JAYNA BALL
Gretna,LA
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 and providing customized solutions to build loyalty.
Overview
2021
2021
years of professional experience
1
1
Certification
Work History
Provider Services Representative
Blue Cross Blue Shield
Albuquerque, New Mexico
01.2023 - 2025
- Managing the onboarding procedures for new providers. Completing orientations. Reviewing provider contracts, claims and insurance codes. Ensuring medical sites comply with state insurance regulations. Answering questions about insurance claims and requirements. Gathering, reviewing, and verifying all pertinent information relating to participating healthcare providers. Establishing and maintaining relationships with assigned healthcare providers through office visits, telephone calls, prompt resolution of issues, and excellent customer service.
- Evaluated provider contracts for accuracy and completeness before submission to final approval process.
- Analyzed performance metrics for assigned territory, identifying opportunities for growth and improvement within the network.
- Developed and maintained comprehensive databases for provider information, ensuring easy access and accuracy.
- Managed provider inquiries and issues, resolving conflicts to ensure timely access to healthcare services for members.
Customer Advocate
Blue Cross Blue Shield of New Mexico
Albuquerque, New Mexico
2021 - 2023
- Reviewing patient records, ordering replacement cards, examining claims, checking insurance eligibility, collecting payments, identifying coding errors, explaining medical benefits to patients, and maintaining patient databases. Assess, identify, and resolve provider inquiries in a timely and professional manner. Preparing and sorting documents for data entry. Entering data into database software and checking to ensure the accuracy of the data that has been inputted. Resolving discrepancies in information and obtaining further information for incomplete documents. Creating data backups as part of a contingency plan. Responding to information requests from authorized members.
- Developed strong relationships with clients, promoting trust and loyalty through excellent service.
- Analyzed member feedback to identify trends, implementing improvements that increased overall member engagement and retention.
- Investigated and resolved customer inquiries and complaints quickly.
Cashier
The Home Depot
Albuquerque, New Mexico
01.2020 - 01.2021
- Process sales transactions. Calculate the cost of products or services. Accept payments. Calculate and return change when required by the payment method. Maintain adequate change denominations in the cash drawer and request additional change. Answer customer questions about products or services. Reconcile cash drawers and sales receipts. Report issues with equipment.
- Maintained a clean and organized checkout area, contributing to a positive store environment and operational efficiency.
- Greeted customers entering store and responded promptly to customer needs.
- Restocked and organized merchandise in front lanes.
- Increased sales of promotional items by informing customers about current offers.
- Managed cash drawer accurately, ensuring all transactions balanced at end of day.
- Performed cash, card, and check transactions to complete customer purchases.
Retail Associate
Ross Dress for Less
Palatine, Illinois
01.2017 - 01.2019
- Welcoming and engaging with customers as they enter the store. Assessing customers’ needs and suggesting solutions to their problems. Working with cash registers and processing payments. Setting and attaining sales goals. Giving customers advice about sales and promotions. Using upselling techniques to increase store sales. Recommending the best products to customers. Cleaning and restocking the store throughout the day, before opening and after closing.
- Stocked merchandise and organized displays, contributing to an appealing store environment and increased sales.
- Processed transactions accurately and efficiently, enhancing customer satisfaction and ensuring smooth checkout experiences.
- Managed the sales floor by maintaining cleanliness and organization, supporting operational efficiency and safety standards.
- Answered questions about store policies and addressed customer concerns.
Sales Associate
Payless Shoe Source
Schaumburg, Illinois
01.2017 - 01.2018
- Welcoming customers into the store. Staying knowledgeable about our range of beauty and skin products. Explaining to customers the best products for their needs. Recommending related products to increase customers’ options and enrich the shopping experience. Explaining the benefits and functions of products, method of preparation and how to use them to achieve the best results. Accepting and processing orders, operate the POS register and resolve returns issues. Promoting special sales, offers and awareness of store loyalty program.
- Assisted in inventory management by restocking shelves and organizing displays, ensuring product availability for customers.
- Maintained a clean and organized sales floor, contributing to a welcoming environment for customers.
Education
High School Diploma -
Palatine High School
Palatine, IL 05.2001 -
Skills
Onboarding procedures
Provider contract review
Compliance with regulations
Customer service excellence
Computer skills
Problem-solving skills
Teamwork
Calm and professional under pressure
Time management abilities
Verbal and written communication
Certification
Lash Technician Training - 2024
Timeline
Provider Services Representative
Blue Cross Blue Shield
01.2023 - 2025
Cashier
The Home Depot
01.2020 - 01.2021
Retail Associate
Ross Dress for Less
01.2017 - 01.2019
Sales Associate
Payless Shoe Source
01.2017 - 01.2018
High School Diploma -
Palatine High School
05.2001 -
Customer Advocate
Blue Cross Blue Shield of New Mexico
2021 - 2023