Customer Service

Diva Harris

 

2762 Fordham Rd.

 

Dallas, TX. 75216

 

(214) 457-3376

 

diva_mikeshane@yahoo.com

 

 

 

OBJECTIVE:

 

I am a dedicated and enthusiastic individual who is seeking a job that not only is challenging but also allows many opportunities to gain knowledge through learning new skills. I am looking for a company which will open doors to different fields of interests in order to prepare a foundation to build a solid career on. My objective is not only to gain personal success but also to become a valuable asset to the company.

 

QUALIFICATIONS:

 

My qualifications include providing helpful and friendly customer service in addition to prioritizing daily task to increase over-all productivity. Other abilities include general data entry, receptionist responsibilities on multiple inbound lines and productive office assistant duties. The most important skill I have acquired through working various jobs is how to multi-task and use my time wisely while maintaining a positive and professional attitude.

 

EXPERIENCE:

 

Behavioral Health Advocate II

 

Blue Cross Blue Shield of Texas July 2011 – July 2013

 

Entering pre-authorizations for mental and behavioral health and handling referral requests.

 

Calling providers back with approved patients authorization numbers providing them with approval time frame faxing approved case information.

 

Taking inbound calls for the Behavioral Health department of Blue Cross Blue Shield of Texas.

 

Inputing data into temp sheets from the provider office and hospital providers advising of turn around time frame.

 

Communicates with providers/customers for pre authorization purposes both verbally and in writing to ensure patient/client questions and concerns are processed in a timely manner.

 

Verified benefits utilizing the systems, Realtime Benefits, BlueStar and Alineo.

 

Maintained a Pre Authorization Log.

 

 

 

Customer Service Representative

 

Kelly Services/Blue Cross Blue Shield of Texas  Jan. 2011 – June 2011

 

Entering pre-authorizations for mental and behavioral health handling referral requests.

 

Calling providers back with approved patients authorization numbers providing them with approval time frame faxing approved case information.

 

Taking inbound calls for the medical department of Blue Cross Blue Shield of Texas.

 

Inputing data into temp sheets from the provider office and hospital providers advising of turn around time frame.

 

Communicates with providers/customers for pre authorization purposes both verbally and in writing to ensure patient/client questions and concerns are processed in a timely manner.

 

Verified benefits utilizing the systems, Realtime Benefits, BlueStar and Alineo.

 

Maintained a Pre Authorization Log.

 

 

 

Data Entry/ File Clerk

 

Kelly Services/Recall May 2010- June 2010

 

 

 

Steelworker

 

U. S. Navy Reserve June 2008- Current

 

Arc-Welding

 

Gas-Welding/Cutting

 

Sheet Metal

 

PA Data Entry Clerk\ Customer Service

 

Kelly Services\Wellpoint & Unicare December 2009- April 2010

 

Worked to provide helpful and friendly service to customers on a daily basis

 

Upheld extreme confidentiality toward private documentation while assisting in filing and data entry tasks

 

Composed letters and other correspondence using computers

 

Prepared outgoing mail for distribution by use of hands to address, seal, stamp, fold, stuff, and affix postage to outgoing mail

 

Managed outgoing mail on a daily basis

 

Verified incoming faxes and indexed them

 

Called doctor offices verifying patients and fax information

 

Checked our system for patients pharmacy benefits

 

Faxed out PA(Prior Authorization) forms, approval and denial letters

 

File Clerk

 

Staffmark\BKM Total Office of Texas December 2009-Feb. 2010

 

Implemented a productive filing system, ensuring information and documentation was current and accessible

 

Assigned and recorded identification numbers or codes to index materials for filing

 

Sorted and classified information, according to content, purpose, user criteria, or chronological, alphabetical, or numerical order. Documented additional data on file records

 

Removed or destroyed out-dated materials in accordance with file maintenance schedules or legal requirements

 

Obtained desired customer information at the request of managers, advisors, secretaries, and sales associates

 

Upheld a clean and organized work environment

 

Acted as relief receptionist upon request

 

Trained new temps on company filing systems

 

Office Assistant

 

Eugeiki Foundation July 2006- March 2008

 

Trained on the company’s computer programs and on the use of the copy and fax machines to help aide the agents and increase overall productivity of daily tasks

 

Assisted in filing important client information and to help with the organization of the office

 

Used organizational skills to implement a more productive system in which send out provider information to company clients as much quicker and more efficient

 

Put together and mailed out promotional company handouts and information packets to potential future clients

 

 

 

SKILLS   

 

Leadership - Multi-task and consolidate activities to be time efficient.

 

- Generate ideas for constant innovation.

 

- Understanding the importance of getting the job done right the first time.

 

Microsoft Office Suite - Word, Word Processor and Excel

 

Extensive use of VOIP Phone System

 

Internet - World Wide Web, Email

 

Keyboarding - 30 - 40 WPM

 

Listening/Communication - Verbal and written.

 

Disciplined/ Trainable

 

EDUCATION:

 

A. Maceo Smith High School Dallas, Texas August 2002- May 2006

 

Graduated in the top 10% of my class with a 3.8 GPA

 

Participated in the AP Program which required additional credited courses and a higher GPA upon graduation

 

Diploma

 

SW (Steelworker) ‘A’ School Gulfport, Mississippi July 2008- September 2008

 

 

 

REFERENCES

 

Tina Green (817) 313-8660

 

Jeree Hall (972) 904-6065

 

DeShana Head (214) 684-9386

  • ID#: 72914
  • Location: Dallas, TX , 75216

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