Theresa McNeal
Arlington,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Customer Service Representative
Webtpa, (remote)
Irving, TX
02.2022 - Current
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Assisted providers and patients with problems or questions regarding claims.
- Communicated with other departments to establish action plans and manage open claims to closure.
- Followed all company procedures to keep data confidential.
- Handles call backs and escalations on patient concerns.
Customer Experience Associate/Order Filler
7 Eleven, (remote, contract)
Dallas, TX
11.2020 - 04.2022
- Answered inbound calls, chats and emails about products and merchandise through Zendesk software
- Guided customers through troubleshooting, navigating company site and using services.
- Assisted 625+ callers per week in a fast paced call center environment.
- Met upselling objectives by frequently suggesting upgrades and related menu items such as drinks and desserts.
- Improved product knowledge skills to understand customer needs and provide real, effective solutions.
Customer Service Representative
Amazon.inc (remote, contract)
Seattle, WA
04.2020 - 10.2020
- Delivered timely, accurate and professional customer service to customers in a fast pace call center environment
- Interacted with customers via inbound calls, email, and chat using cutting-edge tools to facilitate customer service.
- Used proven techniques to de-escalate angry customers during telephone interactions.
- Assisted customers in expediting orders and correcting post-sale problems
- Logged, processed and followed up on merchandise authorization shipments.
Medical Claims Specialist
Aetna Inc
Arlington, Texas
11.2012 - 09.2019
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Forward claims for payment or further investigation to appropriate personnel.
- Collaborated with fellow team members to manage large volume of claims.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Based payment or denials of medical claims upon well-established criteria for claims processing.
Education
College Diploma - Medical Coding
Bishop State Community College
Mobile, ALCollege Certificate - Medical Billing And Coding
Virginia College
Mobile, ALSkills
- Customer Experience
- Contact Center
- CMS 1500
- HIPPA Compliance
- Benefits Verification
- Tech Savvy
- Inbound and Outbound Calling
Timeline
Customer Service Representative
Webtpa, (remote)
02.2022 - Current
Customer Experience Associate/Order Filler
7 Eleven, (remote, contract)
11.2020 - 04.2022
Customer Service Representative
Amazon.inc (remote, contract)
04.2020 - 10.2020
Medical Claims Specialist
Aetna Inc
11.2012 - 09.2019
College Diploma - Medical Coding
Bishop State Community College
College Certificate - Medical Billing And Coding
Virginia College
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