Aarionne Purifoy
Denver,Colorado
Summary
Highly organized and detail-oriented worker, with a drive to exceed expectations. Ability to analyze data, develop strategies, and provide solutions to complex problems. Seeking to leverage skills and knowledge to contribute to team success.
Overview
8
8
years of professional experience
Work History
Customer Service Representative
Connect for Health Colorado
10.2024 - Current
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
Customer Service Lead
JST Consultants
10.2020 - 06.2024
- Developed and maintained positive relationships with customers by providing timely, accurate information and solutions to their inquiries or problems
- Monitored inventory levels, adjusting purchasing plans accordingly
- Created weekly schedules based on predicted staffing needs, budgets and employee requests
- Met deadlines while maintaining high-quality deliverables
- Performed quality control checks on products prior to shipment
- Rotated through various departments, gaining diverse operational and management experience
- Generated detailed reports on current business performance metrics
- Developed an automated metrics dashboard to track performance and identify areas of improvement
- Contacted carrier representatives to make arrangements or issue instructions for shipping and delivery of materials
- Handled escalated calls professionally by listening carefully to the needs of each individual customer before offering appropriate solutions
Customer Solution Representative
LA Care Health Plan
10.2018 - 10.2020
- Contacts physician offices according to Department guidelines to request missing information for authorization requests or for additional information as requested by the Medical Director
- Utilized -CDI CPTI and CPC coding systems to accurately code diagnoses and procedures
- Build waiver authorizations for members on Medicaid and Medicare health plans
- Ensures that all necessary demographic billing and clinical information is obtained and entered in the registration system with timeliness and accuracy
- Provide computer entries of authorization request/provider inquiries by phone, mail, or fax
- Assist MD's and NP's with timely sensitive P2P'S
Patient Care Coordinator
UnitedHealth Group
12.2017 - 09.2018
- Appointment scheduling, obtaining patient information/insurance/financial information, process incoming referrals, verifying benefits/eligibility/authorization for both new and established patients
- Coordinates and responds to patients/referring providers in a timely manner
- Assisted in training new patient care coordinators on medical terminology, procedures, and protocols
- Used computer and job-related software to compile and record medical charts and reports
- Performed daily administrative duties such as filing paperwork, answering phones calls from patients, providers, insurance companies, verifying insurance eligibility
Document Processor
Office of Admissions Metropolitan Campus
11.2016 - 11.2017
- Ensured compliance with applicable laws, regulations, industry standards, or company policies related to document handling practices
- Assisted with the preparation of documents for scanning or archiving purposes
- Scanned hard copy documents into digital format using high-speed scanners
- Identified discrepancies in documents and took corrective action to ensure accuracy
- Routed phone calls to appropriate recipients and handled internal business correspondence
Education
Bachelor Of Applied Science - Human Services
Metropolitan Denver State University
05.2021
Skills
- Problem Solving
- Ability to Work Under Pressure
- Effective Time Management
- Leadership
- Microsoft
References
Daniel Jones, JST Consultants, Manager, (805) 612-4001, danielj@lightshade.com
Timeline
Customer Service Representative
Connect for Health Colorado
10.2024 - Current
Customer Service Lead
JST Consultants
10.2020 - 06.2024
Customer Solution Representative
LA Care Health Plan
10.2018 - 10.2020
Patient Care Coordinator
UnitedHealth Group
12.2017 - 09.2018
Document Processor
Office of Admissions Metropolitan Campus
11.2016 - 11.2017
Bachelor Of Applied Science - Human Services
Metropolitan Denver State University
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