Marriah Eatmon
Wilson
Summary
Customer Service Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, ad providing customized solutions to build loyalty.
Overview
10
10
years of professional experience
Work History
Remote Customer Service Representative
MCI
2023.10 - Current
- Verified eligibility and compliance with authorization requirements for service providers.
- Tracked referral submission during facilitation of prior authorization issuance.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Triaged unscheduled and emergency authorizations, directing submissions to appropriate personnel for rapid response.
- Fielded telephone inquiries on authorization details from plan members and medical staff.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Authorized surgical requests in accordance with applicable plan guidelines.
Onboarding Specialist (Contract)
Kelly Services
2023.05 - 2023.09
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Supported accounts receivable operations within assigned functions.
- Identified, analyzed and researched systemic issues and made recommendations for resolution.
- Maintained designated portfolio of customer accounts by contacting customers behind on payment obligations.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
Processing Specialist (Contract)
Kelly Services
2022.10 - 2023.05
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
- Maintained high standards of customer service by building relationships with clients.
- Determined client needs and financial situations by listening and scheduling fact-finding appointments.
- Prepared and reviewed insurance applications to verify compliance with regulations.
- Obtained underwriting approval by completing application for coverage.
- Investigated and processed claims swiftly to keep customers satisfied.
Pharmacy Technician
Rite-Aid Pharmacy
2014.03 - 2021.09
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Entered and processed patients' prescriptions into internal system.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
Education
Career Readiness Certification (Gold) -
Wilson Tech Community College
Business Admin: Management Applications and Principles Certificate -
Pitt Community College
05.2020
High School Diploma -
Beddingfield High School
06.2010
Skills
- Account Management
- Customer Relations
- Active Listening
- Senior Leadership Support
- Billing Adjustments and Refunds
- Issue and Complaint Resolution
- Investigate Claims
- Problem-Solving Ability
- Report Generation
- Clerical Support
- Strong Analytical and Problem-Solving Skills
- Technical Support
Timeline
Remote Customer Service Representative
MCI
2023.10 - Current
Onboarding Specialist (Contract)
Kelly Services
2023.05 - 2023.09
Processing Specialist (Contract)
Kelly Services
2022.10 - 2023.05
Pharmacy Technician
Rite-Aid Pharmacy
2014.03 - 2021.09
Career Readiness Certification (Gold) -
Wilson Tech Community College
Business Admin: Management Applications and Principles Certificate -
Pitt Community College
High School Diploma -
Beddingfield High School
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