Amber Capadona
Mechanicsburg,OH
Summary
Focused professional with success and delivered unbiased perspective to solve disputes. Accomplished in collecting supporting information, drafting and reporting comprehensive documentation and leading agreements to resolve complex problems. Driven to strictly follow applicable laws and ethical procedures for all cases.
Overview
5
5
years of professional experience
Work History
Issue Resolution Specialist
Quantum Health
05.2024 - Current
- Accomplished multiple tasks within established timeframes.
- Maintained productivity and quality standards at all times.
- Assisted pod management, pod team mates with difficult issues to find the answer in a quick and timely manner
- Coached team members in techniques necessary to complete job tasks.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Helped pod operations run smoothly alongside team lead in the absence of management
Patient Services Representative
Quantum Health
10.2021 - 05.2024
- Provided exceptional customer service through inbound and outbound calls
- Acted as an advocate for members by communicating with network liaisons, medical and financial staff at hospitals and physicians offices and researchers billing discrepancies and claim issues
- Helped others in the POD by utilizing expertise as well as providing sanctuary to solve complex cases as a team
- Actively participated in the support and training of new PSRS transitioning into the POD
- Actively took part in two pilot programs to gather data and practices that could allow Quantum to be more successful (eg; Value Creation & Virtual Training.
- Assisted leadership with resolving escalated member and provider issues.
Team Lead
Walmart
11.2019 - 10.2021
- Ensured that all customer service standards were met and exceeded, and that all customers received exemplary service
- Monitored the performance of team members and provided feedback to ensure continual improvement
- Assisted in leading and supervising a team of 25 employees in a busy customer service environment
- Trained new team members on customer service policies and procedures
- Resolved customer complaints in a timely and professional manner
Education
High School Diploma -
Grandview Heights High School
Columbus, OH05.2013
Skills
- De-Escalation Techniques
- Creative Solution Development
- Mediation Techniques
- Time Management
- Detail Oriented
- Problem Solving
- Critical Thinking
- Empathy
- Active Listening
Timeline
Issue Resolution Specialist
Quantum Health
05.2024 - Current
Patient Services Representative
Quantum Health
10.2021 - 05.2024
Team Lead
Walmart
11.2019 - 10.2021
High School Diploma -
Grandview Heights High School
Similar Profiles
Hayden MohlerHayden Mohler
Nursing Case Manager at Quantum HealthNursing Case Manager at Quantum Health
ROBINY ELMERROBINY ELMER
Care Coordinator at Quantum HealthCare Coordinator at Quantum Health
Rhonda MorganRhonda Morgan
Registered Nurse Case Manager at Quantum HealthRegistered Nurse Case Manager at Quantum Health