Customer Service RepresentativeCustomer Service Representative

Key Achievements:

Manage full credentialing and re-credentialing processes for behavioral health providers, including therapists, psychologists, psychiatrists, and counselors. Verify provider qualifications, including licenses, certifications, education, training, and work history. Ensure all provider files meet NCQA, state, federal, and organizational compliance standards. Collect, review, and validate credentialing documentation such as malpractice insurance, DEA certificates, and professional references. Maintain accurate provider data in credentialing databases and internal systems. Track application status, follow up on missing documentation, and ensure timely completion of credentialing cycles. Communicate with providers, licensing boards, and internal stakeholders to resolve credentialing issues or discrepancies. Process initial credentialing, re-credentialing, and provider updates within required timelines. Investigate and resolve complex credentialing issues involving expired licenses, incomplete applications, or compliance gaps. Collaborate with provider relations, network management, and compliance teams to ensure accurate provider enrollment. Identify process inefficiencies and recommend improvements to streamline credentialing workflows. Stay current on behavioral health regulations, credentialing standards, and payer requirements.

Key Achievements:

Handle complex customer inquiries related to electric submetering, including billing discrepancies, usage analysis, and account reconciliation. Investigate and resolve advanced issues involving meter readings, consumption anomalies, and utility billing adjustments. Serve as a subject matter resource for entry-level CSRs, providing guidance and mentoring as needed. Coordinate with billing, engineering, and field operations teams to troubleshoot and resolve meter or system issues. Analyze customer usage data and billing trends to identify irregularities or recurring issues. Manage escalated customer complaints and ensure timely, effective resolution while maintaining high satisfaction levels. Process and oversee account corrections, payment arrangements, and special billing requests. Ensure compliance with utility regulations, company standards, and data privacy requirements. Contribute to process improvement initiatives to enhance customer experience and operational efficiency. Document detailed case notes and maintain accurate records for audit and reporting purposes.

Key Achievements:

Assist providers and healthcare professionals with credentialing applications, onboarding, and basic enrollment questions. Respond to inbound inquiries via phone and email regarding provider status, application requirements, and documentation needs. Support data entry and verification of provider credentials, licenses, certifications, and practice information. Guide providers through credentialing paperwork and submission processes using established guidelines and scripts. Track application status updates and communicate general timelines to providers and internal teams. Maintain accurate records of credentialing activities in internal systems and databases. Escalate complex credentialing, compliance, or regulatory issues to senior specialists or management. Ensure documentation completeness and follow checklist-based workflows to meet compliance standards. Provide customer service support to behavioral health providers with professionalism and empathy. Participate in training on credentialing policies, healthcare regulations, and Optum mental health systems. Meet basic performance metrics such as processing time, accuracy, and response timeliness.

Key Achievements:

Provide customer support for QuickBooks Online users via phone, chat, and email under supervision or structured guidelines. Assist customers with basic troubleshooting for login issues, navigation, and simple software errors. Guide users through core QuickBooks functions such as creating invoices, recording expenses, and basic reporting. Help customers set up accounts, connect bank feeds, and perform initial software configuration. Document customer issues, steps taken, and resolutions accurately in CRM/ticketing systems. Escalate complex technical, accounting, or system issues to senior support or Tier 2 teams Follow step-by-step troubleshooting scripts and company knowledge base articles. Maintain professionalism, patience, and empathy in all customer interactions. Participate in training to learn QuickBooks Online features, accounting basics, and support processes. Meet basic KPIs such as response time, first-contact resolution (where applicable), and customer satisfaction scores.