Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tyrenee Living

Houston

Summary

Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively.

Flexible hard worker ready to learn and contribute to team success.

Overview

10
10
years of professional experience
2015
2015
years of post-secondary education

Work History

Patient Service Representative

Everise
Houston
10.2025 - Current
  • Assisted patients with scheduling specialty prescriptions and managing their medical records.
  • Handled inbound calls to address patient inquiries and resolve issues promptly.
  • Collaborated with healthcare providers to coordinate patient care effectively.
  • Streamlined communication between departments to enhance patient service efficiency.
  • Answered incoming calls in a professional manner.
  • Verified insurance information, collected payments, and scheduled appointments.
  • Adhered to HIPAA regulations when handling confidential patient information.
  • Greeted patients upon arrival and directed them to the appropriate area.
  • Reviewed patient accounts for accuracy on a regular basis.

Direct Care Staff Member

Road to wisdom
Houston
01.2025 - 04.2025

• Implemented daily routines to promote structure and consistency for childrens development

  • • Managed multiple tasks efficiently while maintaining a calm demeanor in high-pressure situations
  • Implemented behavioral support plans to promote positive interactions.

• Collaborated with other childcare professionals to plan educational programs that fostered social skills, creativity, and cognitive development

• Supported children with homework assignments or educational activities as needed

• Encouraged positive behavior through effective discipline techniques such as redirection and positive reinforcement

• Administered first aid when necessary and promptly reported any incidents or accidents to parents/guardians

Healthcare Customer Service Representative

CareCentrix
Houston
05.2022 - 11.2024
  • Facilitated smooth enrollment processes, guiding individuals and families through healthcare plan options, eligibility requirements, and documentation, resulting in increased member satisfaction.
  • Delivered exceptional customer service remotely, managing high call/email/chat volumes, resolving inquiries, and providing accurate information.
    insurance claims, coverage, and benefits.
  • Initiate and manage insurance claims, including verifying policy details, gathering necessary documentation, and submitting claims for processing.
  • Managed incoming calls and directed them to appropriate departments.
  • Addressed and resolved patient complaints with empathy and professionalism.
  • Adhered to HIPAA regulations when handling confidential patient information.
  • Ensured that proper follow up was completed after each interaction with a customer.

Healthcare Customer Service Representative

Acclara
Houston
04.2018 - 03.2022
  • Reviewed and processed medical claims for accuracy and completeness, ensuring adherence to billing regulations and insurance policies. Submitted claims to insurance companies electronically or by mail, following proper coding and documentation guidelines.
  • Investigated and resolved claim denials, rejections, and billing discrepancies, working closely with healthcare providers and insurers to facilitate payment.
  • Communicated with patients regarding insurance coverage, billing inquiries, and payment options, providing assistance and support as needed
  • Maintained accurate records of claim status, payments, and follow-up actions,ensuring timely resolution and reimbursement.

Warehouse Worker

Amazon
Houston
03.2017 - 07.2019

• Operated forklifts to safely sort and place items in designated warehouse locations, optimizing storage space and accessibility.

• Utilized forklifts and pallet jacks to move inventory and transport completed orders to shipping/staging areas.

• Maintained cleanliness and organization of the warehouse, ensuring tools and equipment are stored properly and safety protocols are followed.

• Conducted routine inspections and maintenance checks on equipment, ensuring safe and efficient operation.

• Assembled and labeled boxes, organizing supplies, and ensuring accurate shipment to designated stations.

• Accurately located and pulled items using RF scanners/voice picking technology to fulfill customer orders for pickup and delivery.

• Inspected and prepared merchandise from bins and shelves, ensuring quality and accuracy before customer pickup or delivery

Customer Service Representative

Walmart
Houston
10.2015 - 08.2017
  • Monitor customer service interactions, including phone calls, chat sessions, and emails, to assess compliance with service standards and policies. Conduct thorough evaluations based on predefined criteria to measure agent erformance
  • Provide constructive feedback to customer service representatives based on evaluation findings. Offer coaching and training to help representatives mprove their performance, customer interactions, and adherence to protocols
  • Assist in handling escalated customer inquiries or complaints, demonstrating exceptional customer service skills as needed.
  • Maintain detailed records of evaluations, feedback, and coaching sessions Prepare regular reports summarizing quality assurance findings and trends.
  • Resolved customer complaints efficiently and professionally.

Education

Mc Arthur Senior High School
Houston, Texas

Skills

  • Customer Service
    Data Entry
    Insurance Verification
  • Call Center
  • Eligibility Determination

Call Documentation

Remote Operation

Claims

Multitasking

Problem-Solving

HIPAA Compliance

Quality Assurance

Eligibility

De-Escalation

Time management

Customer Relationship Management (CRM)

Inbound/Outbound Calling

Open Enrollment

Benefit Verification

Multichannel

Regulatory Compliance

  • Problem solving
  • Registration and admissions
  • Phone and email etiquette
  • Team leadership
  • Strong empathy

Timeline

Patient Service Representative

Everise
10.2025 - Current

Direct Care Staff Member

Road to wisdom
01.2025 - 04.2025

Healthcare Customer Service Representative

CareCentrix
05.2022 - 11.2024

Healthcare Customer Service Representative

Acclara
04.2018 - 03.2022

Warehouse Worker

Amazon
03.2017 - 07.2019

Customer Service Representative

Walmart
10.2015 - 08.2017

Mc Arthur Senior High School
Tyrenee Living