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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Aaron DriveColumbia, South Carolina Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLECompleted studies in accounting and business management to go along with many years of firsthand experience with managing food services, retail and kept track of payroll and inventory. When required to also completed counts on sales and made deposits to the bank. Have worked in call center environments and have completed tasks such as data entry to update member information and advice of available benefits, enrollment of medical coverage, explanation of status of claims processing while abiding by HIPPA guidelines and in other instances troubleshot cellular and satellite networks for technical support. Have worked with Microsoft Office Suite and I am versed in using all aspects of it to complete the job.Skills Teamwork Computers Management Supervision Customer Service Satisfaction Medicare Insurance verification HIPAA Technical support ICD-10 Relationship management Business ManagementWork ExperienceVEO Customer Service SpecialistDepartment of Veterans AffairsColumbia, S.C.February 2024 July 2024After successful classroom training take nationwide inbound calls from enrolled Veterans and providers who need assistance. Provide directory assistance and customer service by transferring callers to requested departments and answering varied questions about available benefits and processes such as submitting claims and getting access to community care. Assist with lower level technical support for those who have issues with connecting to their profiles through the VA.Gov website online and when needed get them connected to the necessary helpdesk for more support.Bereavement PeriodAugust 2023 January 2024 to grieve the passing of my mother.Concierge Customer Service SpecialistBlue Cross Blue Shield of South CarolinaColumbia, S.C.September 2022 to April 2023After completed training took inbound calls from members of the Blue Cross Blue Shield Medicare Advantage plan during open enrollment to assist with answering questions about billing, claim status and location of participating providersCustomer Service/Technical Support SpecialistContinuum Global SolutionsColumbia, S.C.May 2022 to July 2022An independent wireless company, worked remotely and trained to take inbound calls from customers to assist with billing and lower-level technical support issues with the cellular network.Customer Service Specialist IIIMedicareColumbia, S.C.August 2019 to April 2020Once in classroom training was fulfilled took inbound calls from Medicare Advantage and Part D policy holders of Blue Cross Blue Shield. Processed monthly premium payments, provided clarification on the status of claims processed, submitted requests for appeals on denied claims. Prepared requests of documentation from treating doctors so prior authorizations, formulary exceptions and cost saving tiering exceptions could be submitted for approval.Concierge SpecialistBlue Cross Blue Shield of South CarolinaColumbia, S.C.August 2018 to May 2019After completed training and using the understanding of cpt, hcpcs and ICD9/1CD10 codes took incoming calls from patients and providers to give claim status, appeal rights of denied claims, amount billed by and paid to facilities per claim in question.Shift ManagerBojangles RestaurantColumbia, S.C.July 2018 to September 2018Hired at the location on Two Notch Road I supervised scheduled shift to prepare for opening shift of breakfast. Delegated crew to required positions to begin preparation of food items ordered. When needed covered open positions such as biscuit making, taking and totaling orders with register and prepared money from previous days sales for bank deposit.Customer Service SpecialistColumbia, S.C.The Maryland Department of UnemploymentApril 2018 to June 2018After training took inbound calls to assist claimants on the status of received unemployment benefits.Assisted claimants with certifying for weekly benefits over the phone when unable to completeindividually. Answered questions about the change of status when benefits would be placed on hold or cancelled. Provided information on requirements to stay eligible for benefits, how to change options to receive payments and educated claimants on steps needed to submit an appeal for denial of payments.Customer Service RepresentativePennsylvania Power CompanyColumbia, S.C.February 2017 to January 2018Once training was finished, was able to reference a knowledge base to maintain phone logs, answer questions about status of billing and took an average of 50 to 60 calls per day. Assisted with collecting payments for amounts due andtook reports about power outages when they occurred. Completed problem tickets using ticketing system to notify of new outages as well.Customer Service RepresentativeColumbia, S.C.March 2016 to November 2016After successful completion of in class training took 40 to 50 inbound calls daily to assist policy holders with questions on insurance policies and annuities. Sent out requested forms for withdrawal requests, 1035 exchanges and changes to policies. Submitted requests for lapsed policies for reinstatement when requested.Customer Service RepresentativeAT&TColumbia, S.C.January 2015 to February 2016Completion of in-class training to be familiar with using a knowledge-based system ensuring that appropriate changes were made to resolve customer concerns for customers. Took 60 to 70 calls per day. Required to also do tele-sales to recommend improvements in packages, services received and billing methods to prevent future problems and enhance the viewing experience of the customer.Customer Service SpecialistMedicareColumbia, S.C.June 2013 to June 2014Took 40 to 50 calls per day from customers who were interested in enrolling into advantage plans provided by Medicare. Verified if customer qualifies for coverage and took information to determine best plan to fit customers needs. Also offered prescribed DME supplies needed so caller can remain compliant with medical treatment. Confirmed information using HIPPA guidelines and maintained a level of privacy for each members information obtained.Customer Service RepresentativeMedicareColumbia, S.C.May 2007 to August 2012After successful training processed 70 to 80 calls per day from providers of Medicare to given them information on why submitted claims denied and what can be adjusted to allow the claim to process. With an understanding of ICD9/ICD10, hcpcs/cpt codes verified if Medicare coverage is allowed to pay and confirmed physician information according to HIPPA guidelines.EducationAssociates of Business ManagementSouth University in Columbia, South CarolinaApril 2013Enrolled and completed required courses that included Accounting, Business Ethics, Human Resources, Marketing, Economics and Finance for completion. Obtained a better understanding of management of staff and processes along with the competent accounting of funds and resources within a company.DiplomaEau Claire High School in Columbia, South CarolinaJune 1992Each year enrolled in Honors courses to complete required classes to satisfy promotion yearly and Honors Society graduation senior year. Enrolled in NJROTC where I graduated at the company commander. Also participated in the Debate Team and a flag girl with the Shamrocks marching band for extracurricular activities. |
