Sharron Hughes-Barnes
MADISON,Tennessee
Summary
Highly skilled Representative with over 30 years customer service experience. Basic problem solving ability, and possess effective & solid communication skills. Analytical professional with critical thinking skills. Have worked in Clerical, Office & Medical. Positive team player and excellent attention to detail.
Overview
23
23
years of professional experience
Work History
Utilization Mgmt Rep II /Customer Service Representative
Anthem - Elevance Health
Nashville, Tennessee
08.2011 - 02.2023
- Received incoming calls and aiding medicaid members in locating primary care Physicians and Specialist for doctor visits.
- Assisted co-workers during busy periods or whenever needed in order to provide excellent customer service.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Conducted outreach to low-income individuals in order to inform them of their eligibility for Medicaid services.
- Assisted in the development of authorization for providers & fax back request for procedure.
- Arrange transportation pickup
- Provided assistance to patients by answering questions about their coverage plans or benefits available through their insurance carriers.
- Upload Clinical data received from Provider in system for Health Plan Dept.
- Speak with Provider and verify HIPAA compliance and process authorization request.
Customer Service Representative
Apple One Services / Amerigroup
Brentwood , Tennessee
05.2011 - 08.2011
- Provided excellent customer service to resolve customer transportation issue when request ride to doctor office.
- Answered Medicaid Member inquiries to change pcp.
- Enter information to request new Member ID Cards.
- Provide Members with demographics of PCP location.
- Answered customer inquiries and provided accurate information regarding products and services.
Customer Care Representative
Kelly Services Inc ( Cigna )
Nashville, Tennessee
12.2009 - 04.2011
- Discuss with Member the benefits, eligibility information, and copay.
- Received incoming calls from Cigna Medicare Members.
- Make outbound calls to Cigna Members to advise them of the insurance plans they have with the insurance carrier.
- Discuss with Member the benefits, eligibility information, and copay.
Sales Contact Rep / Customer Service Representative
VF Imagewear, Inc.
Nashville, Tennessee
12.1999 - 05.2009
- Processed orders for customers by manually entering requests for Chef Coats, Work Pants, Work Shirts, Aprons, Chef Hats, etc.
- Verified customer information and updated records accordingly.
- Assisted customers with product returns, exchanges, or refunds as needed.
- Contact Warehouse when Customer order needs to be revised, cancelled, or if there is a delay in shipment to satisfy Customer.
- Track orders using UPS/FedEx reference tracking system.
- Responsible for ordering sample garments on VF Account for monthly sales meeting.
- Answer emails from Direct Sales Rep. To place special orders and follow up with the sales team when available.
Education
High School Diploma -
Hillwood High School
Nashville, TN05-1983
Skills
- Data Entry
- Customer Service
- Prof Telephone Etiquette
- Computer Skills
- Attention to Detail
- Verbal and written communication
- Microsoft Outlook, Word, and Excel
- Teamwork
References
References available upon request.
Timeline
Utilization Mgmt Rep II /Customer Service Representative
Anthem - Elevance Health
08.2011 - 02.2023
Customer Service Representative
Apple One Services / Amerigroup
05.2011 - 08.2011
Customer Care Representative
Kelly Services Inc ( Cigna )
12.2009 - 04.2011
Sales Contact Rep / Customer Service Representative
VF Imagewear, Inc.
12.1999 - 05.2009
High School Diploma -
Hillwood High School
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