Customer-focused Care Specialist with 20 years of experience working in customer service. Talented in successfully providing legendary service using integrity and knowledge. Organized, professional and quickly respond and resolve any complaints.
Overview
16
16
years of professional experience
Work History
MANAGE CARE SPECIALIST III
STATE OF TENNESSEE
Nashville, TN
02.2017 - Current
Trained and monitor new hire colleagues
Make determination on continue services based on information collected from case worker
Maintained compliance with all regulations pertaining to confidentiality, privacy, and documentation requirements
Contributed to a positive work environment through effective teamwork and open communication with colleagues across departments
MANAGE CARE SPECIALIST II
STATE OF TENNESSEE
Nashville, TN
12.2015 - 02.2017
Process new client’s applications
Fax and email documents to program manager and other departments
Make follow up phone calls to verify information and services needed
CUSTOMER SERVICE REP
WOODMAN LIFE
Bolivar, TN
08.2012 - 07.2015
Operated basic office equipment: Computer, fax machine, multi-line phone system
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Exhibited high energy and professionalism when dealing with clients and staff.
Collaborated with product team to communicate customer feedback, resulting in product enhancements.
Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
MEDICAL BILLER
APRIA HEALTHCARE
Jackson, TN
08.2011 - 08.2012
Posted payments and collections on regular basis
Collected payments and applied to patient accounts
Verified insurance of patients to determine eligibility
Filed and updated patient information and medical records
Communicated with insurance providers to resolve denied claims and resubmitted
General office duties;including but not limited to faxing, data entry, filing, and operated multi-phone system
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records
CUSTOMER SERVICE REP
D.A. CHILD SUPPORT OFFICE STATE OF TENNESSEE
Bolivar, TN
08.2008 - 07.2011
Mail processing, multi-line phone, data entry, faxing, copying documents, emailing case workers
Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information
Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues
Provided coaching and mentoring to new hires, contributing to their successful integration into the team
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts
Education
Certificate - Accounts Receivable
Apria Healthcare
Jackson, TN
12.2011
Certificate - Information Processing And General Office Skills
Whiteville Vocational Technology Center
Whiteville, TN
04.2009
Skills
Proficient in the use of computers, including accounting software, database software, document management software, and Microsoft Office
Strong communication skills; ability to interact productively with supervisors, peers, and subordinates
Superb organizational skills
Skilled in customer service and account management
Experience in time management
Excellent computer skills include (EXCEL, WORD, INTERCHANGE, ACCENT, & SOLQ)
Additional Education
WHITEVILLE VOCATIONAL TECHNOLOGY CENTER, WHITEVILLE, TN, Certification in Information Processing and General Office Skills, 02/08, 04/09
References
PROFESSIONAL REFERENCES AVAILABLE UPON REQUEST
Timeline
MANAGE CARE SPECIALIST III
STATE OF TENNESSEE
02.2017 - Current
MANAGE CARE SPECIALIST II
STATE OF TENNESSEE
12.2015 - 02.2017
CUSTOMER SERVICE REP
WOODMAN LIFE
08.2012 - 07.2015
MEDICAL BILLER
APRIA HEALTHCARE
08.2011 - 08.2012
CUSTOMER SERVICE REP
D.A. CHILD SUPPORT OFFICE STATE OF TENNESSEE
08.2008 - 07.2011
Certificate - Accounts Receivable
Apria Healthcare
Certificate - Information Processing And General Office Skills