Helpdesk Rep resume example with 7+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
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
Helpdesk Rep, 03/2019 - Current Murphy Usa, Inc. – Hillsboro, TX,
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.
Healthcare/Insurance Rep II, 08/2016 - Current Sage Hospitality Resources, Llp – Boulder, CO,
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.
Assistant Manager, 05/2015 - 05/2017 Citi – City, STATE,
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.
Front Desk Receptionist, 09/2013 - 02/2015 The Center For Pain – City, STATE,
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
High School Diploma: , Expected in 2014 - Robert E Lee High School - Montgomery, AL GPA:
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