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Enrollment Support Representative Resume

Washington, DC

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).

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