Health professional prepared for client-focused role, offering strong interpersonal skills and thorough understanding of healthcare services. Adept at coordinating care, providing personalized support, and ensuring high standards of service. Known for effective team collaboration, adaptability, and results-driven approach. Skilled in communication, problem-solving, and maintaining confidentiality. Currently a student pursuing a degree in Healthcare Administration.
Overview
8
8
years of professional experience
Work History
Health Concierge
Aetna, a CVS Health Company
01.2022 - Current
Manage up to an average of 30 accounts per day in a fast-paced call center environment
Responsible for sending daily metric reports to team members
Research and correct customer issues in areas involving plan benefits, eligibility, and claims processing
Works with internal and external departments to solve and satisfy member issues and needs
Answer questions on diverse topics including authorization procedures, diagnosis and procedure codes, and payment requirements
Accessed patient information through variety of software applications including Aetna Strategic Desktop, Rumba, and Aetna Total Clinical View while staying compliant with HIPAA policy and regulations
Supported members through navigation of the member website, enrollment processes, finding facilities, and more
Followed up with member if needed to resolve issues to make sure the member is feeling satisfied
Communicates with member and internal departments via phone, text, email, and letters
Sales Associate
Royce' Chocolate
09.2018 - 02.2020
Greeted customers in a friendly manner
Assisted an average of 25 customers per day
Answered customer questions
Processed customer transactions
Maximized sales transactions
Monitored inventory
Organized new merchandise
Provided a quick and exceptional customer experience
SENIOR MANAGER, NETWORK CONTRACTING at Aetna, a CVS Health Company (First Health Network)SENIOR MANAGER, NETWORK CONTRACTING at Aetna, a CVS Health Company (First Health Network)
Senior Claim Benefits Specialist, Operations PCC at Aetna, a CVS Health CompanySenior Claim Benefits Specialist, Operations PCC at Aetna, a CVS Health Company