SHARON TAYLOR1912 N Taft

Berkeley, IL 60163 (312) 576-2543 cell sharon005taylor@yahoo.comSUMMARY OF QUALIFICATIONS:Applications: Database Operations, Application Navigations and Equipment

Microsoft Office Suite, Navigator, My App-Ecc/Iris (Member profile- Health Plan) Rx Claim Environments (member, provider, drug, plan and claim searches) Citrix, Jabber, Employer Procedure Documents, Empower, Headset and Computer Prospect Management Tool, Five9 (medical insurance sales enrollment) IEX WFMapp and Loftbpo (tracker of work schedule and time entries)

EXPERIENCE: Handled inbound and outbound calls in a Call Center with headset equipment

United Health Group OptumRx, Lisle, IL October 2015-PresentCustomer Service Representative/Prescription Benefits Manager (Mail Order)

Answered incoming phone calls from customers and identified the type of assistance needed Enrolled members- Benefit Plan, data entry medical allergy alerts, and shipping requirements Identified Plan, COB and HIPPA requirements (NDC, GPI, PSC, DUR and DEA Class) Searched database for member, prescriber, pharmacy, formulary and drug refill profile Processed claims, adjudicated and provided accumulator edits:

(deductible, max out of pocket, copays, and usual charge without insurance-UCW/cash)

LaSalle Network/ Staffing Service, Chicago, IL October 2014-2015Call Center Services/ Customer Service Support (Screener/Temp)

Fielded inbound and outbound sales calls into the Tier I Sales Center Assisted consumers through the initial buying process of a new Health Plan Transferred call to the Member Service, Medicare, and Medicaid Team Complied with Federal CMS, State legal requirements and standards

Crossmark/Retail Sales, Chicago, IL October 2013-2016Data Collector/Customer Service Specialist (part-time)

Tracked sales, price checked shelves, and expiration dates from retailers Used a hand-held Scanner-Sales Trak Mobile and corporate email Setup and restocked merchandise and Temporary cardboard displays Gave visual presentations, audited pharmacies for profession and state regulations

Special Needs Support Service- Contractor, Chicago, IL March 2008-2015Direct Support Specialist/Mental Health Technician/CNA

Transported special need adults, seniors and performed mental health monitoring Served as RA/residential assistant, Assisted Living, and Senior Suites

Sears Holding Corporation (SHC) Retail Sales, Naperville, IL July 2005-2009Delivery Specialist-Customer Service Associate

Teamed of 15 CSR in an inbound and outbound Call Center Contributed to a successful save rate/STS-saved the sale (over goal- 50%) Researched and tracked up-to-100 customer inquiries daily Earned quality recognition and Attendance Certificates for outstanding performance Operated databases and navigated -DOS, NPS, EHDS, Peg-Reach, and AOD systems

EDUCATION: BA- Business Education, Chicago State University, Chicago, IL