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Retention Specialist Resume

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UsspecialisT

PROFILE
A Customer Service professional with over eleven years’ experience in Healthcare, Financial Services, Fraud, Collection, E-Commerce and Administration.

  • Motivated and results-oriented with a drive to succeed.
  • Strong communication skills including effective group’s presentations and individual issues resolution.
  • Demonstrated talent for customer relations; able to assess client’s needs and utilize all existing resources on their behalf.
  • Outstanding organizational skills with aptitude for locating problem areas and increasing operational efficiency.
  • Adapts quickly to new situations.
  • Excel, Word, Access, Outlook and Kana.

EXPERIENCE
Confidential,Retention Specialist 2011 to 2012

  • Handle inbound call on customer existing account to support and retain long-term satisfaction.
  • Understand customers’ legal needs and educate them on offerings that would most benefit them.
  • Re-setting pass words, trouble shooting on printing issues and reviewing accounts with disputed issues do to monthly payment.

Confidential,Billing Suspension Administrator 2008 to 2011

  • Evaluated all completed Certificates of Medical Necessity (CMNs) and processed prescription requests.
  • Followed up on past due prescriptions through a suspension billing report, in order to facilitate reimbursement.
  • Communicated with physicians, insurance companies and patients to ensure appropriate information was obtained in compliance with applicable standards and regulations.
  • Mastered ICD-9-CM (International Classification of Diseases Clinical Modification) and H.C.PC.S (Health Care Procedure Coding System).

Confidential,Loan Servicing Administrator 2003 to 2008

  • Tracked and followed up on all matters relating to payment of property taxes.
  • Monitored tax delinquencies through establishment of payment plan.
  • Made premium payments for hazard, flood and primary mortgage insurance.
  • Processed and verified power of attorneys, conservator ships and guardianship appointments.
  • Researched customer and management requests for files / documents.
  • Trained new associates.

Confidential,Operations Specialist (Assets/Sales and Marketing Management) 2002 to 2003

  • Interacted via phone with both internal and external customers on accounts sold to outside collection agencies.
  • Kept of daily log of incoming phone calls.
  • Reviewed correspondence, drafted letters.
  • Reviewed and repurchased accounts do to fraud or bankruptcy.
  • Call Quality Specialist (E-Commerce) 2001 to 2002

EDUCATION
Regional Occupational Programming - Course work in basic computer skills. Confidential,San Francisco - Course work in Liberal Arts completed.

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