Customer service expert with 4+ years of experience resolving account and service issues for the clients. I’m very responsible, respectful, organized, and dedicated to my work.
Overview
5
5
years of professional experience
Work History
Reimbursement Specialist
Caremetx
12.2024 - Current
Worked on problems of moderate scope where analysis of data requires a review of a variety of factors
Provided exceptional customer service to internal and external customers; resolved any customer requests in a timely and accurate manner; escalated complaints accordingly
Exercised judgment within defined standard operating procedures to determine appropriate action
Collected and reviewed all patient insurance benefit information, to the degree authorized by the SOP of the program
Provided assistance to physician office staff and patients to complete and submit all necessary insurance forms and program applications
Completed and submitted all necessary insurance forms in a timely manner as required by all third-party payers for prior authorizations
Tracked and followed up on prior authorization request
Maintained frequent phone contact with provider representatives, third party customer service representatives, and pharmacy staff
Reported any reimbursement trends/delays to supervisor
Subcontractor
Transworld System Inc
12.2022 - 07.2024
Assisted with payment plans
Reviewed application statuses or resent out specific documents
Assisted with daily meetings and contacting borrowers regarding any possible updates
Updated demographics
Customer Service Representative
Transworld Systems Inc
05.2022 - 12.2022
Assisted customers with questions regarding their student loan applications
Assisted with payment arrangements
Updated personal information
Customer Service Representative
Amerigas Propane
04.2021 - 05.2022
Answered a constant flow of customer calls
Scheduled propane delivery dates and times
Tracked delivery drivers ETA
Recommended the best size propane tanks depending on customer home or business size
Personal Shopper
Walmart Supercenter
Lancaster, SC
08.2020 - 03.2021
Picked 20+ online orders daily
Helped customers shop around the store
Loaded and unloaded merchandise into customer vehicles or around the store
Education
High School -
Lewisville High School
Richburg, SC
06.2018
Skills
Data Entry
Strong verbal communication
Credit card processing
Extremely organized
Multi-line phone talent
Customer Service
Order fulfillment
Timeline
Reimbursement Specialist
Caremetx
12.2024 - Current
Subcontractor
Transworld System Inc
12.2022 - 07.2024
Customer Service Representative
Transworld Systems Inc
05.2022 - 12.2022
Customer Service Representative
Amerigas Propane
04.2021 - 05.2022
Personal Shopper
Walmart Supercenter
08.2020 - 03.2021
High School -
Lewisville High School
Similar Profiles
Natica AlmodovarNatica Almodovar
Reimbursement Analyst at CareMetxReimbursement Analyst at CareMetx