Customer Service Representative

JENNIFER GREGORY

ad028w@r.postjobfree.com 276-***-**** Martinsville, VA 24112

Summary Personable and dedicated Customer Service Representative with extensive experience in the Medical industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses. Skills Administrative and Office Support

Cultural Awareness and Sensitivity

Policies and Procedures Adherence

Strong Analytical and Problem Solving Skills

Document and Records Management

Relationship Building

Workflow Optimization

Team Building

Multitasking and Organization

Remote Work Coordination

Experience Provider Service Associate I 09/2022 - Current Magellan Health

Answered incoming calls and provided highest level of professionalism and knowledgeable service to every while directing calls to appropriate medical or administrative staff. Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.

Met or exceeded call speed, accuracy and volume benchmarks on consistent basis. Maintained strong call control and quickly worked through scripts to address problems. Compiled and coded patient information or data in appropriate computer system. Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills. Coordinated with other departments to promote prompt processing of patient authorizations. Entered client information and files into databases for further review and tracking. Transmitted medical records and other correspondence by mail, e-mail, or fax. Offered administrative task assistance and performed database updates, email communication and document processing.

Resolved customer complaints or answered customers' questions. Provider and Member Services Specialist 09/2017 - 09/2022 Results Companies

Delivered fast, friendly and knowledgeable service for routine questions and service complaints. Answered, screened and processed high volume of calls daily with call management system and web-based communications.

Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.

Kept records of customer interactions or transactions, thoroughly recording details of inquiries. Assisted members and providers with eligibility requirements, and In network or out of network providers

Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for in and out of network

J

G

Deli Clerk 07/2015 - 09/2018

Food Lion

Delivered high level of customer service to patrons using active listening and engagement skills. Processed cash and credit card payments, promptly returning receipts, coin, bills and payment cards to customers.

Sanitized and kept work areas tidy by cleaning surfaces, equipment and floors, removing trash and maintaining machinery.

Checked and recorded refrigerator and freezer temperatures to maintain food quality and freshness.

Stored perishable food items in freezer or refrigerator to protect from spoilage. Documented and entered special orders for event catering and party trays. Created aesthetically pleasing food arrangements for special orders and party trays. Assessed customer needs, evaluated food allergies and suggested additional menu items as appropriate.

Answered product questions with up-to-date knowledge of sales and store promotions. Maintained high standards of customer service during high-volume work shifts and fast-paced operations.

Claims Representative 09/2010 - 07/2015

Results Companies

Examined reports, accounts and evidence to determine integrity and accuracy of information. Worked productively in fast-moving work environment to process large volumes of claims. Followed up with customers on unresolved issues.

Processed and recorded new policies and claims.

Verified client information by analyzing existing evidence on file. Generated, posted and attached information to claim files. Maintained strong knowledge of basic medical terminology to better understand services and procedures.

Made contact with insurance carriers to discuss policies and individual patient benefits. Assured timely verification of insurance benefits prior to patient procedures or appointments. Education and

Training

High School Diploma

Laurel Park High School Martinsville, VA

Websites,

Portfolios, Profiles

https://www.linkedin.com/in/jennifer-gregory-70b989274/

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