Andrene Carr
Statesville
Summary
Experienced with credentialing processes and regulatory compliance. Utilizes effective communication and meticulous documentation to manage credentialing for healthcare providers. Knowledge of industry standards and best practices ensures thorough and efficient credentialing operations.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Customer Support Specialist II
Manheim Auto Auctions
Statesville, NC
07.2024 - Current
- Customer Support Specialist:
- Provided exceptional customer service, addressing inquiries and resolving issues efficiently.
- Assisted customers in navigating online auction platforms and understanding processes.
- Provide customer support through various channels (phone, chat, email).
- Independently manage customer issues from identification through resolution, escalating when necessary.
- Educate customers on Manheim's offerings.
- Build and maintain relationships with customers, including consulting with dealers.
- Document interactions and maintain records within company systems.
- Collaborate with escalation partners to document and monitor exceptions to standard processes.
Licensed Sales and Customer Service Agent
Pathfinders, Inc
Landis, NC
05.2022 - 07.2024
- Handled a blended environment of inbound and outbound calls pertaining to medical benefits plans.
- Explained medical benefit plan coverages and options to insureds and provided enrollment assistance.
- Answered basic questions about health plans and made recommendations based on medical history and benefit needs.
- Managed customer inquiries using CRM systems to ensure accurate information dissemination.
- Delivered exceptional customer support through effective communication and problem-solving techniques.
- Resolved escalated issues by coordinating with cross-functional teams for timely solutions.
- Conducted regular follow-ups with customers to ensure resolution and maintain relationships.
- Utilized strong problem-solving skills to quickly identify and address customer issues.
Provider Data Management /Credentialing Specialist
Kelly Services
07.2018 - 03.2022
- Benefits Specialist
- Answer incoming calls from beneficiaries and participants to explain benefits as well as enroll participants into medical, dental, vision, and life insurance plans. (Blue Cross and Blue Shield of Florida)
- Provider Data Services
Performing Enrollment and Maintenance updates and ensures accurate and timely research, resolution, loading and
maintenance of provider demographic data for office, hospital-based physicians and ancillary providers.
Building and assigning provider fee schedules based on submitted provider contracts.
Resolving provider data discrepancies and applying appropriate pricing methodologies and contractual arrangements
to facilitate accurate and timely resolution of provider claims payment issues.
Supporting projects and work initiatives directly related to provider data by providing subject matter expertise and
update of applicable systems. - Managed credentialing processes for healthcare providers, ensuring compliance with regulatory standards.
Education
Life, Health, and Variable Annuity - 2-15
License Coach
Jacksonville, FL01-2018
Cosmetology - FL License for Cosmetology
North Florida Institute
Jacksonville, FL05-2008
High School - High school or equivalent
Florida State College at Jacksonville
Jacksonville, FL10-1997
Skills
- Product management
- Zendesk
- State healthcare regulations
- Quality control
- CSR
- Fraud prevention and detection
- Typing
- Insurance agencies
- Problem Solving
- Payroll
- Microsoft Outlook
- Attention to detail
- Microsoft Office
- Data Entry
- Account Management
- Customer Support
- Healthcare compliance
- Maintaining patient confidentiality
- Life Insurance
- SharePoint
- HIPAA
- Management
- Organizational skills
- 401K
- Salesforce
- Telephony
- Teamwork
- Sales experience within healthcare
- Customer Care
- Medicaid regulations
- Windows
- Time management
- Relationship management
- Task prioritization
- Phone communication
- Troubleshooting
- Microsoft Word
- Telecommunication
- Telehealth experience
- Analysis skills
- Medical records
- Data collection
- Problem management
- Documentation review
- Needs-based selling
- Leadership
Certification
- Property & Casualty License March 2022 to Present
- Medicare December 2018 to Present
- Life , Health and Variable Annuities December 2018 to Present
- Cosmetology June 2008 to Present
- Life Insurance License
- Insurance Producer License
- Cosmetology License
- Certified Prosthetic Technician
- Life & Health Insurance License
- Health Insurance License
- Driver's License
- PTCB Certification
- Esthetician License
- Professional In Human Resources
Languages
English
Native or Bilingual
Additional Information
SKILLS Insurance, Sales, Customer Service, Problem Solving, Typing/Data Entry, etc
Timeline
Customer Support Specialist II
Manheim Auto Auctions
07.2024 - Current
Licensed Sales and Customer Service Agent
Pathfinders, Inc
05.2022 - 07.2024
Provider Data Management /Credentialing Specialist
Kelly Services
07.2018 - 03.2022
Cosmetology - FL License for Cosmetology
North Florida Institute
High School - High school or equivalent
Florida State College at Jacksonville
Life, Health, and Variable Annuity - 2-15
License Coach