Stephanie Torres
Raleigh
Summary
Results-driven Provider Services Representative capable of completing tasks with high productivity and efficiency. Specialize in communication, problem-solving, and data management skills which are crucial for navigating complex provider networks and ensuring service excellence. Excel in teamwork, adaptability, and customer service, leveraging these soft skills to enhance interactions with providers and support organizational objectives.
Overview
10
10
years of professional experience
2005
2005
years of post-secondary education
Work History
Provider Services Representative
BCBSMA
Boston
03.2025 - Current
- Handle high-volume inbound calls from healthcare providers regarding claims, billing, and policy inquiries
- Research and resolve complex claim issues, including payment discrepancies and adjustments
- Review Explanation of Benefits (EOBs) to verify claim accuracy and ensure proper reimbursement
- Collaborate with internal departments to resolve escalated concerns efficiently
- Maintain accurate documentation in internal systems while meeting productivity and quality standards
CSR
ACI
08.2022 - 03.2025
- Answer 60+ inbound calls and provide health insurance information to clients
- Trained on handling disability calls
- Update customer information in the customer service databaseduring and after each call
- Review 60+ EOBs to verify payments / reimbursements that are made
Teller/Banker
Citizens Bank
12.2019 - 04.2022
- Handled 80+ financial transactions
- Provided financial guidance to customers to meet their short and long-term financial goals.
- Cross-sold bank services to new and existing customers.
- Assisted customers with opening new accounts.
Customer Service/ Admin
Dell Way Travel LLC
04.2016 - 03.2019
- Handled cash, check, and credit card transactions
- Answered and directed phone calls
- Created 100+ invoices
- Cross sold promotion
- Managed 2 social media pages
- Posted payments
Education
HIGH SCHOOL DIPLOMA -
Gorton High School
Skills
- Customer Service
- Bilingual
- Computer proficiency
- Strong communication
- Teamwork
- Problem solving
- Critical thinking
Timeline
Provider Services Representative
BCBSMA
03.2025 - Current
CSR
ACI
08.2022 - 03.2025
Teller/Banker
Citizens Bank
12.2019 - 04.2022
Customer Service/ Admin
Dell Way Travel LLC
04.2016 - 03.2019
HIGH SCHOOL DIPLOMA -
Gorton High School