Taylor Squirewell
Tempe,AZ
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading, and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Omni Interactions (Remote)
01.2023 - Current
- Suggested generic alternatives for medications to patients to help save on prescription copayments
- Completed medical and/or pharmacy benefit investigations
- Identified and requested submission of required documentation for payer/plan
- Maintained a high level of ethical conduct regarding confidentiality and privacy
- Reviewed for prior authorization, step edit identification, and appeals according to program standard operating procedures
- Maintained knowledge and understanding of the different types of major payers including private, commercial, and government insurances
- Determined coverage availability and coordinated the final aspects of health care services to ensure patients have access to prescribed therapy.
Cashier/Shift Lead
Walmart Supercenter (Henderson, NC)
09.2020 - 01.2023
- Greeted all customers and provided prompt, courteous customer service and assistance
- Provided a neat and clutter free work area
- Processed cash and all major card transactions with speed and efficiency in a busy retail store
- Closed and opened the store which required punctuality and the ability to accurately close out registers
- Maintained a perfect attendance record while frequently stepping up to substitute for absent personnel during other shifts
- Recruited, trained, and managed to enforce store values and fuel company growth
- Provided write ups and corrective actions if needed to employees.
Customer Service Specialist
CustomerHD (Raleigh, NC)
06.2019 - 11.2020
- Ensured productivity met or exceeded service and quality standards
- Adhered to HIPAA policies and protocols, becoming HIPAA certified
- Processed a variety of requests, inquiries, and transactions made my phone, email, fax, and mail
- Reviewed requests to ensure accuracy
- Documented all pertinent information related to the call or inquiry, attaching supporting information as applicable
- Researched denied claims, conducted coding reviews of medical records, and supported documentation against denied claims.
Customer Service Representative
Conduent (Raleigh, NC)
02.2018 - 06.2019
- Managed large amounts of inbound and outbound calls promptly
- Followed communication "scripts" when handling different topics
- Received and managed electronic payments from patients
- Identified customers' needs, clarified information, researched every issue, and provided solutions and/or alternatives
- Built sustainable relationships and engaged patients by taking the extra mile
- Kept records of all conversations in call center database in a comprehensible manner
- Maintained a high level of ethical conduct regarding confidentiality and privacy.
Education
High School Diploma -
Knightdale High School
Skills
- Excellent Customer Service
- Microsoft Office Proficiency
- Multi-tasking Abilities
- Data Entry & 10-Key Proficiency
- Adherence
- Communication Skills
- Computer processing
- Time Management
- Active Listening
- Attention to Detail
- Friendly, Positive Attitude
- Emotional Support
Certification
- Basic Life Support (BLS) Certification - American Heart Association or Red Cross.
- Phlebotomy Technician Certification (PTC)
Timeline
Customer Service Representative
Omni Interactions (Remote)
01.2023 - Current
Cashier/Shift Lead
Walmart Supercenter (Henderson, NC)
09.2020 - 01.2023
Customer Service Specialist
CustomerHD (Raleigh, NC)
06.2019 - 11.2020
Customer Service Representative
Conduent (Raleigh, NC)
02.2018 - 06.2019
High School Diploma -
Knightdale High School
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