RAZLIN MCCLUNEY
Charlotte,NC
Summary
Well-rounded professional backed by healthcare and customer service experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality. High Academic Honors Recognition / Dean’s List / Honor Roll and Member of Alpha Beta Kappa (ABK) Honor Society. Customer service skills necessary to communicate effectively with patients and healthcare providers. Attention to detail needed to maintain high levels of accuracy. Strong time management skills with ability to establish priorities to meet timelines. Accustomed to working in fast-paced hospital environments. Communication Platforms – Zoom, Google Meet, and MS Teams. Microsoft Office Applications – Word, Excel, and PowerPoint | Type 75 WPM.
Overview
9
9
years of professional experience
Work History
At Home Customer Representative
StarTek
11.2024 - Current
- Collaborated with cross-functional teams to streamline operations and enhance service delivery.
- Analyzed customer feedback to identify trends and implement process improvements.
- Maintained courteous, friendly atmosphere for guests to increase overall satisfaction and customer service standards.
- Implemented feedback from regular evaluations to improve personal performance and contribute positively to the team''s collective growth.
- Handled high call volumes efficiently without sacrificing quality of interaction or resolution success rate.
- Retained dissatisfied customers by offering empathetic listening skills followed by effective problem-solving approaches tailored to each individual case.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- maintained #1 position over few weeks course for KPI's
- Assist with chat when agents needs assistance.
Homemaker
Stay at Home Parent
06.2024 - Current
- Ensure household duties are completed in a timely manner and manage household budget.
- Coordinate medical care, meals, and social activities.
- Remain deadline-oriented and reliable while adjusting priorities and managing time wisely.
Customer Care Coordinator- WFH Agent
Continuum/CVS
04.2024 - 06.2024
- Handled outbound telephone calls.
- Adhered to HIPAA law and CVS procedures and policies
- Provided outstanding customer service to patients and the insurance providers.
- Exhibited emotional intelligence, problem solving, empathy and patience.
- Utilized EPIC EMR, and Microsoft Applications.
- Verify the patients’ demographics and healthcare plans.
- Insurance verification: confirmed coverage and eligibility.
- Reviewed the prescription claim data to confirm type of medication, MBI number and status of the insurance.
- Microsoft office: Outlook and Teams; send/receive emails, chat and attend virtual meetings.
Customer Service /Cashier
Family Dollar
11.2022 - 01.2023
- Meet and greet patrons, consumers, vendors and regular customers.
- Followed OSHA law and Family Dollar policies.
- Provide excellent customer service to colleagues, and customers.
- Showcase, problem solving, patience, and assistance always.
- Operate the POS scanner/cash register and transact funds. Accept credit/debit cards, and cash.
- Perform stocking of items, and inventory of products from vendors entering the store.
Hostess
Outback Restaurant I
08.2022 - 11.2022
- Exhibited outstanding customer service to patrons, and regular customers.
- Displayed emotional intelligence, polite, patience and always friendly to consumers.
- Ensure that the dining area was clean, and available for customers.
- Directed all persons and groups to the sitting area.
- Assisted with serving of the patrons, and customers with high traffic.
Patient Safety Attendant
Atrium Health Main | Hospital
09.2021 - 06.2022
- Maintained a safe environment and provided appropriate level of observation as delegated by Registered Nurse.
- Appropriately documented required observation data and communicated pertinent patient information.
- Adhered to policies and procedures and abided by HIPAA guidelines.
Patient Transporter
Atrium Health Main | Hospital
01.2020 - 09.2021
- Responsible for the safe and timely transport of patients.
- Transported patients via wheelchair or gurney and accompanied ambulatory patients who needed assistance to various areas within the hospital.
- Assisted in basic patient care and monitoring while in transport and during bedside assistance.
Operations Administrator
FleXray
04.2020 - 12.2020
- Operated machinery for the inspection of meat products.
- Managed inbound and outbound telephone calls and handled dispatch, transportation, and warehouse duties.
- Trained new employees and completed paperwork.
Technical Care Specialist / Customer Service Representative
T-Mobile
07.2019 - 03.2020
- Scanned for network strength and resolved issued with failure of devices and mobile hot spots.
- Enrolled customers into new service programs.
- Provided quality customer service, followed procedures, and handled confidential information.
Packer
Staples Distribution Warehouse
03.2017 - 08.2018
- Assembled crates and cartons and packed customer orders.
- Paid close attention to order details and followed established procedures.
- Adhered to strict safety, quality, and production standards, and worked effectively in a fast-paced environment.
Education
Diploma - Medical Billing and Coding
Ultimate Medical Academy
01.2024
Diploma - undefined
Olympic High School
01.2016
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
Clearwater, FL11-2024
Skills
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO, PPO, POS)
- Workers Compensation
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Front Office Operations
- Medical Office Procedures
- Scheduling
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM, HCPCS, CPT)
Timeline
At Home Customer Representative
StarTek
11.2024 - Current
Homemaker
Stay at Home Parent
06.2024 - Current
Customer Care Coordinator- WFH Agent
Continuum/CVS
04.2024 - 06.2024
Customer Service /Cashier
Family Dollar
11.2022 - 01.2023
Hostess
Outback Restaurant I
08.2022 - 11.2022
Patient Safety Attendant
Atrium Health Main | Hospital
09.2021 - 06.2022
Operations Administrator
FleXray
04.2020 - 12.2020
Patient Transporter
Atrium Health Main | Hospital
01.2020 - 09.2021
Technical Care Specialist / Customer Service Representative
T-Mobile
07.2019 - 03.2020
Packer
Staples Distribution Warehouse
03.2017 - 08.2018
Diploma - undefined
Olympic High School
Diploma - Medical Billing and Coding
Ultimate Medical Academy
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy
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