Nathan Gaines

Detailed-oriented with proficient technical skills, and the ability to learn concepts quickly. I am focused and experienced with customer service. Most of my work experience has been in customer service-based industries. With this being said I am articulate and have great interpersonal skills. I also have experience in sales and would enjoy pursuing possible opportunities in this area as well.

Customer Service Representative 

October 2022- Current

• Provided accurate, consistent, and timely information to members, patients, and providers.
• Assisted with member inquiries regarding web support, facility information, eligibility, and Kaiser Permanente.
• Assisted with member inquiries regarding benefits and eligibility, internal regional requests, adding and removing dependents, correspondence
• Premium Billing assisted members with billing inquiries, making payments, EFT, reinstatement, refund, and billing adjustment requests.
• Assisted with inquiries regarding 1095 forms, and SLP on exchange billing
• Documenting all incoming contacts to determine the nature of their inquiries and responding to complex calls and inquiries. 
• Documented information in accordance with the established procedure
• Followed established procedures to ensure customer/member needs were met effectively.

3rd year BA in Philosophy with a concentration in Pre-Law

September 2015 to September 2020

National Society of High School

2020

High school Diploma

2015