Yvette Tarh
Royse City,TX
Summary
Proven ability to listen attentively, solve problems quickly and efficiently, and create high-quality professional
relationships with callers. Fully committed to following company procedures and winning loyal customers.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Senior customer service representative
United Healthcare
11.2022 - Current
- Sometimes acts as a technical resource to others in own function, proactively identifies solutions to non-standard requests, solves moderately complex problems on own,
- works with team to solve complex problems, plans, prioritizes, organizes, and completes work to meet established objectives, may coordinate work of other team members, serve as primary point of contact for providers or members regarding medical/behavioral/clinical services or benefits, extract and review fax requests for medical or clinical services, receive calls requesting medical/behavioral/clinical services or benefits information, receive electronic referral form requests for medical/behavioral/clinical services, utilize phone system to respond to and transfer calls to appropriate individuals, ask callers standard questions to understand requests, gather necessary information, and assess urgency, access electronic member files using policy or ID number, determine member eligibility, follow protocols to task requests appropriately, check procedure codes against notification requirements and benefit coverage, reference automated job aid tools via the computer to identify appropriate procedures, access claims information, review and interpret call history documentation, navigate between computer screens and platforms to research information, take calls and questions from members and/or providers regarding case status, determine whether authorizations are required for requested medical services, reference automated job aid tools via computer to research relevant rules, regulations, or procedures, learn computer system and process changes and updates, contact internal resources if necessary to clarify information, identify appropriate resource to respond to medical requests
Senior customer service representative
United Healthcare
02.2021 - 11.2022
- Answer inbound calls from patients and providers about claims, account issues, and scheduling medication shipments, provide exceptional customer service while taking calls frequently with little downtime, document data and navigate through multiple systems while on calls, resolve customer complaints through independent problem-solving skills and one-call resolution, provide knowledgeable responses to telephone inquiries in a courteous and professional manner, follow established and documented policies and standard operating procedures, assist callers with filling out online applications and submitting them electronically, complete basic call log related to phone inquiries, refer calls as required to Customer Service Representative II, maintain up-to-date knowledge of CMS regulations and policies, report problems via the online system, follow established procedures to resolve patient account balances, identify consumer payment plans, utilize call scripts provided, set up consumer payments over the phone, document all conversations electronically, assist patients in determining eligibility for financial assistance programs and/or bank loans, provide information to Client Services as needed, understand and fully comply with all federal and state laws and regulations regarding collections policies and procedures
Administrative Assistant
Sparks group
06.2018 - 12.2020
- Answer and direct phone calls, organize and schedule appointments, plan meetings and take detailed minutes, write and distribute email, correspondence memos, letters, faxes and forms, assist in the preparation of regularly scheduled reports, develop and maintain a filing system, update and maintain office policies and procedures, order office supplies and research new deals and suppliers, maintain contact lists, book travel arrangements, submit and reconcile expense reports, provide general support to visitors, act as the point of contact for internal and external clients, liaise with executive and senior administrative assistants to handle requests and queries from senior managers, responsible for the setup, troubleshooting, and breakdown of events requiring technical support, supported over 100 events annually with prestigious guests, translated and assembled business requirements into detailed, production-level technical specifications, interacted with business users to analyze processes and gather requirements, assisted in the creation of a classroom environment conducive to learning and appropriate to the physical, social, and emotional development of students
Customer service representative
CignaCigna
06.2018 - 12.2020
- Answer and direct phone calls, organize and schedule appointments, plan meetings and take detailed minutes, write and distribute email, correspondence memos, letters, faxes and forms, assist in the preparation of regularly scheduled reports, develop and maintain a filing system, update and maintain office policies and procedures, order office supplies and research new deals and suppliers, maintain contact lists, book travel arrangements, submit and reconcile expense reports, provide general support to visitors, act as the point of contact for internal and external clients, liaise with executive and senior administrative assistants to handle requests and queries from senior managers, responsible for the setup, troubleshooting, and breakdown of events requiring technical support, supported over 100 events annually with prestigious guests, translated and assembled business requirements into detailed, production-level technical specifications, interacted with business users to analyze processes and gather requirements, assisted in the creation of a classroom environment conducive to learning and appropriate to the physical, social, and emotional development of students
Education
BACHELORS - Computer Science
UB BUEA CAMEROON
2013
Skills
- Communication
- Active listening
- Empathy
- Patience
- Problem-solving
- Product knowledge
- Time management
- Adaptability
- Persuasion
- Positive language
Certification
Bachelors Degree
Hobbies and Interests
- Cooking
- Reading
- Music
Timeline
Senior customer service representative
United Healthcare
11.2022 - Current
Senior customer service representative
United Healthcare
02.2021 - 11.2022
Administrative Assistant
Sparks group
06.2018 - 12.2020
Customer service representative
CignaCigna
06.2018 - 12.2020
BACHELORS - Computer Science
UB BUEA CAMEROON