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Click here or scroll down to respond to this candidateCandidate's Name
Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVEI aim to secure a role as a collaborative team member within a customer-focused organization, where I can leverage my extensive customer service background in a dynamic and challenging setting. I am eager to accomplish goals and apply the expertise I've acquired through my work experience, while also acquiring new skills.EDUCATION
EXPERIENCEHillwood High School1981 1983Glencliff High School1979- - 1981Recipient of DiplomaQC Wedding Planning School2010 2011August 2011 February 2023Utilization Mgmt Rep II / Authorizations Anthem/ AmerigroupI started my employment as a customer service representative, tasked with handling incoming phone calls and aiding Medicaid members in locating primary care physicians (PCPs) and specialists for their doctor visits. Additionally, I communicated with providers to verify HIPAA compliance and process authorization requests. During the initial phase, I also shadowed new colleagues for training purposes. I received clinical information and inputted it into the system, while also arranging transportation for members to and from medical appointments. I provided members with information about their benefit coverage and eligibility status, and assisted providers with credentialing information when required. Furthermore, I utilized the phone-to-fax system to send providers copies of members' authorization requests and uploaded clinical data from both FAX II and AUMI systems to Anthem's Health Plan.May 2011 August 2011Customer Care Rep I Apple One Services / AmerigroupDecember 2009 April 2011Customer Service Rep Kelly Services Inc.December 1999 May 2009Customer Service Rep VF Imagewear Inc.Loan Originator1998-1999Loan Originator Premier Mortgage Co1995- 1997Clerical Data Entry Norrell ServicesI work at Permanent General Insurance in the Finance Department,where I input batch numbers and ensure the accuracy of automobileinsurance applications entered into the computer system.1994-1995Clerical Assistant / Data Entry Office TeamWork in Medical Records dept entering deceased patient information into the computer system along with filing and receptionist duties. Also, keep a log of patient administration stamping forms, filing and maintaining proper account information.At Centennial Women's Hospital in the Payroll Department, I manage the filing system and handle incoming mail from various vendors, as well as typing tasks. Additionally, I stamp employee forms received from the gift shop.While employed on a temporary-to-full-time basis in the downtown Nashville area, where I undertake assignments across different State Government Departments. My responsibilities involve inputting information into computer systems, handling filing tasks, and assisting with receptionist duties as required. Specifically, in the Public Service Commission Department, I stamp traffic claims and provide truck drivers with information regarding their registration and stickers.I've also gained experience working in the Disability Department, Medicaid Department of Health, Department of Human Services, and the Department of Conservation.SKILLSOffice Suite by Microsoft Clerical Administrative Duties Customer Service Client Interaction Utilization Management: Resource Allocation Oversight Authorization Typing: Entering Permissions Medical Insurance: Healthcare CoverageOral and written communication skills, proficiency in Microsoft Office, exceptional customer service abilities, strong computer skills, excellent verbal and written communication, 10-key data entry.PROFESSIONAL SUMMARYWith more than three decades of experience in customer service, I bring robust computer and clerical skills to the table. I am disciplined and capable of working efficiently from home in a tranquil environment.REFERENCESDouglas Toliver Real Estate |
