Alisha Savage
Philadelphia,PA
Summary
Experienced customer care leader known for resolving conflicts and providing empathetic support. Seeking growth opportunities within a company. Skilled in training and building rapport with clients. Motivated and adept at communication and computer skills.
Overview
11
11
years of professional experience
Work History
Precertification Specialist
Independence Blue Cross
Philadelphia , PA
06.2023 - Current
- Provide follow-up on pending precertification requests to ensure timely processing.
- Maintain detailed documentation of all activities related to the precertification process.
- Create and build cases per medical request of providers/facilities to render services for patients/members to receive medically necessary services.
- Compiled and coded patient information or data in appropriate computer system.
- Process prior authorization requests in accordance with departmental guidelines.
- Track authorization statuses using electronic databases or manual filing systems.
- Coordinate communication between providers, patients, payers, and other departments as needed.
Customer Experience Specialist
Independence Blue Cross/Independence Administrator
Philadelphia, PA, PA
04.2018 - 06.2023
- Trainee of multiple large classes as a moderator for new hire employees handling escalations and daily tasks for new group members in global insurance policies.
- Effective facilitator trainee per class of 60 new hire employees, instructing learning tools and skills for call handling of insured members of global plans and providers, medical claims, and patients' billing.
- Assist members in understanding their insurance policies, providing feedback regarding benefits, inquiries, and benefit guidelines.
- Extremely efficient in high call handling per members and doctors, providing medical status for current and archived plans, handling escalations, and resolving matters in a timely manner.
- Resolved members' escalations by providing accurate information and complete satisfaction when detailing members' policies, plan benefit details, and handling correspondence for all initial investigative inquiries for all members.
- Documented member interactions in the internal database to maintain all historical details.
Associate-Education Specialist
OSB Telemarketing DMI Partners Co, Inc
Philadelphia, PA, PA
04.2014 - 11.2017
- Worked with prospective students aiming towards medical career in patient care, detailing outline of client call handling, relationship building with all clienteles.
- Educated employees per verification of client information to assure privacy and hipaa for patient protection & health regulatory rights.
- Advocated clients that educated potential prospects on medical necessity for rendered services provided during active medical treatment.
- Implemented marketing strategies which resulted in 54% growth of customer base.
- Managed customer relations through communication and helpful interactions
- Liaised with customers to assist with computing operations and resolve concerns
Education
Bachelor of Arts - Sociology/Social Work 3.4 GPA
Morgan State University
Baltimore, MD05.2017
Skills
- Microsoft office: Word excel, outlook Powerpoint, and front page
- Knowledgeable in basic office procedures Experienced in handling fast high paced/high volume in versatile environments
- Team Management Experience
- Ability to Be Flexible
- Exceptional communication skills: MS windows proficient quick learner, & strong client relations per creative problem solving
- Medical terminology proficiency
- Data Entry
- Documentation And Reporting
- Program understanding and advisement
Timeline
Precertification Specialist
Independence Blue Cross
06.2023 - Current
Customer Experience Specialist
Independence Blue Cross/Independence Administrator
04.2018 - 06.2023
Associate-Education Specialist
OSB Telemarketing DMI Partners Co, Inc
04.2014 - 11.2017
Bachelor of Arts - Sociology/Social Work 3.4 GPA
Morgan State University
Similar Profiles
Sheron JonesSheron Jones
Customer Service Representative at Independence Blue Cross Blue ShieldCustomer Service Representative at Independence Blue Cross Blue Shield
Lori JohnsLori Johns
Senior Network Services Analyst at Independence Blue Cross Blue ShieldSenior Network Services Analyst at Independence Blue Cross Blue Shield
Deshawn RobinsonDeshawn Robinson
Volunteer at Independence Blue Cross (The Blue Crew)Volunteer at Independence Blue Cross (The Blue Crew)
ANN-MARIE A. OWENSANN-MARIE A. OWENS
Customer Service Representative at Independence Blue Cross And Blue ShieldCustomer Service Representative at Independence Blue Cross And Blue Shield
Esta AkoyEsta Akoy
Financial Advisor/Analyst at Confidential Insurance ServicesFinancial Advisor/Analyst at Confidential Insurance Services