Summary
Overview
Work History
Education
Timeline
Generic

Selya

Tampa,FL

Summary

Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues. Communicative customer service professional motivated to maintain customer satisfaction and contribute to company success. History managing large amounts of inbound calls and sustaining satisfactory relationships with customers. Offers skill with CRM systems paired with outstanding active listening and multitasking abilities. Personable and dedicated Customer Service Representative with extensive experience in [Type] industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses. Diplomatic customer service professional experienced in defining and analyzing customer requests to resolve issues. Accurate in documenting customer concerns and dedicated to maintaining deep knowledge of products and promotions. Confident communicator recognized for consistently receiving excellent customer feedback. Detailed Client Service Associate known for having great organizational skills. Gifted at working with all types of customers. Looking for a new role where hard work and dedication will be highly valued.

Overview

12
12
years of professional experience

Work History

Patient Services Representative

Anne Arundel Dermatology Association
Knoxville, TN
06.2023 - Current
  • Maintained confidentiality of all patient information according to HIPAA regulations.
  • Reviewed patient records for accuracy and completeness of data entry.
  • Participated in team meetings to discuss new initiatives or process improvements.
  • Answered incoming calls from patients in a professional manner and responded to inquiries or directed them to appropriate personnel.
  • Assisted with patient registration, insurance verification, and appointment scheduling.
  • Resolved customer complaints in a courteous manner while adhering to company policies.
  • Entered new patient demographics into database system accurately and efficiently.
  • Assisted other departments with various tasks as requested by supervisor.
  • Explained clinic policies and procedures clearly and concisely when necessary.
  • Coordinated with medical staff to ensure proper patient care was provided in a timely manner.
  • Scheduled follow-up visits as needed based on physician instructions.
  • Provided excellent customer service at all times while interacting with both internal and external customers.
  • Updated patient charts with relevant information including test results or medical history.
  • Scheduled patient appointments and procedures.
  • Provided helpful assistance by anticipating and responding to needs of patients and family members.
  • Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.

Customer Service Representative

UPS Customer Center
Newport News, VA
05.2018 - 04.2019
  • Answered customer inquiries and provided accurate information regarding products and services.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Developed strong customer relationships to encourage repeat business.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Demonstrated excellent communication skills in resolving product and consumer complaints.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Developed strong relationships with customers by providing personalized assistance and support.
  • Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
  • Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.

Patient Access Representative

Sherloq Solutions
Tampa, FL
06.2017 - 11.2017
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Collected co-pays and other payments from patients at time of service.
  • Scanned documents into electronic medical records system.
  • Maintained confidentiality of all patient information in accordance with HIPAA regulations.
  • Answered phones promptly in a professional manner.
  • Verified insurance coverage for services provided by the facility.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
  • Verified demographics and insurance information to register patients in computer system.
  • Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
  • Explained various admission forms and policies, acquiring signatures for consent.
  • Processed patient admissions, registrations, transfers, and discharges according to established procedures.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Provided assistance to internal departments when needed.
  • Assisted with scheduling outpatient appointments.
  • Managed incoming faxes related to patient registration processes.

Claims Support Representative

Direct Insurance
Tampa, FL
04.2016 - 06.2017
  • Investigated discrepancies between claim amounts requested by policyholders or claimants and approved payment amounts.
  • Monitored changes in legislation that may affect existing or pending insurance claims.
  • Prepared detailed summaries of claim investigations for management review.
  • Assisted in the review of documentation for accuracy, completeness and compliance with established guidelines.
  • Collaborated with internal departments such as underwriting, accounting and sales to ensure smooth completion of claims-related tasks.
  • Reviewed policies, procedures and regulations pertaining to the processing of insurance claims.
  • Performed administrative duties such as filing documents, preparing reports and scheduling appointments.
  • Created and maintained accurate records of all incoming and outgoing correspondence related to claim activities.
  • Provided customer service support to policyholders and claimants regarding insurance claims inquiries.
  • Attended continuing education seminars focused on best practices for handling insurance claims disputes.
  • Analyzed complex data sets to identify trends in claim activity.
  • Researched legal documents, medical records, court decisions and other relevant information to determine coverage eligibility.
  • Provided timely updates on the status of open claims at regular intervals.
  • Conducted research into past cases involving similar facts or circumstances when necessary.

Caregiver

Second Baptist Church
Houston, TX
10.2011 - 01.2015
  • Provided emotional support when needed during periods of distress or anxiety.
  • Engaged in conversations with young children to help them develop verbal communication skills.
  • Ensured that toys, furniture and equipment are clean and sanitized regularly.
  • Prepared meals, snacks and refreshments for children according to dietary needs and restrictions.
  • Provided a safe, nurturing and stimulating environment for children of all ages.
  • Balanced schedules to promote optimal rest, play and educational periods.
  • Established positive relationships with parents and guardians to communicate daily updates on their child's progress.
  • Organized age-appropriate activities such as arts and crafts, games and educational lessons.
  • Enforced rules to teach good manners and maintain safe environment.
  • Communicated with parents about daily activities and any concerning behaviors.
  • Employed positive guidance strategies to encourage children and improve behavior.
  • Promoted healthy habits such as hand washing, social distancing.
  • Assisted with the development of motor skills by playing outdoor sports and physical activities.
  • Implemented behavior management techniques to ensure safety of all children in the facility.
  • Supervised meal times to ensure proper nutrition and hydration.
  • Helped toddlers transition into pre-school settings through supportive guidance.
  • Secured indoor and outdoor premises to protect children.

Education

Associate of Science - Medical Assisting

Centura College
Newport News, VA
06-2018

High School Diploma -

Bellaire High School
Bellaire, TX
06-2013

Timeline

Patient Services Representative

Anne Arundel Dermatology Association
06.2023 - Current

Customer Service Representative

UPS Customer Center
05.2018 - 04.2019

Patient Access Representative

Sherloq Solutions
06.2017 - 11.2017

Claims Support Representative

Direct Insurance
04.2016 - 06.2017

Caregiver

Second Baptist Church
10.2011 - 01.2015

Associate of Science - Medical Assisting

Centura College

High School Diploma -

Bellaire High School

Similar Profiles

CREATE PROFILE
Selya