Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shamika Eastling

Memphis,TN

Summary

Experienced Customer Service Specialist with over 10 years of expertise in customer service, claims, billing, and coordination. Skilled in providing exceptional customer support, addressing patient inquiries and concerns, and ensuring a positive experience for everyone. Proficient in navigating complex healthcare systems, resolving issues efficiently, and upholding confidentiality and compliance standards. Possess strong communication and problem-solving abilities, and a genuine passion for helping others, delivering top-notch service in a fast-paced environment.

Overview

4
4
years of professional experience

Work History

Inbound Contact Representative II, Enrollment Representative

Humana
09.2023 - Current
  • Conducted research to provide accurate information on plan options, benefits, eligibility requirements, and claim status updates
  • Demonstrated excellent communication skills, both verbal and written, to effectively interact with customers
  • Navigated multiple computer systems and applications and utilized search tools to find information
  • Handled escalated calls professionally by listening carefully to the needs of each customer before offering appropriate solutions.
  • Managed a high volume of inbound calls daily, maintaining composure under pressure while providing top-notch service to clients.

Scheduler

Sutter Health
08.2023 - 04.2024
    • Schedule patients' appointments and reschedule appointments promptly
    • Performed patient registration and scheduling in a fast-paced environment with accuracy and efficiency
    • Answered incoming calls promptly while demonstrating excellent phone etiquette and professionalism
    • Interpreted doctor's orders for prescription medications accurately.
    • Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.

Receptionist

Slimetastic Kids Play Lab
10.2021 - 09.2023
    • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance
    • Answered large volumes of incoming calls daily to resolve customer issues and schedule appointments
    • Organized, maintained, and updated information in computer databases.
    • Handled cash transactions and maintained sales and payments records accurately.
    • Responded to inquiries from callers seeking information.

Claims Representative

Sedgwick Claims Management
01.2021 - 10.2022
  • Handled employees' and clients' interactions per day, giving clear detailed information
  • Contacted employees by telephone, written correspondence, and claims system regarding documentation required to process claims
  • Utilized effective problem-solving techniques to resolve complex customer issues
  • Processed and analyzed customer claims with accuracy and attention to detail.
  • Worked productively in a fast-moving work environment to process large volumes of claims.

Education

Associate of Applied Science - Medical Office Professional

Concorde Career College At Memphis
Memphis, TN
06.2017

Skills

  • Billing
  • Claim Handling
  • Inbound Customer Service
  • Active Listening
  • Problem-Solving Skills
  • Healthcare systems understanding
  • Claims Processing
  • Outbound Customer Service
  • Detailed Orientated
  • Data entry proficiency
  • Claims Investigation
  • Time Management

Timeline

Inbound Contact Representative II, Enrollment Representative

Humana
09.2023 - Current

Scheduler

Sutter Health
08.2023 - 04.2024

Receptionist

Slimetastic Kids Play Lab
10.2021 - 09.2023

Claims Representative

Sedgwick Claims Management
01.2021 - 10.2022

Associate of Applied Science - Medical Office Professional

Concorde Career College At Memphis

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Shamika Eastling