Enrollment Support Representative Resume Washington DC - Hire IT People

SUMMARY:

To obtain a position with a successful and established organization that will allow me to utilize my knowledge, skills and abilities to aid in supporting the company’s goals and to further my education.
Experienced in office administration, customer service, maintaining client partnerships, medical billing and pharmaceutical work.
Able to adapt and learn quickly, I am a detail oriented and a team player.

TECHNICAL SKILLS:

Extensive work with computers and Certified Microsoft Office Package user including Microsoft Word
Excel and PowerPoint. Active Directory
ITSM Remedy 7.6
Microsoft Office 2013
Windows XP/Vista/7/8
Mac OS 10.9/X

PROFESSIONAL EXPERIENCE:

Confidential, Washington DC

Enrollment Support Representative

Responsibilities:

Use knowledge of products and the contractual provisions that govern administration to provide client education,
Interpret contract language to clients for the purpose of providing benefit utilization and limitations,
Determine need for managed care initiatives, and to administer all types of service to a policyholder within a business segment through face - to-face interactions, telephone communication, or written correspondence and claims adjudication.
Documents all client interactions according to established procedures.

Confidential, Columbia MD

Administrative assistant / Customer Support

Responsibilities:

General administrative day-to-day office responsibilities including: supporting Pharmacy technicians and Pharmacists in administrative roles various data entry functions such as Processing of faxed or mailed prescriptions,
Entry of Member demographics
Prior Authorizations
Incoming mail processing
Payment Processing
Documenting detailed patient notes via internal system,
Telephonic support (Inbound and Outbound),
Contacting patients or providers to obtain specific info
Schedule deliveries and shipments

Confidential, Crofton, MD

Customer Service Specialist

Responsibilities:

Determine requirements by communicating with customers to assess their needs.
Answers inquiries by clarifying; researching, locating, and providing desired information.
Resolve problems by identifying issues; researching and exploring answers and alternative solutions; implementing solutions; and escalating unresolved problems.
Fulfill requests by completing transactions and forwarding requests, as needed.
Sell additional services by recognizing opportunities to up-sell accounts; explaining new features.
Maintain call center database by entering information.
Use Google Mail to communicate within the company.
Use all MS office applications (Excel, Word, Access and PowerPoint).
Keep equipment operational by following established procedures; reporting malfunctions.
Update job knowledge by participating in all educational and training opportunities.

Confidential, Falls Church, VA

Call Center Representative

Responsibilities:

Provided excellent customer service to all callers.
Assisted customers with bill payments and insurance claims.
Answered high volume calls dealing with customer service needs.
Solved problems through effective communication.
Insured compliance with internal controls, operational procedures, and risk management policies.
Used Google Mail to communicate with supervisors and other co-workers.
Used most MS office applications (Excel, Word, Access and PowerPoint).