
Assist staff with relaying information to team, help with questions and concerns team may have
Assist in helping resolve any issues that may arise
Outbound calls to providers and veterans to assist in setting up appointments and relaying appointment information to veteran
Inbound calls from VA, providers, and veterans
Assist VA with answers to questions, provide assistance to providers with questions, provide assistance to veterans with questions, and concerns
Assist in resolving any issues VA, provider, or veteran may have
Medical Biller
Urgent Care Extra
09.2013 - 12.2014
Charge entry, data entry, posting charges and payments
Entering insurance and patient information
Verifying that insurance and patient info is entered in correctly
Call insurance companies and patients to get correct insurance information
Medical Biller
Matrix Billing
03.2013 - 05.2013
Entering patient and insurance information
Posting charges and payments
Referred to aging reports to call insurance companies
Managed 20 -25 calls per day to insurance companies
Medical Billing Externship-College
Ashley Chiropractic
11.2012 - 01.2013
Answered phones, scheduled and checked-in patients
Billed insurance
Processed payments, scanned documents in EMR patient files
Managed 20 - 30 calls per day
Food Service Manager
GEO Group
11.2006 - 02.2011
Ensure all food and sanitation products are ordered, order food needed, manage all operations of staff, and inmates
Submit monthly food cost reports to regional food service director, conduct weekly inventories of all items purchased
Maintain food and labor costs not to exceed budget
Scheduling of all kitchen staff, and inmates, to assigned duties and responsibilities
Maintain sanitation and submit weekly and monthly sanitation reports, conduct weekly employee meetings on kitchen and security related topics
Oversee and ensure inmates are provided all meals as required by ADOC
Ensure kitchen always remains safe and secure.
Managed 7 staff, 30 inmates
Education
Certificate Medical Insurance Billing And Coding - Medical Insurance Billing And Coding
Everest College
Mesa, AZ
01.2013
High School Diploma -
Weber Basin
Weber Basin Utah
05.1995
Skills
Customer Account Management
Customer Support
Courteous with Strong Service Mindset
Issue and Complaint Resolution
Timeline
Customer Service Associate/ Cashier
Lowes
02.2021 - Current
Complex Authorization Specialist
TriWest
07.2015 - 01.2021
Medical Biller
Urgent Care Extra
09.2013 - 12.2014
Medical Biller
Matrix Billing
03.2013 - 05.2013
Medical Billing Externship-College
Ashley Chiropractic
11.2012 - 01.2013
Food Service Manager
GEO Group
11.2006 - 02.2011
Certificate Medical Insurance Billing And Coding - Medical Insurance Billing And Coding