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Customer Service Representative Resume

5.00/5 (Submit Your Rating)

Providence, RI

WORK EXPERIENCE:

Customer Service Representative

Confidential, Providence, RI

Responsibilities:

  • Inbound Call Center Representative Member Services
  • Answer incoming calls in a timely fashion using BlueLyncs CRM
  • Advise benefits and eligibility per subscriber agreement
  • Identify and correct claims issues
  • Assist with Direct Pay billing using Facets

Patient Support Specialist

Confidential, Cumberland, RI

Responsibilities:

  • Inbound Call Center Representative cross trained for billing and medical records support for 1700 clinics in 28 states
  • Answer incoming calls in a timely fashion from patients regarding billing statements and recent visits
  • Add/update insurance and submit medical claims using Athena billing system
  • Identify and correct billing issues (locate missing payments, apply contractual amounts per EOB)
  • Review recent visits to clinic (provide lab results, copies of medical records) using EPIC
  • Document all calls and enter any patient concerns/complaints using CRM

File Clerk

Confidential, North Smithfield, RI

Responsibilities:

  • File Clerk/Archivist/Receptionist/Cashier
  • Retrieve Service Repair Orders, Warranty and Accounting copies from Nissan and Subaru stores.
  • Scan into appropriate location using Et File Cloud
  • File hard copy to appropriate file cabinet
  • Answer multi line telephone
  • Greet customers upon arrival
  • Cash out Nissan Service and Parts counter customers
  • Stock in new and used cars using AutoMate Program

Confidential, North Quincy, MA

Sales

Responsibilities:

  • Call Center Representative cross trained for medical, behavioral health and oral surgery lines of business
  • Answer incoming calls in a timely fashion from members and providers looking to obtain behavioral health services
  • Process fax requests from providers for additional services and levels of care
  • Obtained and entered pertinent demographic and clinical information and documented using MCPS
  • Transfer clinical calls to appropriate department
  • Processed requests by mail for Oral Surgery requests and delivered to Oral
  • Surgeon Review team
  • Documented decisions and informed providers of approval/denial and appeals process

Sales

Confidential, Kingston, MA

Responsibilities:

  • Third Party Sales Associate in Confidential retail location
  • Sold contract and no contract cellular phones, plans and accessories.

Representative

Confidential, Pembroke, MA

Responsibilities:

  • Inbound call center representative responsible for booking appointments for Confidential using a computer response program.

Cashier

Confidential, South Boston, MA

Responsibilities:

  • Seasonal Cashier and Food Service for non profit organization, responsible for all cash transactions, food preparation and service, setting up and closing each day.

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