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Helpdesk Rep Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Well-qualified healthcare/ customer’s service professional, proficient in handling complex customer issues and promoting positive experiences. Efficiency-driven and organized with team-oriented mentality and dedication to customer satisfaction, business goals and sales excellence. Skilled in coordinating documentation and handling payments. Polite and positive with exceptional telephone etiquette.
Skills
  • Microsoft Word, Excel, PowerPoint, Internet
  • Advertising, Web portal
  • Agency, Website
  • Balance
  • Benefits
  • Billing
  • Budget
  • Closing
  • Credit
  • Critical thinking
  • Excellent customer service
  • Customer service
  • Data entry
  • Database
  • Diagnosis
  • Documentation
  • Fast
  • Faxes
  • Human Resource
  • IDs
  • Insurance
  • Listening
  • Medical terminology
  • Excel
  • Money
  • Office
  • PowerPoint
  • Microsoft Word
  • Strong organizational skills
  • Payroll
  • Public relations
  • Quality
  • Requirement
  • Research
  • Retail
  • Sales
  • Tables
  • Telephone
  • Phone
  • Transmission
Experience
Murphy Usa, Inc. - Helpdesk Rep
Hillsboro, TX, 03/2019 - Current
  • The Electronic Media Claims Helpdesk assists with Provider Electronic Solutions (PES) software, vendor-related issues, electronic transmission problems and pharmacy-related billing issues.
  • The EMC Helpdesk also issues IDs and passwords for the Agency's secure website portal.
  • Utilizing multiple computer systems, scan, file, and electronically store prior authorization and other related enrollment related documentation.
  • Triage all incoming phone calls and faxes.
  • Maintain and update Medicaid database by entering data such as eligibility, codes for diagnosis and services, etc.
  • Provide assistance and education to the provider/pharmacy community related to specific prior authorization submissions, claims rejection, web portal assistance, when applicable.
  • Work with local pharmacies to meet run times and ensure timely dispensing of medications.
  • Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, assist with test claims, and determine patient coverage/responsibility for services and testing and implementation of new plan business.
Sage Hospitality Resources, Llp - Healthcare/Insurance Rep II
Boulder, CO, 08/2016 - Current
  • Proficient in navigating and executing Interchange and Ames systems.
  • Knowledge of billing, Hippa guidelines, eligibility and policy requirement in the Alabama Medicaid Program.
  • Communicate data to Alabama Medicaid recipient and team leaders.
  • Research recipient eligibility and provide availability for recipients.
  • Knowledge of Medicare and All Kids.
  • Interact to solve questions that impact recipient's eligibility, claim payment, and demographic conflicts with providers.
  • Successfully executed quality customer service through fast responsiveness, reliability, assurance, and professionalism.
  • Familiarized and provide information on general Medicaid and Medicare eligibility and information.
  • Investigate claims that have not processed properly and adjust to ensure accurate payment.
  • Assist recipients and providers with detail explanation of their benefits for the status claims, dental, medical, and drugs.
Citi - Assistant Manager
City, STATE, 05/2015 - 05/2017
  • Responsible for opening and closing store procedures.
  • Partners with supervisors or corporate office regrading store issues.
  • Authorizes register functions including post voids, returns and discounts.
  • Ensure that newly received products is stocked in a timely manner.
  • Assist store manager with duties and tasks required in a retail environment.
  • Assist store manager with new hire and other Human Resource paperwork upon request.
  • Set up advertising display or arrange merchandise on counter or tables to promote sales.
  • Delivers exceptional customer service through personal contact with customers.
  • Assists payroll process and ensures budget is in line with plan.
The Center For Pain - Front Desk Receptionist
City, STATE, 09/2013 - 02/2015
  • Prepare the clinic for opening each day by reviewing the facility, opening all systems application, and preparing new patient packets and required documents.
  • Greet patients, provide patient initial paperwork and obtain copies of insurance and identification cards.
  • Register patients, update patients records, and verify insurance accurately and timely.
  • Collect and process patients payments and address collection and billing issues.
  • Discharge patients accurately and timely by collecting balances, providing patients documentation, and following discharge procedures.
  • Promptly to customer needs, provide excellent customer service, assist patient with follow up appointments and fulfill medical documentation requests.
  • Balance daily patient charges (cash, checks, credit card) against system reports.
  • Prepare, sign, and drop the deposit in the safe on a highly basis.
  • Complete closing procedures by preparing closing documentation and submitting required reports.
Education and Training
Robert E Lee High School Montgomery, AL Expected in 2014 High School Diploma : - GPA :

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Resume Strength

  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • Robert E Lee High School
Job Titles Held:
  • Helpdesk Rep
  • Healthcare/Insurance Rep II
  • Assistant Manager
  • Front Desk Receptionist
Degrees
  • High School Diploma

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