Summary
Work History
Education
Skills
Affiliations
Timeline
CustomerServiceRepresentative
Tina Oates

Tina Oates

Rock Hill,SC

Summary

Results-oriented professional with over 15 years of advanced customer service experience and a proven knowledge of medical compliance, healthcare insurance requirements for coverage, and an empathic listener whose goal is to exceed customer expectations. Values a workplace that encourages creativity, team building and positivity. Aiming to leverage my abilities to successfully fill the vacancy within your organization. Six years of remote work experience.

Work History

Caregiver/Health Insurance Navigator

Private Client
Rock Hill, SC
02.2016 - Current
  • Verified insurance coverage by telephone/online to confirm coverage and correct reimbursement of benefits by estimating patients financial responsibility resulting in 90% fully covered benefits
  • Saved patients 30% by contacting insurance companies to discuss and resolve unpaid and incorrectly paid claims
  • Empathic ear to patients, providers and other third parties
  • Created digital medical information file that allowed 100% complete and up to date documentation prior and after provider encounter or receipt of test result
  • Managed prescriptions by researching eligibility for cost assistance programs
  • Tier 3 and Tier 4 classification Resulting in $100 of dollars savings for patient
  • Exposed to neurology, orthopedics, oncology, cardiology and mental health specialties, tests and medications required for diagnosis and treatment.

Licensed Sales And Support Agent

State Farm
Taylors, SC
06.2015 - 02.2016
  • Achieved 30% above sales quota consistently
  • 98.9% customer satisfaction rating increasing overall revenue by 15%
  • Verified coverage, benefits, co-pays and prior authorization if necessary
  • Spearheaded project that re-designed documentation process increasing efficiency by 45%
  • Accomplished successful and seamless delivery of extremely complex, broad ranged services across multiple platforms utilizing dual screens
  • 95% effectiveness of resolving customer contact in one encounter.

Licensed Customer Service Representative

State Farm
Rock Hill, SC
09.2014 - 06.2015
  • Increased retention 20% by attaining customer satisfaction rate of 98.5%
  • Managed billing accounts, posted payments and informed balances due for over 800 customers
  • Managed a fast paced environment that required the ability to navigate various software across various while seamlessly interacting with the customer
  • 85% success rate of answering customer inquiries with one phone call or interaction
  • Accomplished 90% of meeting project deadlines prior to due date.
  • Provided primary customer support to internal and external customers.

Education

Certification In Medical Billing And Medical Coding -

CareerSteps

Relevant Coursework ICD-10-CM, CPT, HCPCS, Medical terminology - undefined

Bachelor Of Science (B.S - Business Administration-Marketing

Winthrop University

Coursework Market Research and Strategy Promotion management, Sales and Relationship Marketing - undefined

Skills

Complex Product Knowledgeundefined

Affiliations

AAPC

Timeline

Caregiver/Health Insurance Navigator

Private Client
02.2016 - Current

Licensed Sales And Support Agent

State Farm
06.2015 - 02.2016

Licensed Customer Service Representative

State Farm
09.2014 - 06.2015

Certification In Medical Billing And Medical Coding -

CareerSteps

Relevant Coursework ICD-10-CM, CPT, HCPCS, Medical terminology - undefined

Bachelor Of Science (B.S - Business Administration-Marketing

Winthrop University

Coursework Market Research and Strategy Promotion management, Sales and Relationship Marketing - undefined

Tina Oates