close
  • Dashboard
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Customer Service
      • Education
      • Sales
      • Manager
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Microsoft Word
      • Professional
      • Modern
      • Traditional
      • Creative
      • View All
    • Resume Services
    • Resume Formats
      • Resume Formats
      • Chronological
      • Functional
      • Combination
    • Resume Review
    • How to Write a Resume
      • How to Write a Resume
      • Summary
      • Experience
      • Education
      • Skills
        • Skills
        • Hard Skills
        • Soft Skills
    • Resume Objectives
  • CV
    • CV
    • CV Examples
    • CV Formats
    • CV Templates
    • How to Write a CV
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Customer Service
      • Marketing
      • Sales
      • Education
      • Accounting
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Questions
  • Resources
  • About
    • About
    • Reviews
  • Contact
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Member Services Representative
Please provide a type of job or location to search!
SEARCH

Member Services Representative Resume Example

Love this resume?Build Your Own Now
MEMBER SERVICES REPRESENTATIVE
Career Overview
CUSTOMER SERVICE REPRESENTATIVE / 10 YEARS' EXPERIENCE IN CALL CENTER SETTINGS Polished, professional customer service representative offering: 10 years of experience providing customer support in busy call center environments. An unwavering commitment to customer service, with the ability to build productive relationships, resolve complex issues and win customer loyalty. Strategic-relationship/partnership-building skills -- listen attentively, solve problems creatively, and use tact and diplomacy to find common ground and achieve win-win outcomes.
Work Experience
11/2016 to Current
Member Services RepresentativeAmerican Hospital Association - Chicago , IL

Answer questions with regard to premium payment and billing. Explain statements, helping customers understand various pieces of insurance paperwork and answering questions with regard to insurance premium payments.  Help understand the complex nature of the members individual health care benefits. Describe the benefits and coverage associated with their type of health care plan and describe exclusions and non-covered and prescriptions. This involves interpreting the terms of individual policies.

03/2013 to 08/2016
Billing ClerkCci Health & Wellness Services - Gaithersburg , MD
Handle customer inquiries, complaints, billing questions and payment extension/service requests. Calm angry callers, repair trust, locate resources for problem resolution and design best-option solutions. Interface daily with internal partners in accounting, field services, new business, operations and consumer affairs divisions.​
Key Accomplishments:​
  • Managed a high-volume workload within a deadline-driven environment.
  • Resolved an average of 50 inquiries in any given week and consistently met performance benchmarks in all areas (speed, accuracy, volume).
  • Became the lead go-to person for new reps and particularly challenging calls as one of the company's primary mentors/trainers of both new and established employees.
  • Helped company attain the highest customer service ratings (as determined by external auditors) -- earned 100% marks in all categories including communication skills, listening skills, problem resolution and politeness.
10/2011 to 04/2012
Customer Service RepresentativePetco - Avondale , AZ

Responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity with minimal down time. Resolved customer service inquiries including: merchandise, shipping estimated times of arrivals, member material requests, provider look-up, and authorization calls and claims status.

​

Key Accomplishments:

​
  • Reduced customer complaints ratio by 66% through implementation of a dedicated complaint handling cell to cater to escalated grievances.
  • Organized service workflow to meet the influx of customers, by streamlining workflow issues.
  • Successfully handled 16 accounts simultaneously, without a single complaint from any account holder.


07/2010 to 10/2011
Medical Collections Team LeadBluegreen Resorts - Usa ● Seattle , WA

Trained and monitored employee production on a daily basis to ensure all performance goals were continually met, accounts and records were being maintained in an orderly and productive manner.

​

Key Accomplishments: 

​
  • Oversaw all collector and biller activities.
  • Assisted with reviews and audited complex problematic accounts.
  • Maintained follow up with payers in a stratified manner.
  • Assisted the section manager and performed all designated duties in the absence of the section manager.
  • Interfaced with a variety of outside organizations including pediatrics, ophthalmology, transplant, and obstetrics gynecology divisions.
  • Maintained records in an organized manner, corrected and re-billed denied claims when necessary, and performed secondary billing
    12/2007 to 09/2008
    Customer Services RepresentativeTelerx Marketing Inc. - City , STATE
    Completed insurance follow-up process accurately and timely for a designated group of accounts, by payer classification or other method of assignment. Answers inquiries by mail or phone as related to the designated group of accounts. 
    Key Accomplishments:
    ​
    • Recognized as #1 Customer Service Rep (out of 20 reps in division) in 2011. Ranking was based on accuracy, Monthly Collection  Goals, duration of calls and availability.
    • Contributed to an 8% collection increase in 2011 by improving collection tracking techniques.
    • Acted as an intermediary between the patient and the insurance company, file claims in assurance of payment.
    • Advised patient on insurance coverage and benefits before a procedure or treatment. 
    • Gathered missing information needed from patients to file claims
      Education
      1993
      High School DiplomaWymore Career Education - City, State
      Skills
      Accounting, management, billing, call center, communication skills, customer satisfaction, customer service, customer service skills, customer service training, Data Entry, focus, medical insurance, listening, Excel, Microsoft Word, problem resolution,  building rapport, sales, shipping, phone, workflow.
      Build Your Own Now

      DISCLAIMER

      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.

      How this resume score could be improved?

      Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

      67Fair
      Resume Strength
      • Completeness
      • Formatting
      • Word choice
      • Strong summary
      • Typos

      Resume Overview

      School Attended

      • Wymore Career Education

      Job Titles Held:

      • Member Services Representative
      • Billing Clerk
      • Customer Service Representative
      • Medical Collections Team Lead
      • Customer Services Representative

      Degrees

      • High School Diploma

      Create a job alert for [job role title] at [location].

      ×

      Advertisement

      Similar Resumes

      View All
      Member-Services-Representative-resume-sample

      Member Services Representative

      Apollo Medical Holdings, Inc.

      Rosemead , CA

      Member-Services-Representative/Certified-Paralegal-&-Reception-Supervisor-resume-sample

      Member Services Representative/Certified Paralegal & Reception Supervisor

      Arbor Realty Trust

      Uniondale , NY

      Member-Services-Representative-resume-sample

      Member Services Representative

      Apollo Medical Holdings, Inc.

      Monterey Park , CA

      • About Us
      • Privacy Policy
      • Terms of Use
      • Sitemap
      • Work Here
      • Contact Us
      • FAQs
      • Accessibility
      • EN
      • UK
      • ES
      • FR
      • IT
      • DE
      • NL
      • PT
      • PL
      customerservice@livecareer.com
      800-652-8430 Mon- Fri 8am - 8pm CST
      Sat 8am - 5pm CST, Sun 10am - 6pm CST
      • Stay in touch with us
      Site jabber winner award

      © 2022, Bold Limited. All rights reserved.