Summary
Overview
Work History
Education
Skills
Timeline
Generic

Siera McCummings

Clayton

Summary

Seasoned customer service professional with over a decade of experience in high-volume call centers. Proven track record in enhancing customer satisfaction and streamlining CRM processes. Skilled in managing complex customer issues with empathy and efficiency. Adept at using technical support and data analysis to improve service delivery.

Overview

14
14
years of professional experience

Work History

Patient Support Technician

TrialCard - Healthy I.O
06.2023 - 11.2024

- Respond to incoming customer inquiries via phone, email, and live chat regarding device usage, test results, billing, account access, and general platform questions.

- Identify and resolve technical issues customers may encounter with the Healthy.io device or app, guiding them through troubleshooting steps.

- Adhere to all HIPAA privacy regulations when handling sensitive patient information.

- Access and update customer information within the system to accurately address inquiries and manage accounts.

Customer Service Representative II

Duke Energy
10.2019 - 05.2023

Efficiently resolved billing and credit issues, enhancing customer satisfaction through one-call resolution.

  • Assist customers through support channels, including phone, chat and/or email, to assist with payments, resolve billing and credit issues
  • Provide high quality customer interaction by handling customer’s needs with integrity and empathy in one transaction
  • Exhibit good decision-making skills and anticipating customer needs while efficiently providing accurate information
  • Offer and educate customers on various company products and services
  • High degree of accountability for individual performance in the areas of customer satisfaction

Reimbursement Specialist/ Patient Care Coordinator

TrialCard - Janssen
04.2016 - 09.2019

Simplified benefits investigation and prior authorization processes, improving patient access to prescribed therapy

  • Responsible for handling the day-to-day activities within reimbursement services (benefits investigation, prior authorizations and appeals support)
  • Complete medical and/or pharmacy benefit investigations, identify and facilitate submission of required documentation for payer/plan review for prior authorization

Customer Service Representative

NC MEDICAID
01.2011 - 03.2016

Expertly navigated procedure codes and coverage plans, ensuring accurate and timely assistance for recipients and providers

  • Assist recipients with verifying coverage
  • Educate customers on plan types and coverage
  • Update and confirm Primary Care Providers
  • Assist providers with inquires about procedure codes (CPT) used to report medical services for reimbursement

Education

High School Diploma -

Wake Technical Community College
Raleigh, NC
02.2012

Skills

  • CRM Software
  • Product Knowledge
  • Customer Support
  • Data Entry
  • Dispute Resolution
  • Technical Support

Timeline

Patient Support Technician

TrialCard - Healthy I.O
06.2023 - 11.2024

Customer Service Representative II

Duke Energy
10.2019 - 05.2023

Reimbursement Specialist/ Patient Care Coordinator

TrialCard - Janssen
04.2016 - 09.2019

Customer Service Representative

NC MEDICAID
01.2011 - 03.2016

High School Diploma -

Wake Technical Community College
Siera McCummings