Passionate Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, and providing customized solutions to build loyalty.
Overview
9
9
years of professional experience
Work History
Customer Service Representative II
QTC Management Inc. - A Leidos
07.2022 - Current
Responsible for answering, processing, and documenting all calls from customers and representatives.
Duties include screening military medical forms for accuracy and thoroughness, identifying required medical, dental, and behavioral health procedures, then scheduling individual in-clinic group, or telephonic appointments.
Acts as service liaison between the customer and internal operational staff, and delivers exceptional customer service at all touch points.
Clarifies customer inquiries by researching, locating, and providing information to the appropriate entities.
Efficiently utilizes tools and available resources such as: ECW, UCM, examinee portal, and other tools as necessary.
Accurately documents all call information in case management system according to standard operating procedures.
Any other duties assigned.
Patient Access Representative(TEMP)
UTHealth
01.2022 - 07.2022
Assist in patient scheduling for multiple specialty integrated practice units, surgeries and diagnostic imaging.
Under general supervision, exercise some discretion, make routine decisions based on existing scheduling guidelines and will assume other duties when assigned.
Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Medical Claims Adjuster/Specialist
ATP2LLC
07.2020 - 09.2021
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Verified patient insurance coverage and benefits for medical claims.
Analyzed bulk claims and determined appropriate payment amounts.
Researched and resolved complex medical claims issues to support timely processing.
Ensured appropriate diagnostic and procedural coding for all HCFA-1500, UB92 and other claim forms.
Validated appropriate claim adjustments to resolve payment discrepancies.
Ensure accuracy of information included in VA-FSC vendor le for medical providers.
Managed large volume of medical claims on daily basis.
Call Center Representative
Maximus
11.2019 - 07.2020
Adhered to company policies and scripts to consistently achieve call-time and quality standards.
Maintained accurate and current customer account data with manual forms processing and digital information updates.
Answered customer telephone calls promptly to avoid on-hold wait times.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Front Desk Agent
Springhill/Residence Inn
09.2017 - 11.2019
Greeted visitors and customers upon arrival, offered assistance and answered questions to build rapport and retention.
Took reservations over phone, in person, and via computer for guests and provided confirmation information.
Provided guests with above-and-beyond service, including making outside venue reservations and setting up tours
Collected room deposits, fees, and payments.
Answered customer telephone calls promptly and appropriately handled needs.
Used internal software to process reservations, check-ins and check-outs.
Took reservations over phone, in person and via computer for guests and provided confirmation information.
Swiftly responded to room requests and other inquiries made via establishment website, email or phone.
Cashier Team Leader
Chik-Fil-A
01.2015 - 08.2017
Maintained clean, sanitized and well-organized food preparation zones.
Provided customers with information on specials and discount deals.
Checked completed orders for accuracy and bagged meals for easy carrying.
Packaged and labeled products and orders for to-go counter and drive- through window.
Customer Service Representative II / Financial Services Representative II at QNB BankCustomer Service Representative II / Financial Services Representative II at QNB Bank