Livecareer-Resume
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Professional Summary

Knowledgeable and dedicated customer service professional with extensive experience in customer service industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Skills
  • Client Communication
  • Professional Telephone Voice
  • Verbal and written communication
  • Call center operations
  • Inbound phone calls
  • Practitioner enrollment
  • Resource information
  • Organization and Time Management
  • Employee Timesheet Processing
  • Certified Medical Administrative Specialist
  • Anatomy and Physiology Terms
  • Administrative Duties
  • Multi-Line Phone Proficiency
  • Data Integrity
  • Office Supplies and Inventory
  • Office Administration
  • Call Transfers
  • Clerical Support
  • Compassionate Communication
  • HIPAA Regulations
  • Patient Health Information Access
  • Information Updates
  • Demographics Information
  • Documentation Review
  • Workflow Processes
  • Information Assistance
  • EMR Systems
Education
Allied Health Careers Austin, Texas Expected in 03/2013 : Medical Assisting - GPA :
ONEIDA EDUCATION CENTER – GREEN BAY , WISCONSIN Expected in 05/2006 GED : - GPA :
Houston, Texas Expected in 05/1990 : Computer Operations - GPA :
Stratford Senior High School Houston, TX, Expected in 05/1983 : - GPA :
Work History
Anthem, Inc. - Manager/Purchasing Assistant
Fort Worth, TX, 10/2013 - 12/2021
  • Responsible for making schedules of all employees
  • Responsible for all purchasing which included meeting with distributors, preparing purchase orders, receiving, stocking and6 entering product into database inventory
  • Maintained purchases within budget
  • Routine activities included scheduling of weekly tasting, daily cash deposits and maintain high level of customer service
  • Purchased new products and oversaw inventory stocking and availability
  • Performed monthly reconciliation of open purchasing orders
  • Recorded inventory sales into organization's weekly income report
  • Accomplished multiple tasks within established timeframes
  • Evaluated employees' strengths and assigned tasks based upon experience and training
  • Conducted monthly inventories of raw materials and components on work floor.
Centene-Aston Carter (Contract) - Referral Specialist I
City, STATE, 04/2022 - 07/2022
  • Centene- Aston Carter
  • Modify authorizations as needed to ensure transfer into claims payment system
  • Create member authorizations for approved outpatient therapy services
  • Create and maintain reference materials and workflows for data processing
  • Attached Discharge Summaries, prior authorizations that had be fulfilled and
  • I placed them into the Members Medical Chart
  • Use of TruCare8,0, Decision Tree (DT3)
  • Provider Enrollment, Help Desk Tier 1 Remote, Utilize excellent customer service and communication skills to maintain high customer satisfaction ratings
  • Managed over 60-150 customer calls per day
  • Followed HIPPA Rules
  • Clearly and thoroughly document each customer interaction
  • Make outbound calls to follow up with customers as needed
  • Facilitates all aspects of provider enrollment, including initial enrollment, re- enrollment, monitoring,
  • Prepare enrollment applications for all health plans including Medicaid
  • Maintain confidentiality of all provider enrollment business/work
  • Perform detailed follow-up activities on assigned accounts according to procedures
  • Troubleshooting all information technology issues, including software, hardware, and networking
  • Assist in management of Active Directory information, ensuring accuracy and regular updates
  • Logs and tracks inquiries using ticketing system while maintaining history records
  • Documents and maintains workflows utilized in successful issue resolution.
  • Entered Type data using Software to document referrals and results.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Completed up to Number referral requests each day for medical provider of Industry services.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Organized patient files and streamlined operations to improve efficiency.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Facilitated organized record retrieval and access by maintaining filing system for both in-house and discharged residents.
  • Implemented Software for digitizing and organizing over Number medical records.
Menzies Aviation - Passenger Service Agent/Ramp
City, STATE, 09/2019 - 03/2021
  • Ticketing and checking in and boarding passengers, troubleshooting, and resolving related issues
  • Handling transactions to board aircraft in timely efficient manner
  • Following all related FAA/TSA regulations
  • Managed on ticketing and boarding 50-198 passengers per flight0
AT&T - Mobility
City, STATE, 10/2015 - 07/2018
  • Answering inbound calls, handling customer questions and complaints as well as billing inquiries
  • Activate devices of new customer accounts
  • Communicate with customers using web-based tools
  • Collect any due or past due amount that is due on account
  • Sold Direct Tv, U-verse Broadband and wireless services
  • Achievements was making Top 3 in Nation in Sales and Perfect Attendance 7-11.

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Resume Overview

School Attended

  • Allied Health Careers
  • ONEIDA EDUCATION CENTER – GREEN BAY
  • Stratford Senior High School

Job Titles Held:

  • Manager/Purchasing Assistant
  • Referral Specialist I
  • Passenger Service Agent/Ramp
  • Mobility

Degrees

  • GED

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