Afsheen Ali
Wylie,TX
Summary
Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease. Tireless COVID-19 Testing Site Manager eager to take ownership of diagnostic performance and provide impactful benefits to community health. Proficient at wide-scale multi-tasking. Rapidly adapts to changing testing protocols and fluctuating positivity rates. Passionate about helping communities combat and defeat COVID-19. Well-qualified benefits team player well-versed in comparing plans, writing reports and explaining benefits. Excellent communication, organizational and multitasking abilities. Resourceful and dedicated with excellent communication and relationship-building skills. Knowledgeable about health providers, procedures and plan benefits. Helps customers complete enrollments while minimizing stress and maximizing satisfaction with process and company.
Overview
5
5
years of professional experience
Work History
Benefits Verification
Cencora (Previously known as AmerisourceBergen)
01.2023
- Benefits verification duties typically involve tasks like confirming a patient's eligibility for healthcare benefits, checking the coverage provided by their insurance, and ensuring that the necessary authorizations and referrals are in place
- This process helps healthcare providers and facilities understand the financial aspects of a patient's care and can improve the billing and claims process.
Salesforce Experience
Cencora
01.2023
- Using Salesforce, I managed various tasks that contributed to the company's operations
- While there were challenges, I navigated them effectively and even achieved some notable improvements in workflow efficiency
- This experience has significantly enhanced my skill set and positively impacted my professional growth.
Outreach Agent
TELUS International US
01.2023 - 12.2022
- As a social media evaluator, my job involved analyzing and assessing content on various social media platforms
- It helped improve algorithms, content moderation, and user experiences by evaluating the relevance, quality, and appropriateness of posts, images, and videos
- This helped social media companies refine their algorithms, enhance content curation, and maintain a safer online environment.
Remote Outreach Agent
Ciox Healthcare/ Adecco
04.2022 - 12.2022
- Documented customer correspondence in CRM to track requests, problems, and solutions
- Reviewed files, records, and other obtained documents to respond to customer requests
- Updated information and details of calls and inquiries in the customer service database for future reference
- Maintained strong call control and quickly worked through scripts to address problems
- Assisted clients, patients, and requestors with the status of requests for clinical forms! Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service
- Review data for discrepancies in information and obtain further information for incomplete documents
- Entering data into appropriate fields; databases, records, and files
- Updating databases or records with new information as it becomes available and organizing spreadsheets with large numbers
- Remain calm and professional in stressful circumstances and effectively diffused tense situations
- Work collaboratively with other team members and supervisors to ensure that best practices are shared
- Participate in team meetings and contribute to strategy discussions
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
Customer Service Representative
Dish Network Corp
12.2021 - 03.2022
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service
- Educated customers on special pricing opportunities and company offerings
- Responding to customer inquiries through one-call or chat resolution
- Answering questions related to billing and payments and accepting payments from customers
- Assisted customers with making payments or establishing payment plans to bring accounts current
- Fielded customer complaints and queries, fast-tracking for problem resolution
- Assisting DISH to determine call types, failure trending, and/or diagnostic improvements to provide a higher level of customer service, performance, and efficiency
- Communicating the value of our products and offering tips to customers on how to get the most out of DISH.
CDC Hotline Representative
Centers for Disease Control and Prevention (CDC)
05.2020 - 11.2021
- Assisted customers with questions regarding products and services, delivering exceptional experiences through responsive service
- Worked with customers while accessing, reading, and inputting information into numerous applications
- Updated information and details of calls and inquiries in the customer service database for future reference
- Documented customer correspondence in the CRM system to track requests, problems, and solutions
- Sourced and managed customer retention database and online appointment booking system
- Entering data into appropriate fields; databases, records, and files
- Updating databases or records with new information as it becomes available and organizing spreadsheets with large numbers
- Work collaboratively with other team members and supervisors to ensure that best practices are shared
- Participate in team meetings and contribute to strategy discussions.
Teacher
Liberty Private School
01.2019 - 12.2019
- Established and enforced rules for behavior and procedures to maintain order among students
- Engaged students and boosted their understanding of material using focused instructional strategies and hands-on activities
- Created and enforced a child-based, hands-on curriculum to promote students' interest and receptive learning
- Prepared and maintained classroom environments appropriate for student learning and physical, social, and emotional development
- Tracked all students' attendance, assignments, grades, and class participation
- Ensured all students fully comprehended the curriculum and provided individualized support to students who required extra guidance
- Collaborated with other teachers to tailor lesson plans to updated curriculum objectives in a 2,500+ student school
- Mentored struggling students and supported their mental well-being with healthy coping strategies and regular check-ins
- Met with parents and guardians to discuss student progress and areas for improvement
- Maintained front office cleaning and organized supplies to increase task productivity.
Art Teacher
Creative Guild Art of Wylie
03.2018 - 12.2018
- Encouraged student creativity with motivation, positive feedback, and constructive criticism
- Planned, prepared, and delivered instructional activities related to various art mediums
- Developed lesson plans to teach course materials according to the schedule
- Adapted teaching methods and instructional materials to meet students' varying needs and interests
- Created a positive educational climate to promote student learning
- Instructed students individually and in groups, utilizing various teaching methods
- Established positive relationships with students, parents, fellow teachers, and school administrators
- Promoted a safe, clean classroom environment conducive to individualized and small-group needs
- Tracked all students' attendance, assignments, grades, and class participation
- Designed lesson plans and modified them according to student progress
- Engaged students and boosted their understanding of material using focused instructional strategies and hands-on activities
- Prepared and presented lesson plans in academic subjects using traditional and modern teaching techniques.
Education
Bachelor of Arts in visual Communication -
University of Karachi
Karachi, Karachi01.2002
Associate of Science in Pre-Medical -
Saint Lawrence College
Karachi, Karachi01.1998
High School Diploma -
Newman Smith High School
Carrollton, TX01.1992
Skills
- Microsoft Office
- Benefits Verification
- Benefits Verification Expertise
- Information Verification
- Dental Benefits
- Benefits Administration Proficiency
- Veterans benefits
- Government Benefits Assistance
- Personnel Documentation Verification
- Enrollment Verification
- Claims Handling and Coverage Verification
- Insurance Verification and Authorization
- Document Review and Verification
Volunteer Experience
Community service, One of the key aspects of my volunteer role was problem-solving. I encountered various situations where visitors had specific requests or encountered issues, and I had to think on my feet to find suitable solutions. This involved actively listening to their concerns, empathizing with their frustrations, and using my knowledge of the center's resources to address their needs., Iilm Center, 02/01/17, Present
Languages
Hindi, Urdu
Native or Bilingual
Timeline
Benefits Verification
Cencora (Previously known as AmerisourceBergen)
01.2023
Salesforce Experience
Cencora
01.2023
Outreach Agent
TELUS International US
01.2023 - 12.2022
Remote Outreach Agent
Ciox Healthcare/ Adecco
04.2022 - 12.2022
Customer Service Representative
Dish Network Corp
12.2021 - 03.2022
CDC Hotline Representative
Centers for Disease Control and Prevention (CDC)
05.2020 - 11.2021
Teacher
Liberty Private School
01.2019 - 12.2019
Art Teacher
Creative Guild Art of Wylie
03.2018 - 12.2018
Bachelor of Arts in visual Communication -
University of Karachi
Associate of Science in Pre-Medical -
Saint Lawrence College
High School Diploma -
Newman Smith High School
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