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Customer Service Representative Resume Example

Resume Score: 80%

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CUSTOMER SERVICE REPRESENTATIVE
Career Overview

Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success.

Core Strengths
  • Active listening skills
  • Strong organizational skills
  • Seasoned in conflict resolution
  • Sharp problem solver
  • Courteous demeanor
  • Energetic work attitude



Accomplishments

Managed call flow with up to 60 calls in queue per minute.

Exceeded corporate target for customer satisfaction for 6 months in a row.


Work Experience
Customer Service Representative
February 2008 to September 2012
Blue Cross Blue Shield of Nebraska - Omaha, NE
  • Verifying and explaining medical, dental and prescription benefits to both member and providers
  • Reviewing Explanation of Benefits with members and remits with providers.
  • Reviewed claims processing, resolved claim issues if possible, if not would send for further review.
  • Started preauthorizations for medical and dental procedures or prescriptions.
  • Assist members with premium or billing questions.
  • Troubleshoot websites for members and providers.
Customer Service/Sales
January 2007 to February 2008
United Distributors - Omaha, NE
  • Averaged over $100 in sales an hr
  • Responded to all customer inquiries in a timely manner.
  • Set appointments
Admitting Representative
January 2001 to July 2002
University Of Nebraska Medical Center - Omaha, NE
  • Pre-admits patients by receiving bookings from physicians; confirming admitting privileges of physicians; interviewing patients; entering patient information to pre-admissions database.
  • Greets and receives patients to be admitted by conducting personal interviews; entering demographic and insurance information; confirming pre-admission information; obtaining signatures on legal consents and insurance forms.
  • Verified patient identify by checking identification; preparing and placing identification band on patient.* Ensured patient's arrival to hospital room or testing area by assigning patient beds; notifying nursing unit of patient's arrival.
  • Provided information to the public by answering admitting procedure, hospital regulation and service inquiries of patients and the public; referring inquiries.
  • Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and jcaho standards
  • .Ensured HIPAA compliance.
Educational Background
Medical AssistantNebraska College Of Business - Omaha, NE, USA
  • Finished basic general courses.
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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:

  • Blue Cross Blue Shield of Nebraska
  • United Distributors
  • University Of Nebraska Medical Center

School Attended

  • Nebraska College Of Business

Job Titles Held:

  • Customer Service Representative
  • Customer Service/Sales
  • Admitting Representative

Degrees

  • Medical Assistant

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