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Customer Service Rep/ Back Office /Insurance Claims Resume Example

Resume Score: 100%

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CUSTOMER SERVICE REP/ BACK OFFICE /INSURANCE CLAIMS
Career Overview

Seeking a responsible position where I can utilize my knowledge of abilities, skills, experience that will benefit and bring great assets to the company., Multi-task, Dedicated Customer Service Representative Certified Insurance verifier motivated to maintain customer satisfaction and contribute to company success. with a Outstanding ability to establish rapport with clients,via phone and or face to face.





Core Strengths
  • Data processor Data entry/Clerical patient representative
  • Customer Service private care patient care MS Windows
  • Excel/lotus filing clerk accounts receivable, Clerical, cooking, client, Customer Service, Data entry, filing, lotus, Excel,
  • share point, MS
  • Windows, patient care, research, transportation, wound care

Strong organizational skills

Active listening skills

Sharp problem solver

Courteous demeanor

Energetic work attitude

Telephone inquiries specialist

Adaptive team player, dependability, fast learner


  • wound care
  • Strong organizational skills
  • Active listening skills
  • Sharp problem solver
  • Courteous demeanor
  • Energetic work attitude
  • Telephone inquiries specialist
  • Adaptive team player, dependability, fast learner
Accomplishments

Customer Assistance 

  • Worked with company systems such as Live Support and diligently completed all assigned tasks, working overtime as needed.

Customer Service 

  • Researched, calmed and rapidly resolved client conflicts to prevent loss of key accounts.

Documentation 

  • Documented patient information obtained from intake interviews.

Living Assistance 

  • Helped patients by serving meals, feeding as necessary, ambulating, turning, and positioning in bed.

Managed call flow with calls in queue

Work Experience
E.G.SFebruary 2015 to February 2016Customer Service Rep/ Back Office /Insurance Claims
Las Vegas, NV
  • Excellent Global Solutions EGS call center Responsibilities involve, responding to pharmacy calls for processing, client, Information and overrides, and Research, of, new and.
  • Existing customer account changes, routed calls, and enrollments and DisEnrollment, Through Sharepoint, agent portal.
  • Entered new patient profiles and prescriptions into medication input software system, .Efficiently answered Multi -line phone and processed high volume Information requests from nurses, doctors and pharmacists VIA In bond calls Verified patient data and billing information, .Verified accuracy and completeness of information on Prescription, and refill requests, .Regularly completed paperwork and entered prescription and insurance billing Information, into patient profiles, .Strictly maintained customer and patient confidentiality.
  • Communicated with all Customers and staff in a pleasant and professional manner, .Followed state, and federal record keeping guidelines for, legend drugs and controlled substances.
  • Appropriately resolved customer issues, complaints and Questions made reasonable procedure exceptions to accommodate unusual customer requests, and provide, accurate, and appropriate information in response to customer inquiries.
  • Demonstrated mastery of customer Service, call script within specified time frames.
  • Addressed customer service inquiries, in a timely and, accurate, fashon.
  • Maintained up-to-date records at all times.
  • Developed effective relationships with all call center departments through clear communication.
  • Properly directed inbound calls in phone queues to improve call Flow.
  • Processed applications, payments, corrections, endorsements and cancellations.
  • Prepared necessary paperwork to process insurance sales and renewals.
  • Pursued continuing education and training programs to continue professional development.
  • Followed up with potential clients regarding online information requests.
  • Presented and clearly explained insurance policy options to clients based on their needs and goals.
  • Called 90 to 100 lapsed customers each week to inquire about continuing needs.
  • Scanned incoming Documentation.
  • Follow-up with companies and individuals to resolve discrepancies.
  • Maintained Complete, confidentiality, in accordance with organization and legal requirements.
  • Purged outdated files.
  • Maintained 100% compliance with all government, regulations.
Ben Wilson Handyman ServicesJanuary 2012 to May 2014Secretary
California City, CA
  • Responsibilities involve Respond to calls concerning new and existing customer accounts Handling heavy inbound calls and maintains customer confidentiality.Retrieved requested files and delivered to appropriate personnel.Operated office equipment such as copiers and fax machines.Entered information into computer databases.Processed and routed incoming mail.Updated daily logs for tracking file movements.Reviewed files to check for complete and accurate information.Destroyed files and materials upon request.Looked up information with computer programs.Contacted staff and customers to retrieve files.Wrote professional business Responsibilities summarize receivables by maintain invoice accounts; coordinating monthly.
  • Transfer to accounts receivable: verify totals; preparing reports, and protect.
  • Organizations value by keeping information confidential.

Home-CareJune 2006 to June 2013Patient care
Las Vegas, CA.
  • Responsibilities cleaning, cooking, wound care, catheter care, colostomy care, medication disbursement, and transportation.
  • I also ordered supplies and kept med supplies stocked.
  • Read and recorded temperature, pulse and respiration.Massaged patient and applied preparations and treatments, such as liniment, alcohol rubs and heat-lamp stimulation.Collected urine and fecal samples.Support duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.Assisted with adequate nutrition and fluid intake.Planned, prepared and served meals and snacks according to prescribed diets.Directed patient in prescribed range of motion exercises and in the use of braces or artificial limbs.Providedtransportation, assistance and companionship to client.Cleaned and organized patient living quarters.
  • Performed household tasks such as laundry, dusting, washing dishes and vacuuming.Facilitated games and other activities to engage client.Positioned resident for comfort and to prevent skin pressure problems.Assisted with transferring, residents in and out of wheelchairs and adaptive equipment..Kept home Assisted in application of traction devices.
  • Obtained and set up suction equipment.
  • Provided personal nursing care in pre- and post- operative situations.
  • Tended to patients with chronic illnesses.
  • Cleaned Recognized and reported abnormalities and/or changes in patient' health status to nursing staff, Documented resident records on daily flow sheets.
  • Exhibited compassionate care and, communication with regard to issues of death and dying.
  • Sensitive to the needs of geriatric patients.Administered, simple range of motion exercises.Comforted patients and provided them with reassurance and encouragement.Promoted continuity of care by accurately and completely communicating to other caregivers the status of patient for which care is provided.Promoted personal and work safety.Participated in the maintenance of safe conditions within the facility and other related areas.Maintained a clean, orderly and well-stocked environment.
  • rectal tube, G-tube, J- tube, and regular 6501 Vegas Dr Apt 1111, Las Vegas NV 89108 Home: (661)418-8644 - tanyawilson77@gmail.com catheter insertion.
  • stocked with necessary supplies, equipment and instruments.
  • performed wound care as needed.
Ca Walker & AssociatesAugust 2001 to December 2005DATA COLLECTOR
Las Vegas, CA.
  • Verified that information in the computer system was up-to-date and accurate, .Compiled statistical information for Special, reports, .Created monthly reports for records, closed terminated records and completed chart audits, .Verified and logged in deadlines for responding to daily inquiries.
  • Via outbond calls.
  • Pharmacy Retail / Back Office.
Educational Background
Benton Harbor Adult Education1966GED: General Chicago, IL, USA

Obtained Ged.

AV College0000Associate of Arts: ActingLancaster, CA, us

Minor in performing arts,Coursework in Social Psychology and Personality Psychology, Drugs and human BehavIour could not finish husband died will later continue study of the performing arts, here in Las Vegas Nevada.

LMC College0000Associate of Arts: Nursingharbor, MI, USA

attendedLake Michigan college in MIi took nursing finished studies in San Fernando ca in 1983 worked as a nurse assistant for 10 years and 5 years i work in a facility called Chathworth, health an rehab for Schizophrenics as a nurse and assistant councilor. Stopped working for personal family reasons .

Skills

Patient-focused careExcellent interpersonal skillsCompassionate and trustworthy caregiverDetail-orientedEffectively interacts with patients and families.Hospice care providerCatheter preparation and changeMedical terminologyWound careCharting and record keepingValid NV driver's license


Professional and friendlyCareful and active listenerMulti-tasking

Careful and active listenerMulti-tasking Customer Needs Assessment, Customer Service, Data Collection, Data Entry, Microsoft Excel, Microsoft Office Suite, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Minute Taking, Multi-Task Management, Organizational Skills

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DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • E.G.S
  • Ben Wilson Handyman Services
  • Home-Care
  • Ca Walker & Associates

School Attended

  • Benton Harbor Adult Education
  • AV College
  • LMC College

Job Titles Held:

  • Customer Service Rep/ Back Office /Insurance Claims
  • Secretary
  • Patient care
  • DATA COLLECTOR

Degrees

  • GED : General
    Associate of Arts : Acting
    Associate of Arts : Nursing

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