Dedicated customer service representative motivated to improve service satisfaction and contribute to overall company success. Well-developed communicator versed in corporate offerings and solutions.
Overview
9
9
years of professional experience
Work History
Customer Service Advocate
Centene
Remote
06.2025 - 04.2026
Assisted members with verifying health insurance coverage and processed referrals while maintaining updated member records.
Processed prior authorization requests to expedite patient care and enhance member service.
Documented interactions in billing system and resolved claim rejections, ensuring accurate explanations of benefits (EOBs) for members.
Utilized CRM software to manage member information and track issues efficiently.
Navigated multiple computer systems and applications and utilized search tools to find information.
Healthcare Customer Service Representative
Amerit Consulting
Remote
08.2017 - 11.2024
Guided patients through the completion of consent and other required medical forms.
Answered inquiries and resolved complaints for clients regarding healthcare services.
Managed multiple projects simultaneously while meeting deadlines set by management team members.
Behavior Technician
Genesis Behavior Center
Elk Grove
08.2017 - 07.2020
Applied behavior analysis principles and techniques to effectively reinforce desired behaviors, supporting client progress.
Implemented positive reinforcement strategies to promote desired behaviors in clients, enhancing engagement and compliance.
Supported behavior data collection and maintained behavior logs to ensure accurate tracking of client progress.