Weekend Team Lead Resume Example NOVO 1

WEEKEND TEAM LEAD

Summary

Skilled Customer Service Agent committed to addressing customer concerns with speed, accuracy and professionalism. Customer Service Representative who maintains a high level of professionalism, patience and efficiency to minimize customer dissatisfaction and increase customer loyalty. Call Center Representative versed in customer support in high call volume environments. Superior computer skills and telephone etiquette.

Highlights

Call center management experience
Employee relations specialist
Conflict resolution proficiency

Proficient with Microsoft Office Suite
Service solutions expert
Strong problem solving ability

Accomplishments

Documentation

Wrote and edited documents to keep staff informed on policies and procedures.

Experience

11/2013 to 03/2014

Weekend Team LeadNOVO 1 － Fort Worth, TX

Managed agents for the American Specialty Health campaign. Ensured my team was following the proper call procedures, call floor policies, and quality assurance goals and the importance of a successful call record.
Take escalated calls from the call floor, provide resolution within realm control, or send up the issue and callback customer with researched resolution.
Consulted and trained on changes provided by our client quickly and efficiently to maintain compliancy and team morale.
Guided peer mediations with agents to resolve conflicts and misunderstandings to keep our fun work environment. Prepared corrective actions for agents as needed regarding work performance/attendance and follow-up with agents to avoid termination if necessary.
Monitored daily reports such as Workforce Management, approve time sheets, and other related duties.

10/2013 to 03/2014

Subject Matter ExpertNOVO 1 － Fort Worth, TX

Improved and streamlined new hires functionality of the ASHCore system, ASH Module program, and the use of online materials to facilitate a variety of calls.
Assisted our quality assurance department by doing preliminary coaching sessions to increase proper handling of members. Advised representatives on phone etiquette, pronunciation, and role play scenarios.
Re-educate on the required documentation needed to be placed in the member record, re-train in areas the agent may be struggling, so agent can successfully obtain a quality score of 95%.
Within this role I established myself as the liaison between management and representatives to keep an open line of communication.

10/2012 to 10/2013

Health Advisor SpecialistNOVO 1 － Fort WORTH, TX

Researched beneficiary required HIPAA information to verify eligibility to participate in the fitness programs offered by American Specialty Health.
Ascertain the nature of the call and record information in the Communication Log, look up member information using information in CHIP, AshCore and/or E-Claims and XenDocs and provide information to caller, Forward logs regarding questionable member eligibility to Research Unit for verification of coverage/benefits, Utilize appropriate resources, including those online; to provide timely responses.
Enroll beneficiaries into a fitness club or home fitness, send requests to have member's gym changed if the person has been attending a new facility without informing ASH and paper enrollments if unable to enroll member via computer, and aid in locating health clubs near beneficiary zip code.
Accept payments from members who have an annual fee. Send out of network reimburse claim forms for eligible participants while informing them of required documentation and specific time frames, so the claims department can process the submission within timeframe.

05/2010 to 08/2010

Patient Services RepresentativeMedsynergies － Irving, TX

Answered multiple Medical center/physician lines using HIPAA guidelines regarding patient inquiries such as procedure performed & diagnosis, outstanding balances & collective action, and retrieved insurance information.
Advised patients to contact insurance carrier if patient responsibility was not correct on billing statement per insured's EOB or there was no payment from health coverage provider. Also, issue temporary holds on accounts when insurance needs to be reviewed or correct an error on their side.
Refreshed patient accounts to reflect bankruptcy, added legal representation, and processed requests for itemized bill summary.

Education

High School Diploma: Recommended High School DiplomaMacarthur High School － Irving, TX, US

Health Information SpecialistCCI Training Center － Arlington, TX, US

Skills

HIPAA, Microsoft Excel, Microsoft Office, Microsoft Powerpoint, Microsoft Word, Ms Office, Powerpoint, Proactive, Problem-solving, Self Motivated, Team Player, Trouble-shooting, Subject Matter Expert, Team Lead, Customer Service, Customer Service Rep Medicare,

Knowledgeable of HIPAA, PHI, and Medicare
Microsoft Office and Outlook experience
Proactive, Self Motivated, Team Player
Accountable, Adaptable, Career-minded

Resume Overview

Companies Worked For:

NOVO 1
Medsynergies

School Attended

Macarthur High School
CCI Training Center

Job Titles Held:

Weekend TeamLead
Subject Matter Expert
Health Advisor Specialist
Patient Services Representative

Degrees

High School Diploma : Recommended High School Diploma
Health Information Specialist

Weekend Team Lead Resume Example

Resume Score: 100%

Resume Overview

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