Results-oriented and customer-focused Customer Service Professional with a strong track record of providing exceptional customer support in fast-paced environments. Skilled in responding to customer inquiries via live chat, email, and web-based platforms. Adept at problem-solving and managing multiple tasks efficiently. Proven ability to exceed customer expectations and maintain a high level of professionalism at all times. Committed to providing the highest level of customer satisfaction and continuously improving skills to stay current in the industry.
*******Military Spouse Preference*******
Overview
8
8
years of professional experience
Work History
Customer Service Wellness Representative
Flawless Hair and Beauty Bar
Katy, TX
09.2025 - 01.2026
Marketed and sold a diverse range of hair care products within the beauty supply industry.
Managed and updated the company's social media platforms to engage with customers and promote products.
Delivered exceptional customer service while implementing effective sales and marketing strategies.
Maintained and updated the company website to ensure accurate representation of products and services.
Responded to customer inquiries and efficiently resolved service-related issues.
Coordinated product deliveries to partner suppliers, ensuring timely and accurate fulfillment for customers.
Community Liason
AccentCare Home Health "Hybrid"
Katy, TX
05.2024 - 09.2025
Educated patients about Home Health benefits and other health & wellness resources.
Conducted 80-90 Outbound calls daily to patients, to help monitor and track their progress.
Provided excellent customer service and assisted the marketing team.
Used Apps, such as HCHB, Genesys, & Fucura to research signed orders by the physicians.
Entered data into the CRM daily to maintain accurate records.
Engaged in collaborating with the Outreach Department to introduce new wellness resources to patients.
Conduct high-volume outbound calls to patients and health plan members to provide benefit education, wellness outreach, and medication adherence support.
Verify insurance eligibility, explain pharmacy benefits, and assist members with claims status, prior authorization requirements, and coverage questions.
Navigate multiple healthcare systems (CRM, EMR/EHR, claims platforms such as SalesForce, Zendesk, RxClaims, Navinet, Genesys Softphone) to accurately document patient interactions, update records, and track case progress.
Support medication coordination by communicating with pharmacies, providers, and health plans to resolve benefit issues and ensure timely access to prescribed medication.
Maintain strict HIPAA compliance while handling PHI and documenting sensitive patient information.
Deliver compassionate, patient-centered communication to build rapport, de-escalate concerns, and improve overall member satisfaction and retention.
Collaborate with nurses, pharmacists, and utilization management teams to support chronic care outreach and preventive care initiatives.
Consistently meet or exceed KPIs for call quality, outbound call volume, first-call resolution, and accuracy of documentation.
Assist members with navigating Medicare, Medicaid, and commercial plan benefits, ensuring clear understanding of coverage, copays, prior authorizations, and appeal processes.
Customer Service Representative
CVS/AETNA Medicare
01.2022 - 02.2022
Successfully educated Medicare customers about their benefits through outbound calls.
Provided personalized customer service by answering questions and resolving issues for members.
Maintained a high level of customer satisfaction by delivering empathetic and member-centric support.
Escalate complex cases to the appropriate department for resolution, ensuring customer satisfaction.
Utilized compliance standards to provide a secure and consistent customer service experience for members.
Identify process improvements and give feedback to improve customer experience.
Resolve customer issues, answering questions and addressing concerns in a timely and effective manner.
Manage high call volume accurately and efficiently, ensuring customer inquiries are handled promptly.
Consistently met and exceeded performance targets for call quality, customer satisfaction, and efficiency.
Demonstrated excellent communication and interpersonal skills to build strong relationships with customers.
Continuously updated knowledge of company policies and procedures to provide accurate information to customers.
Customer Service Representative
UnitedHealthcare
Costa Mesa, CA
09.2021 - 01.2022
Provided exceptional customer support through inbound/outbound calls and resolving complex customer issues.
Handled up to 50-70 daily calls, assisting customers with benefits, prescription refills, and pharmacy-related questions.
Utilized medical knowledge and technology, including Windows and company systems (GENESYS/Iris/Microsoft Office), to accurately address customer inquiries.
Demonstrated critical thinking and problem-solving skills to resolve customer concerns efficiently.
Maintained confidentiality of customer information and adhered to HIPAA regulations at all times.
Managed high call volume with accuracy and efficiency, ensuring customer inquiries were handled promptly.
Contributed to a positive and supportive team environment, sharing knowledge and assisting colleagues.
Demonstrated resilience in handling high-pressure situations while maintaining a professional demeanor and providing effective solutions to customer inquiries.
Education
Associates of Arts - Business, Human Resources
Houston Community College
Katy, TX
05.2026
Certificate - Medical Administrative Assistant - Medical Billing & Coding
Customer Service Representative Lead/Wellness Ambassador at Andover Animal HospitalCustomer Service Representative Lead/Wellness Ambassador at Andover Animal Hospital