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Title Call Center Customer Service
Target Location US-VA-Richmond
Email Available with paid plan
Phone Available with paid plan
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Candidate's Name
Remote Medical Call Center AssociateNorth Chesterfield, VA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEAuthorized to work in the US for any employerWork ExperienceCSR - Customer Service RepresentativeNavient BPO - Herndon, VAApril 2023 to March 2024Worked remotely in a high-volume call Center assisting the customer with their ACP account. Update the customer house hold size and Address provide the customer with there application identification number to give to there service provider to add there ACP application number to there account so that the discount can start towards there bill. Assist the customer with there pending certification to get approved for ACP. Look up service provider for the customer. Remote OTC Customer Service RepresentativeTTEC - Englewood, COOctober 2022 to January 2023Worked remotely in a high-volume call Center taking catalog orders for medical devices products. Vitamins, and other over the counter products. Processed appropriately 100 orders per day for the customer. Provided professional excellent customer service to the customers. Medicare Enrollment SpecialistMaximus Federal (Medicare) - Chester, VASeptember 2019 to February 2020Work in a high-volume call center enrolling eligible candidates into Medicare Advantage and Supplement plans.All enrollments and applications were completed over the phone and all applications submitted electronically. and managed through the CRM software and state-of-the-art phone system. Educate Medicare beneficiaries on different plans from carriers before enrollment of their choice Medicaid Enrollment SpecialistMaximus Health Services - Richmond, VAOctober 2018 to March 2019Worked efficiently in a high volume call center Assisting callers with benefits, claims, and prior authorization and transportation appointment related questions Conduct prompt and thorough research and follow-up for swift resolution of caller issues Enrolled customers into the MCO Medicaid medical plan and pharmacy plan products and transportation services.Provide solutions to problems and determine an individualized path to resolution by keeping resources up to date and organized, providing information on community resources when appropriate Maintain confidentiality of information for all members by adhering to the privacy policies and HIPAA laws and guidelines.Exercise judgment, initiative, and discretion in confidential and sensitive matters. Provide accurate information in a professional manner using current technology and software to document calls from members, providers and other customers in a clear and concise manner. Work collaboratively and relay information to appropriate internal and external departments and partners using approved company channels and proceduresReservation AgentAbdul Allamiin Transportation - Richmond, VAJuly 2017 to December 2017Worked in a call center answering incoming phone calls in a professional and courteous manner Assisting the caller that is calling for transportation reservations service repeat all information received to confirm accuracy of the appointment time and location. Record the type of transportation service information accurately on each ride request. Establishes a professional confidence level with passengers and is sensitive to passengers needs. excellent knowledge of the Scheduling System.knowledge of policies and Procedures.Efficiency in telephone talk time.excellent knowledge of service area andstreet directoryCreates manual trip ticket when system isdown and forward information to the dispatch dept. Marketplace Enrollment SpecialistGDIT - Chester, VANovember 2015 to December 2016Worked in a high volume call center environment Providing Marketplace health insurance information to the customer using standard scripts and various screen to locate the information. Responding to the customer's questions in a professional and courteous manner about different marketplace health insurance plans, cost and coverage.Collecting their financial and medication information before enrolling the customers into the marketplace health insurance plan of their choiceSwitchboard Operator- PRNHenrico Doctors' Hospital - Richmond, VAJuly 2015 to December 2015Monitor the fire panel alarms and phones where applicable, contacting the fire department and appropriate personnel when neededanswer hospital visitor questions and complaints, seeking guidance from Director of Security as appropriate.place and process long distance and Watts Line Calls for various departments and doctors' offices. Assist patient by advising how to place local and long distance calls and assisting extensions in determining proper billing in getting outside lines. I process, forward and deliver patient mail and flowers with assistance from volunteer staff. Medical Billing Support AssistantUHS - Midlothian, VAMarch 2008 to November 2012Process medical claims electronically through the premise billing system, Did correction on the DME Medicare claims account. Mail out EOB to the customers. Enter care Medic claims into the system. Provide clerical support to the manger and team leaders. Medical Call Center ScheduleMcGuire VA Medical Center - Richmond, VASeptember 2005 to December 2005Worked in a high volume call center environment answering calls for the red clinic respond to recorded telephone messages, and transferring calls to different departments within the hospital. Scheduling medical test procedure for the doctors. Scheduling return clinical appointment. Process all call in prescription refill orders.Cross train to work at the front patient check in window. Updated the patient's demographic and insurance information into the system. Scanned patient's chart information into the EMR system. Collect the patient's co-payment for office visit. EducationHigh school or equivalent in General Studies ( GPA 3:0) G.W. Carver High School - Chesapeake, VASeptember 1964 to June 1970Skills Medicare (10+ years) Medicaid (10+ years) Patient Registration (10+ years) Switchboard Operator (3 years) Medical Receptionist Computer skills Customer service Medical scheduling

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