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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLEPHONE NUMBER AVAILABLEPhoenix, Az Street Address
Professional ExperienceCioxCustomer ServiceMarch 2023 - November 2023 Contact assigned medical providers by phone Use call scripts to encourage medical providers to send in charts via fax or mail Respond to questions or concerns from provider offices Follow-up on initial contacts Complying with HIPAA (Health Insurance Portability and Accountability Act) ensuring the right to privacy for patients records Log all call transactions into the designated computer software systems Meet minimum call volume and quality requirements for the position; adhere to daily and weekly call goals as directedMaximus -Customer ServiceMay 2022 - December 2022 Conduct face-to-face and telephonic outreach and enrollment services, including education on managed care options and public health programs to clients at LDSS/HRA offices Assist clients with the enrollment/transfer/disenrollment process Interface and maintain professional and positive relationships with HRA/LDSS county staff and clients Conduct appointments to assist CYES Program eligible consumers to complete their Medicaid application Assist Call Center Operations and other departments as determined by project management to meet business needs Assist processing units within the Outreach department as determined by project management to meet business needs Maintain updated knowledge of the New York Medicaid Choice Project Meet all standards established for this position as outlined in the corresponding annual performance criteria and bonus templateBCforwardCustomer ServiceNovember 2021 - April 2022I received inbound calls from customers regarding banking products Effectively educate, promote and guide clients through our online and mobile self-service capabilities at every opportunity. Provide clients with clear, complete and accurate responses to their questions and inquiries at point of callEpiq GlobalData Entry ClerkJune 2021 - October 2021My duties were toCreate, revise, reformat, and convert documents using various support software including Microsoft Office applications, PDF editing tools,Prepare and edit complex documentsEfficient handling of time sensitive and confidential materialsPyramid ConsultingCustomer Service RepresentativeDecember 2020 - April 2021 Receive inbound calls from customers wanting to make payments on accountsPerform data entry to add customers information to the systemsU S Census BureauData Entry ClerkJanuary 2020 - August 2020 Edit forms, code single items or combinations of reported data guided by standardized classification and code schemes.Check in and out to sort documents or other materials requiring an initial review of the material to be filed, to remove items not applicable.Organize items in a prescribed order and record the identity of the materials.Contact respondents to collect data and perform analysis of data in relation to previously reported data resolving questionable responses.Input information into the computer from customers documents.Consumer CellularCustomer Account AdvisorNovember 2018- April 2019Handled over 60 Inbound calls a dayAssisting customers with purchasing new cell phonesAssist with activation of new phonesMaking a paymentTroubleshooting cell phonesAdding or removing a member from accountAssist with logging into website and navigationActively listen and Communicate with customersMulti-task and navigate computer systems and applicationsCanceling or disconnecting customers cell phone accountAllianceRX/ WalgreensCustomer Service Representative January 2018 - October 2018Handled over 50 Inbound and outbound calls a dayProvided new/existing patients customer service regarding their drug prescriptions, clinical services, billingRecorded and process orders and prescriptions received by fax, mail, telephone and patientReceived inbound and made outbound calls to patients and doctors offices, regarding medications, pharmacyScheduled orders and communicated information to the patient regarding shipments and tracking of medicationVerified patient information, HIPPA, and notified Pharmacist of any changes in patients conditionOptum RX/United HealthcareCustomer Service Representative(Contract- June 2017 - December 2017Handled over 75 inbound calls a dayProvided benefit and eligibility information to membersTracked prescription refillsRefilled prescriptions for membersContacted the Pharmacist to alert any changesEnsured that patients claims and complaints are resolved fairlyCreated follow up task reminders and calls for patientsProvided documentation of all communication received from callsBank of AmericaInspection Specialist (Contract) December 2016 - May 2017Compared and confirmed, through visual examination the actual rental statusRented or out of service of client's storage unitsGenerated from the asset management system I would scan and fax the incomplete documents to third party vendorUSAAInbound Customer Service Representative (Contract) April 2016 - November 2016Received over 50 inbound calls for information from current members, primarily password and pin resetsProvided factual information to members regarding public information on from our websiteUpdated demographic information to establish member number for new membersAssisted members navigating our website for banking and insurance productsCigna CorporationIntake Specialist (Contract) August 2015 - March 2016Handled over 75 inbound/outbound calls to obtain detailed claim informationAssisted customers with STD, LTD and FMLA claimsAssisted with the submission of benefit intake processing claim formsProvided appropriate communication when outstanding documentation is neededPerformed extensive data entryProvided accurate information to callers, redirect calls as necessaryVerified information about claimsAdhered to quality assurance standards and policies and proceduresEstablished goals and productivityCSAACustomer Service Associate (Contract) August 2014 - July 2015Handled over 100 calls customer service calls a dayEvaluated and processed service request for quotes, changes to policies and payments while adhering to agencyTook ownership of calls transferred by agents from the membership, sales and claims departmentReviewed insurance policiesRecommended upgrades and additional coverages and other AAA productsEducation:University of PhoenixThree years of coursework completed May 2010 - August 2013 |
