Customer Service Representative Resume
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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
SalesResponsibilities:
- 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.