Intake Representative II - Centene- Health Net Federal Services - US
(2022-08 - 2025-01)
- Utilized customer service software and internal systems efficiently to manage accounts.
- Researched and resolved customer account issues independently.
- Prepared reports on customer service performance and account activity
- Validated patient and medical provider demographics for medical specialty selection
- Refer to SOP in effort to direct patients into the provider network for care, as required by contractual standards.
- Prepares correspondence in business letter format to provide clinical information to servicing providers.
- Thorough review of reason codes for services to be rendered to ensure accuracy
- Accounts accurately for personal production via a production report that includes outcome data such as closed transactions, duplicative transactions and requests.
- Meets goals and produces results through tracking performance, improving work processes, and prioritizing work and tasks.
- Achieves successful solutions by reviewing situations and ensuring a full understanding before taking steps to resolve. Key components of this responsibility are objectively identifying problems, recognizing patterns, and determining solutions.
Authorizer - Frontdoor - US
(2021-10 - 2022-03)
- Assisted in the negotiation of contractual pricing
- Handled rebuttals of claim denial and coverage loss
- Planned necessary follow-up with clients and/or claim processing
- Operated as a mentor to team and aiding in processes alignment and technical support
- Filed HVAC authorization and consulted with customer to verify claim submission and informed of any potential out of pocket expenses
Customer Service Supervisor - LSR Enterprises - US
(2013-01 - 2020-03)
- Maintains call center database by entering and verifying information, updating contact log
- Consistent review of SOPs to improve business, employee performance
- Kept equipment operational by following established procedures, reporting malfunctions
- Participation in training to remain abreast of current product offerings
- Developed new hires by coaching and evaluating employee performance.
- Trained customer service representatives on customer service standards, policies, and procedures.
- Oversaw daily operations of the customer service department, including monitoring call queues, managing escalations, and resolving complex customer issues.
Courier - FedEx Express - US
(2018-11 - 2019-02)
- Maintained Standard of Care for Company Vehicle during use
- Provides Courteous and Efficient Delivery and Pick-Up of Packages
- Checks Shipments for Conformance to Fedex Features of Service.
- Identified new routes during weather delays to facilitate on-time deliveries to customers.
- Communicated with customers to provide updates on delivery status.
- Sorted shipments and scheduled routes to meet company standards and time requirements.
