Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jillian Asano

Rockmart

Summary

Proficient in resolving provider issues and developing relationships with providers and clients. Strong understanding of health care policies and regulations with excellent customer service skills. Diligent and detail-oriented, able to manage multiple tasks and prioritize workflow.

Overview

20
20
years of professional experience

Work History

Customer Care Representative II

Elevance Health
08.2021 - Current
  • Resolving providers questions and concerns using computer-based resources to find answers
  • Multi-tasking and navigating multiple computer applications and working efficiently while communicating and serving the customer
  • Guiding providers with their healthcare needs by explaining benefits, solving claim concerns, helping find a doctor via telephone calls, online chats or e-mails
  • Advise providers of member's coverage, limitations and exclusions, co-insurance, deductible, special program requirements
  • Respond to a high volume of telephone and/or chat inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes
  • Proof reading contracts in order to adjust claims according to proper DRG, ICD-9, and CPT codes
  • Help providers with all information about CPT codes such as authorizations, restrictions, fee schedules, and correct diagnosis codes
  • Provide support on escalated and complex provider issues.

Store Manager

CVS Health
01.2009 - 08.2021
  • Interview, hire, train, develop, and perform evaluations for crew members, supervisors, and Assistant Managers
  • Maintain inventory levels while changing prices and displays in accordance to corporate adherence
  • Oversee and execute the preparation of daily cash report and weekly summary
  • Delegated daily tasks and assignments to team members ensuring the completion and quality of their performance
  • Maintain and react to Electronic Article Surveillance system as part of company loss prevention
  • Assisting in all pharmacy tasks when needed
  • In charge of 2nd top producing store in the district for all of 2020.

Customer Service Representative

Reflexis Customer Operations Group
02.2008 - 10.2008
  • Answered 50+ calls a day to resolve customer issues
  • Customer support and troubleshooting for PDA hardware and software
  • Provided answers to clients by identifying problems, researching answers, and guiding clients through corrective steps
  • Letter of recommendation available upon request.

Assistant Store Manager

Blockbuster Video
08.2005 - 02.2008
  • Trained and supervised staff of up to 10 full and part time employees
  • Responsible for daily receiving and monthly inventory
  • Second in charge for the top producing store in the region
  • Provided excellent customer service and resolved customer issues.

Education

High School Diploma -

Sprayberry High School
Marietta, GA
05.2004

Skills

  • Medical Terms and Procedures Knowledge
  • Thorough Claims Review
  • Health Insurance Industry Knowledge
  • Data Integrity
  • Supervising Experience
  • Merchandising
  • Planograms
  • Store Management Experience
  • Operations Management
  • Management
  • Quality Assurance
  • Inventory Control
  • Troubleshooting
  • Phone Etiquette
  • Customer service
  • Technical support
  • Microsoft Windows
  • Operating Systems

Timeline

Customer Care Representative II

Elevance Health
08.2021 - Current

Store Manager

CVS Health
01.2009 - 08.2021

Customer Service Representative

Reflexis Customer Operations Group
02.2008 - 10.2008

Assistant Store Manager

Blockbuster Video
08.2005 - 02.2008

High School Diploma -

Sprayberry High School

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Jillian Asano