Customer Service Representative Resume Example Blue Cross Blue Shield Of Nebraska

CUSTOMER SERVICE REPRESENTATIVE

Career Overview

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

Core Strengths

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 2012Blue 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 2008United Distributors － Omaha, NE

Admitting Representative
January 2001 to July 2002University 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

Resume Overview

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School Attended

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