Actively seeking employment where I can optimize my problem-solving and organizational skills to contribute to increased customer satisfaction.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Robert Half Employment Agency
02.2021 - Current
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Responded to customer requests for products, services, and company information.
Customer Service Representative
Change Healthcare
10.2017 - 01.2021
Fulfilling correspondence requests from insurance carriers. Answering patient calls. Initiation process to ensure claims are processed in a timely manner Review facility’s report to identify patients who presented to the facility outside CHC’s designated staffing hours patient visit and maintain the file accuracy Maintain proper account documentation Management Process work daily for all Patient Counselor groups to ensure a consistent workflow for every patient file, to result in a reimbursement to the facility, in a timely manner Collaborate with facility employees in a professional and courteous manner Communicate any issues/concerns involving patient files or personnel to your direct supervisor
Clinical Innovation Specialist, (Humana)
Your Home Advantage
02.2014 - 10.2017
Collecting broad based information and gathering resources and data to arm the team with tools necessary to enhance consumer engagement, choice, and trust. Make outbound calls to engage members and/or providers to verify clinical information, Document all calls and attach clinical information received Create and send out written correspondence.
Customer Service Representative
AHC Inc.
03.2011 - 07.2013
Performed Inbound and outbound calls on a day to day basis, Maintained a work schedule of 100 or more accounts by contacting insurance carriers, employer and/or patients by phone, mail or fax to ensure prompt resolution and payment of medical bills or denied claims, Review UB 92, HCFA 1500, Medical records, EOB, contracts and itemized statements for accurate processing and filling of an appeal to have a denial overturned. Maintain a manageable work schedule through prioritization of accounts and duties.
Education
High School Diploma -
Coconut Creek High School
Coconut Creek, FL
05.2001
Skills
Over 10 Years of call center experience with performing both inbound and outbound calls Phenomenal customer service skills via email, phone and in person
Human Resource Assistant/Receptionist at Kalamazoo Educational Service AgencyHuman Resource Assistant/Receptionist at Kalamazoo Educational Service Agency
Human Resources Representative at Robert Half Recruiters & Employment AgencyHuman Resources Representative at Robert Half Recruiters & Employment Agency