MICHELLE FREEMAN
Marietta
Summary
Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
Work History
Customer Service Representative
Elevance Health
03.2023 - Current
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Maintained accurate records of all verifications, including date of service, procedure codes, diagnosis codes.
- Resolved customer inquiries regarding benefit eligibility in a timely manner.
- Provided assistance with claims processing when needed, including filing appeals as necessary.
- Explained the requirements for obtaining pre-authorization from insurers.
- Accurately record/document activities and patient interactions via appropriate systems and records.
Medicare Enrollment Analyst
WIPRO
01.2021 - 01.2023
- Managed a high volume of applications while maintaining attention to detail and adhering to tight deadlines.
- Finalized and processed enrollment applications.
- Submit applications accurately and effectively to prevent errors and delays.
- Participated in ongoing education and training sessions to remain updated on changes in Medicare regulations and policies.
Personal Care Assistant
Caring Professionals
12.2017 - 11.2020
- Assisted patients with self-administered medications.
- Built strong relationships with clients to deliver emotional support and companionship.
- Helped clients maintain optimal health by overseeing medication administration and doctor's appointments.
- Provided compassionate and patient-focused care to cultivate well-being.
Dispatcher
TRANSCARE
04.2015 - 02.2016
- Dispatched 30 drivers throughout New York City for emergency and non-emergency calls.
- Perform follow-up with drivers or take whatever measures necessary to ensure that passengers are picked up on time and reach their destinations on schedule.
- Monitored and respond to a variety of calls including two-way radios and multi line phones, create, maintain, and monitor computerized daily manifest/schedules for phone and routing services.
Reservationist
FIRST TRANSIT
10.2009 - 03.2015
- Made and confirmed reservations for transportation and accommodations throughout NYC.
- Answered all inquiries regarding information such as accommodation, procedures, and policies.
- Handled more than 150 calls per day to assist customers and dispatch services. Maintained a strong call control and worked quickly through scripts to address problems, assisted customers over the phone.
Education
High School Equivalency Diploma -
Opportunities For A Better Tomorrow
Skills
- Leadership and Team Building
- Data Entry
- Verbal and Written Communication
- Microsoft Office
- Call Volume and Quality Metrics
- Ability to Work Independently
- Problem Solving
- Claims Processing
- HIPAA Compliance
- Insurance Plan Verification
- Eligibility Determination
- Precertification Requirements
- Medical Terminology
- Compassionate
Timeline
Customer Service Representative
Elevance Health
03.2023 - Current
Medicare Enrollment Analyst
WIPRO
01.2021 - 01.2023
Personal Care Assistant
Caring Professionals
12.2017 - 11.2020
Dispatcher
TRANSCARE
04.2015 - 02.2016
Reservationist
FIRST TRANSIT
10.2009 - 03.2015
High School Equivalency Diploma -
Opportunities For A Better Tomorrow
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