Tisa Murphy
Mesa,AZ
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
11
11
years of professional experience
Work History
Clinical Operations Specialist
VSP Vision Care
2021.11 - 2024.05
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Assisted clients in understanding their vision benefits, maximizing coverage usage for optimal savings on eyewear purchases.
- Handled customer inquiries and suggestions courteously and professionally.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Tracked KPIs consistently to measure progress toward corporate goals and informed decision-making processes for upper management.
Fraud Analyst
Collabera
2019.08 - 2021.11
- Evaluated customer data to identify and prevent fraudulent activities.
- Maintained high-level knowledge of bank policies, procedures, and regulations to ensure compliance in all transactions.
- Addressed customer inquiries, requests and complaints with courtesy and professionalism.
- Successfully completed multiple projects within tight deadlines, demonstrating excellent time management skills.
- Enhanced customer satisfaction through prompt resolution of reported fraudulent transactions and clear communication with clients.
Healthcare Customer Service Representative
RemX Staffing
2013.09 - 2019.08
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Verified insurance eligibility and coverage for patients.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
Education
High School Diploma -
Sudan High School
Sudan, TX05.2013
Skills
Expert Problem Solving
Quality Assurance
Expert Time Management
Critical Thinking
Active Listening
Customer Service
Timeline
Clinical Operations Specialist
VSP Vision Care
2021.11 - 2024.05
Fraud Analyst
Collabera
2019.08 - 2021.11
Healthcare Customer Service Representative
RemX Staffing
2013.09 - 2019.08
High School Diploma -
Sudan High School