Knowledgeable and dedicated customer service professional with extensive experience in utilities industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate and energetic
Overview
21
21
years of professional experience
Work History
Customer Service Representative
Waste Connections Inc.
04.2023 - Current
Maintained up-to-date knowledge of product and service changes.
Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
Sought ways to improve processes and services provided.
Offered advice and assistance to customers, paying attention to special needs or wants.
Met customer call guidelines for service levels, handle time and productivity.
Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
Followed up with customers about resolved issues to maintain high standards of customer service.
Answered constant flow of customer calls with minimal wait times.
Increased efficiency and team productivity by promoting operational best practices.
Exhibited high energy and professionalism when dealing with clients and staff.
Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Met or expected expected call volume each day with high customer satisfaction
Referral Coodinator
Evergreen Pediatric Clinic
10.2021 - 04.2023
Collaborated with medical staff to ensure appropriate referrals based on individual patient needs and insurance coverage.
Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
Developed and implemented effective strategies to increase referral sources.
Called insurance companies to get precertification and other benefits information on behalf of patients.
Discussed medical histories with patients in effort to provide most effective medical advice.
Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
Supported clinical team in managing complex cases through effective coordination of multiple referrals and appointments.
Appeals Specialist/Referrals/Prior Authorizations
The Women's Clinic of Vancouver, PS
04.2016 - 10.2021
Answered telephones and directed calls to appropriate staff
Operated office equipment, such as voice mail messaging systems and used word processing, spreadsheet and other software applications to prepare reports, invoices, financial statements, letters, case histories and medical records
Transmitted correspondence and medical records by mail, e-mail and fax
Maintained medical records, technical library and correspondence files
Performed various clerical and administrative functions, such as ordering and maintaining inventory of supplies
Compiled and recorded medical charts, reports and correspondence, using typewriter and personal computer
Responded quickly to meet customer needs and resolve problems
Involved persons to obtain missing information
Corresponded with insured and agent to obtain information and to inform them of account status and changes
Organized and worked with detailed office and warehouse records, using computers to enter, access, search and retrieve data
Transcribed data to worksheets and entered data into computer for use in preparing documents and adjusting accounts
Calculated amount of claim
Notified insurance agent and accounting department of policy cancellation.
Medical Management/ Referral Coordinator
Columbia United Providers
04.2003 - 01.2016
Processed and recorded new insurance policies and claims
Transmitted claims for payment and further investigation
Attached information to claim file
Prepared insurance claim forms and related documents and reviewed them for completeness
Entered insurance- and claims-related information into database systems
Evaluated staff, volunteer and community training programs
Participated in determination of organizational policies regarding such issues as participant eligibility, program requirements and program benefits
Used company software to analyze customer coverage needs, write quotes and issue policies
Completed insurance or other claim forms
Consulted classification manuals to locate information about disease processes
Assigned patient to diagnosis-related groups (DRGs), used appropriate computer software
Reviewed records for completeness, accuracy and compliance with regulations
Entered data, such as demographic characteristics, history and extent of disease, diagnostic procedures and treatment into computer
Protected security of medical records to ensure that confidentiality was maintained
Identified, compiled, abstract and code patient data, using standard classification systems
Maintained and operated variety of health record indexes and storage and retrieval systems to collect, classify, store and analyzed information.
Spearheaded and implemented new projects to expand scope of engagement.
Education
Certificate In Medical Insurance Billing/Office Admin/Terminology -
Apollo College
11.1998
Skills
Conflict Resolution
Product Promotion
Account Updates
Computer Proficiency
Calm Under Pressure
Microsoft Outlook
Transaction Processing
Policies and Procedures Adherence
Teamwork and Collaboration
Spreadsheets
Following scripts
Understanding Customer Needs
Critical Thinking
Coordination
Delivery Scheduling
Customer Service
Microsoft PowerPoint
Data Collection
Multi-line phone talent
Billing Adjustments and Refunds
Microsoft Office
Documentation
Call Metrics
LiveChat Messaging
Customer Data Confidentiality
Problem-solving abilities
Complaint Handling
Problem Resolution
Appointment Scheduling
Credit adjustments
Conflict Resolution
Product Promotion
Account Updates
Computer Proficiency
Calm Under Pressure
Microsoft Outlook
Transaction Processing
Policies and Procedures Adherence
Teamwork and Collaboration
Spreadsheets
Following scripts
Understanding Customer Needs
Critical Thinking
Coordination
Delivery Scheduling
Customer Service
Microsoft PowerPoint
Data Collection
Multi-line phone talent
Billing Adjustments and Refunds
Microsoft Office
References
References available upon request
Timeline
Customer Service Representative
Waste Connections Inc.
04.2023 - Current
Referral Coodinator
Evergreen Pediatric Clinic
10.2021 - 04.2023
Appeals Specialist/Referrals/Prior Authorizations
The Women's Clinic of Vancouver, PS
04.2016 - 10.2021
Medical Management/ Referral Coordinator
Columbia United Providers
04.2003 - 01.2016
Certificate In Medical Insurance Billing/Office Admin/Terminology -
Apollo College
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