Aisha Llanos
Lake Wales,FL
Overview
8
8
years of professional experience
Work History
Member and Provider Services
Wellsense Health Plan
10.2022 - 06.2023
- Answered 50+ calls a day Verified insurance eligibility and coverage for patients.
- Reviewed and gathered members demographic information to insure data matched Massachusets medicaid records
- Resolved billing inquiries and disputes in timely fashion from both members and providers
- Investigated insurance claims denials and appeals.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Joined pilot program outreaching to providers offices in order to maintain provider credentialing up to date
Senior Specialist
Vacasa
04.2021 - 05.2022
- Monitored several different channels through Slack for real time feedback and coaching
- Assisted guests and service representatives , clarified information, researched every issue, and provided clear solutions or alternatives
- Received escalated calls from guests who were unsatisfied with their vacation home, and provided alternatives and solutions as I saw fit.
- Educated guests and agents on company policies and services to ensure overall better communication and understanding
Beauty Advisor
Dillard's Department Store
04.2021 - 04.2022
- Approached browsing clients and initiated conversations to determine buying preferences
- Consulted with clients to get a better understanding of their needs and preferences for their makeover appointments
- Suggested additional items at point of sale to boost sales and increase client satisfaction
Sales Associate
JCPenney
11.2015 - 04.2019
- Received and processed cash, credit, and check payments in a fast-paced retail environment
- Prepared for promotions by rearranging stock, adding signage, and retagging merchandise
- Resolved customer issues and answered questions to ensure a positive shopping experience
Education
High School Diploma -
Middletown High School
Middletown, NY06.2015
Skills
- Quickly and efficiently able to grasp new concepts and skills
- Able to solve conflicts and escalations without losing self-composure
- Excellent multitasking abilities with quick information comprehension
- Fluent in both English and Spanish
- Familiar with MacOS, Microsoft Office and G Suite
Timeline
Member and Provider Services
Wellsense Health Plan
10.2022 - 06.2023
Senior Specialist
Vacasa
04.2021 - 05.2022
Beauty Advisor
Dillard's Department Store
04.2021 - 04.2022
Sales Associate
JCPenney
11.2015 - 04.2019
High School Diploma -
Middletown High School