Summary
Overview
Work History
Education
Skills
Timeline
Generic

AALIYAH CARRINGTON

Virginia Beach,VA

Summary

Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications.

Overview

9
9
years of professional experience

Work History

Medical Management Specialist II

Anthem
02.2021 - Current
  • Headed non-clinical support and file reviews for clients and providers to support management operations and decrease client complaints
  • Managed and maintained internal databases and CRM tools to verify and update client information, process requests, and input confidential information
  • Identified operational deficiencies and implemented internal improvement plans to answering inquiries and input data more efficiently
  • Input data into computer programs and filing systems.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Self-motivated, with a strong sense of personal responsibility

Correspondence Representative

Anthem
02.2019 - 02.2021
  • Investigated internal deficiencies and created workflows and employee training sessions to enhance productivity and communication strategies
  • Collaborated with Compliance Manager to strengthen and update communications to appeal to broader audience and ensure compliance with federal, state, and local regulations
  • Formulated customer benefits status utilizing Word and Macess while utilizing CRM tools to send out documentation to clients
  • Developed daily and monthly reports for senior leadership to track productivity and employee needs
  • Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.

Customer Success Representative

Anthem
12.2017 - 02.2019
  • Investigated and resolved customer inquiries and complaints quickly
  • Responded to customer requests for products, services, and company information
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals
  • Increased efficiency and team productivity by promoting operational best practices
  • Handled customer inquiries and suggestions courteously and professionally

Customer Success Supervisor | Front Desk Manager

Hilton Brand Hotels
02.2014 - 12.2017
  • Supervised, managed, and trained 6 – 7 Front Desk Associates on customer success and retention strategies
  • Coordinated with senior leaders in providing report analysis of market trends and customer behaviors
  • Incorporated de-escalation strategies and tools to aid in mitigating operational disturbances and decreasing customer complaints

Education

Bachelor of Science - Psychology, Communications & Entrepreneurship

Old Dominion University
NORFOLK VIRGINIA

Skills

  • Customer Relations & Development
  • Collaboration and interpersonal communication
  • Strategic Planning
  • Software as Service (SaaS)
  • Account Management
  • Data Management
  • Prior Authorization Processing
  • Paperwork Processing
  • Patient Health Information Access

Timeline

Medical Management Specialist II

Anthem
02.2021 - Current

Correspondence Representative

Anthem
02.2019 - 02.2021

Customer Success Representative

Anthem
12.2017 - 02.2019

Customer Success Supervisor | Front Desk Manager

Hilton Brand Hotels
02.2014 - 12.2017

Bachelor of Science - Psychology, Communications & Entrepreneurship

Old Dominion University
AALIYAH CARRINGTON