Personable and dedicated Customer Service Representative with extensive experience in the customer service industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Skills
Back office operations
Recordkeeping and bookkeeping
Data entry documentation
Types 60 WPM
Records management systems
Transporting files
Appointment scheduling
Schedule management
Strong problem solver
Customer support needs assessment
Software upgrades
Critical thinking
Report generation
Credit card payment processing
Business development understanding
Problem-solving abilities
Great communication skills
Inbound and Outbound Calling
Proficient computer skills
Clerical support
Customer relations
High-energy attitude
Ability to navigate multiple computer systems, applications, and utilize search tools to find information
Teambuilding
Beaker
Epic
ClinDoc
Ambulatory
Radiant
Grand Central
Athena
Express Scripts
AEMR
Sorian
Soft phones
Cisco Jabber
Teams
Google Meets
Zoom
Experience
11/2021 to Current
Provider Services SpecialistEarly Learning Coalition Of Palm Beach County, Inc. – West Palm Beach, FL,
Answered inbound calls to provide information, answer questions or discuss payment options.
Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
Based payment or denials of medical claims upon well-established criteria for claims processing.
Managed and obtained insurance authorizations for patient referrals from physicians.
Conducted investigations and in-depth evaluations of customers for creditworthiness and potential risk factors.
Delivered positive customer experiences by implementing effective quality assurance practices.
Researched customer issues to understand problems and developed successful resolutions.
Handling large call volumes and follow up to resolve customer/patient inquiries and concerns.
Organized and maintained filing and document management systems by coordinating, archiving and purging files.
Summary Skills Experience Directed customer/patient communication to appropriate department personnel.
Monitored attendance records by taking note of staff vacation time, sick days and personal days.
Verified data when processing incoming and outgoing checks and wire transfers to increase accuracy.
Developed administrative processes to achieve organizational objectives and improve office efficiency.
Handled management of communication to executives by taking and making telephone calls, reviewing and prioritizing mail and composing and typing correspondence.
Documented and took note of staff vacation time, sick days and personal days to monitor attendance records.
09/2014 to 12/2015
Customer Service RepresentativeCVS/caremark – City, STATE,
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