Seeking a professional position as a Customer Service Representative with opportunity for growth.
Overview
24
24
years of professional experience
Work History
Medical Receptionist
Capital Health
10.2024 - Current
Helped patients complete necessary medical forms and documentation.
Contributed to a positive work environment by collaborating effectively with colleagues and supporting team initiatives.
Checked patient insurance, demographic, and health history to keep information current.
Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care.
Adhered to strict HIPAA guidelines to protect patient privacy.
Maintained current and accurate medical records for patients.
HEALTH BENEFIT CORDINATOR
Conduent Inc
03.2017 - Current
Act as initial point of contact for inquires from potential and existing NJ Family Care beneficials and community based organizations related to NJ Family Care Program.
Provide one-to-one telephone contact with applicants, beneficiaries and enrollees.
Accurately respond to incoming calls received by the call center and initiate outbound calls to beneficiaries to obtain required information related to enrollment, eligibility determination or customer satisfaction.
Accurately document enrollment requests , status changes, complaints and grievances.
Enter application and enrollment information into web-based computer system for customers wishing to apply for the program over the telephone.
Maintain technical and program policy proficiency in the NJ Family Care rules/guidelines and other related program policies.
Provide clear, complete accurate objective understanding information based on full understanding of program requirements.
Log calls into tracking system; note trends in beneficiary questions or concerns, report and recommend measures to improve customer service.
Work with applicants and beneficiaries in difficult situations.
Handle data enter complaints in accordance with approved policies and procedures.
Document reports of potential fraud received via telephone within the web-based computer system for follow- up CQI.
Log and enter after hour messages into the web-based computer system.
CUSTOMER SERVICE REPRESENTIVE
New Jersey Manufactures Insurance Co.
03.2007 - 02.2016
Served nine years as a customer service representative , providing quality assistance in a professional manner
Answered and responded to inbound calls from prospective and current policyholders.
Provided assistance and customer service while determining coverage needs and administrating transactions
Completed a formal in-house training program and passed NJ/PA state exam.
Responded accurately and effectively to equitable portion of telephone inquires.
Completed necessary follow up transactions in a timely manner.
Submitted payments over the phone for billing purposes.
Provided premium quotes for new businesses applications and policyholders.
Made outgoing calls to policyholders regarding their policy renewal to confirm mortgage changes sent from a third party.
PIP SECRETARY
PIP Department
01.2002 - 02.2007
Received and screened phone calls, redirected callers when appropriate.
Transcribed medical noted directed by doctor onsite.
Handled and prioritized all outgoing and incoming correspondence, such as email, letters, and package.
Kept unit equipment operational by following manufacture's instructions; established procedures for calling repairs.