Shante Williams
Montgomery,AL
Summary
Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires and providing customized solutions to build loyalty.
Overview
5
5
years of professional experience
Work History
Customer Service Analyst II
Mutual Of Omaha
Omaha Nebraska
08.2022 - Current
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
Customer Service Representative
CVS Healthcare
Knoxville, TN
11.2020 - 08.2022
- Answered incoming phone calls and addressed questions from customers and healthcare providers
- Collected co-payments or full payments from customers
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality
- Calculated dosage, filled prescriptions and prepared prescription labels with absolute accuracy
- Resolved non-routine issues like third party billing, computer system and customer service issues
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information
- Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications.
Patient Service Representative
TriWest Healthcare Alliance
Phoenix, AZ
07.2019 - 11.2020
- Used [crm] to schedule appointments
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks
- Communicated with Local VAMCS to obtain different consultations to schedule veterans for community care.
Education
GED -
Montgomery Job Corps Center
Montgomery Al05.2009
Skills
- Complaint resolution
- Inbound and Outbound Calling
- Order Fulfillment
- Insurance Verification
- Technical Support
- Appointment Scheduling
- HIPAA Compliance
- Medical Insurance
- Billing Inquiries
- Product Knowledge
- IT Support
- Medicare and Medicaid process
- Drug utilization review
- Pharmacy and customer records management
- FDA Drug Safety Guidelines
- POS Systems
- Accounts Payable and Accounts Receivable
- CRM Software
- Claim research
- Authorizations
- Medical coding knowledge
- Claims processing experience
Timeline
Customer Service Analyst II
Mutual Of Omaha
08.2022 - Current
Customer Service Representative
CVS Healthcare
11.2020 - 08.2022
Patient Service Representative
TriWest Healthcare Alliance
07.2019 - 11.2020
GED -
Montgomery Job Corps Center