Tim Waggoner

Tim Waggoner

Customer Service Representative

Costa Mesa, United States

About

I have over 25 years of experience working in customer service and enrollment support roles across healthcare, pharmacy, and government-related programs. Most recently, I worked as an Enrollment Representative at Chenega Professional & Technical Services from 2024 to 2026. My work involves using government enrollment systems like DOES, handling prior authorizations with CPT diagnosis codes, and supporting Medicare and pharmacy benefit programs. I have experience with inbound and outbound calls, application processing, and proprietary software for prescription refills and premium payments.

What I'm looking for

A remote customer service position

Experience

Enrollment Representative

Chenega Professional & Technical Services

Aug 2024 – May 2026

Duties included:  Via inbound phone calls provided enrollment, claims, and prior authorization support to sponsors, beneficiaries, and providers throughout Tricare’s military network  Enrolled sponsors, beneficiaries, and their families into DOES (the government’s enrollment system)  Added diagnosis codes (CPT) on existing prior authorizations  Changed servicing providers on existing prior authorizations

Enrollment SystemsPrior AuthorizationCPT Codes

Customer Service Representative

CPSC Solutions (Temp through Insight Global)

Jan 2022 – Jul 2024

Duties included:  Via inbound phone calls provided application support to California residents who applied for either our mortgage relief or property tax relief programs  As part of the outbound group made outbound calls to those who were previously approved through our programs to let them know of changes that were done to the program letting them know they might allow the applicant to be eligible again

Inbound CallsOutbound CallsApplication Processing

Customer Service Representative

Solari (Temp through Insight Global)

Sep 2021 – Jan 2022

Duties included:  Via inbound phone calls provided locations in Arizona where the general public could go to have their Covid-19 vaccines done

Inbound CallsCustomer ServiceHealthcare Support

Patient Assistance Counselor

McKesson (Temp through RemX)

Nov 2018 – Aug 2019

Duties included:  Via inbound phone calls assisted patients who had a need for financial assistance for the drugs Enbrel and Repatha allowing them to understand how to apply to McKesson’s assistance program  Processed 10-15 applications per day for financial assistance. They were submitted by both patients and their doctor’s offices  Made outbound calls to both patients and doctor’s offices in attempts to gather information that was missing from the submitted applications

Financial AssistanceInbound CallsOutbound Calls
American Traffic Solutions

Customer Service Representative

American Traffic Solutions

Aug 2017 – Mar 2018

Duties included:  Answering questions from users of Hertz vehicles and PlatePass concerning what it is, how to use it, and what the administrative fee is and how it was set up  Giving credits for overcharges on the administrative fee when necessary  Receiving inbound calls concerning red light, parking, and other violations from Hertz renters and explaining what and why  Processing and emailing red light violations from Florida to the Review team

Customer ServiceInbound CallsViolation Processing
Magellan Rx Medicare

Customer Care Specialist

Magellan Rx Medicare

Sep 2016 – Aug 2017

Duties included:  Enrolling Medicare beneficiaries in to Magellan's Medicare Rx Basic Plan  Answering questions about Medicare Part D benefits and copay stages  Completing online prescription refills through Magellan Rx  Using the same software to approve and execute early refills when necessary  Taking premium payments over the phone using proprietary software  Utilizing the pharmacy Help Desk software to answer questions concerning claims

Medicare Part DPrescription RefillsPharmacy Help Desk
CVS Specialty Pharmacy

Pharmacy Services Representative

CVS Specialty Pharmacy

Jan 2016 – Apr 2016

 Handled 50 calls per day from patients across the United States who utilized CVS mail order to receive their medications through the mail  The medication types included Enbrel, Humira, Botox, Simponi, Avonex, and Aubagio

Customer ServicePharmacy ServicesCall Handling

Education

Minneapolis Community and Technical College

Minneapolis Community and Technical College

Associate of Arts · Graphic Design

1995 – 1995
Southern Oregon University

Southern Oregon University

Bachelor of Science · Communications

1993 – 1993
Dixie State College of Utah

Dixie State College of Utah

Associate of Arts · Graphic Arts

1991 – 1991

Skills

Patient AssistanceMedicare RxCPT CodesFinancial AssistancePremium PaymentsPrescription RefillsPharmacy Help DeskMedicare Part DApplication ProcessingOutbound CallsInbound CallsClaims SupportCustomer ServicePrior AuthorizationEnrollment Systems

Languages

English (Native or bilingual proficiency)