Member Services Specialists Resume Arlington, VA - Hire IT People

TECHNICAL SKILLS:

PROFESSIONAL EXPERIENCE:

Confidential, Arlington, VA

Member Services Specialists

Responsibilities:

Take account payments via bank account, credit/debit card;
Advise of payments due on accounts;
Assist providers with claim status;
Explain denied claims;
Escalate claims for reprocessing;
Discuss plan benefits with members;
Contact providers with confirmation of being In - network or Out-of-network with Dominion;
Fax COE, COB benefits to providers;
Advise members of providers in their local area;
Assign members to facilities;
Create escalation request for providers/members;
Request refunds where needed;
Terminate/reinstate accounts per member requests;
Explain reason for termination if not per member requests;
Create requests for additions of dependents to accounts;
Create emails for providers to provide relations team on inquiries related to provider offices.

Confidential, Beltsville, MD

Help Desk Tech 1

Responsibilities:

Answer telephones via PC;
Enter information into a propriety system;
Acquire information from customers regarding defective vehicles;
Research websites in search of answers to questions regarding vehicles, heavy trucks, buses, motorcycles;
Direct customers to a designated place or person in search of solutions for defective vehicles;
Report any unanswered questions to higher management;
Keep a log of all customers wanting to speak with lawyers, the president, & congress.

Confidential, Chantilly, VA

Scheduling Specialist Tier 1

Responsibilities:

Schedule Medicare patients for in home health assessments;
Enter information into an Excel data scheduling system;
Recite privacy statement during every call;
Confirm and verify personal data to file;
Send emails and correspondence to upper administration;
Direct members to member services regarding disputes about health insurance issues;
Update and manage 3 data entry systems;
Schedule, confirm and cancel appointments with Medicare/Medicaid patients.

Confidential, Columbia, MD

Research Associate

Responsibilities:

Conducting outbound calls to households, gaining commitment to participate in the national ratings survey that measures radio and TV audiences;
I used prescribed methodology, collecting responses and accurately entering data into Arbitron’s proprietary database.

Confidential, Fairfax, VA

Call Center Representative

Responsibilities:

Sold products for AT&T such as home phone, internet, and voice over internet protocol (VOIP), TV and wireless phone in the Western and Southwestern U.S. regions in an intense call center environment;
I handled billing-related customer service issues;
Made outbound calls to customer in regards to new and existing customer service issues.

Confidential, Riverdale, MD

Office Assistant

Responsibilities:

Answered phones, using a phone switchboard or managed multiple lines;
Took messages, sent and annotated information for recipients;
Used a fax machine, printer, and photocopier;
Typed letters, reports, briefings, etc.;
Created labels, prepared envelopes, made signs/brochures;
Entered information into a program or database (appointments, contact information, customer records);
Filed papers, sorted mail, mailed letters and packages;
Ordered new office supplies, inventoried supplies;
Customer service, greeted customers, referred them to the right people, made appointments;
Ran errands or took orders for various requests;
Set up PowerPoint presentations, set up meeting rooms.