Ayzha Williams
Spring
Summary
To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills to help achieve company goals. I am seeking for a long term job to build my career.
Overview
10
10
years of professional experience
Work History
Provider Services Representative
Community Health Choice
Houston, Tx
01.2023 - Current
- Provided exceptional customer service to patients, answering questions, and addressing concerns.
- Verified insurance eligibility and coverage for patients.
- Investigated insurance claims denials and appeals.
- Maintained confidential patient, employee, and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed, and fulfilled callers' needs and educated on important policies and procedures.
Customer Service Representative
Community Health Choice
Houston, Tx
08.2021 - 01.2023
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Resolved concerns with products or services to help with retention and drive sales.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Addressed customer account discrepancies and concerns.
- Escalated complicated customer account issues to supervisors and help desk workers.
- Responded to customer calls and emails to answer questions about products and services.
Customer Service Representative
Source point
Houston, Tx
11.2020 - 06.2021
- Provided solutions, recommendations, and replacements, using an empathetic approach and demeanor.
- Recommended products and services to members and educated customers about relevant offerings.
- Managed inbound and outbound calls to respond to inquiries and resolve concerns.
- Informed customers and professionals on eligibility, benefits, claims payment, and authorizations.
- Communicated with clients over various platforms such as phone, email, web portal and chat.
Shift Lead Manager
Walgreens
Houston, Tx
10.2019 - 11.2020
- Supervised cashier & pharmacy department employees and monitored machines to determine functionality.
- Received and reviewed appeals/authorizations determining approval/denial.
- Verifying eligibility for insurance for members for prescription pickup.
- Evaluated performance of associates and mentored underperforming employees on ways to improve.
- Reported losses, employee behavioral issues, customer complaints, and other significant issues to upper-level management.
- Addressed and resolved customer inquiries and complaints and engaged with customers to determine satisfaction levels with products offered.
- Analyzed productivity reports to manage overall performance.
- Oversaw day-to-day operations and special projects in fast-paced setting.
- Performed facility checks to verify cleanliness and client safety.
Shift Lead Manager
Style Encore
Houston, Tx
04.2018 - 10.2019
- Implemented solutions or resolved credit issues with customers.
- Prepared reports detailing shift activities to keep management looped in on shift operations.
- Managed daily tasks consistently and sought out opportunities to go beyond requirements and support business targets.
Cashier
Starbucks
Houston, Tx
06.2016 - 05.2018
- Counted money in cash drawers at the start of each shift and balanced drawer at the end of each shift.
- Adhered to all cash handling policies and procedures.
- Collected payment for customer purchases.
Education
College - Medical Coding and Billing Healthcare Management
University Of Houston
05-2027
High School Diploma - undefined
Westfield High School
Houston, TX06-2018
Skills
- Problem Resolution
- Conflict Resolution
- Quality Assurance Controls
- Clerical Support
- CPC/ HCPS/ ICD-10 Coding
- Insurance Claims
- Medical Terminology
- Knowledge of HIPPA Laws and Regulations
- Work From Home environment for 2-3 years
- Mail Tracking
- Customer Service
- Critical Thinking
- Managing Multiple Tasks
- Call Center Operations
- Authorizations/ Medical Appeals
- Medical Coding
- Knowledge of EMH/HER
- Knowledge of Medicaid/Medicare
- Data Entry
- Healthcare Documentation
- Insurance Verification
- Explanation of Benefits
- HIPAA compliance
- Claims processing
- Call center experience
- Insurance verification
- Data entry proficiency
- Healthcare industry
- Compliance management
- Provider relations
- Policy interpretation
- Salesforce CRM
- Teamwork and collaboration
- Customer service
- Problem-solving skills
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking Abilities
- Calm and professional under pressure
- Reliability
- Excellent communication
- Computer skills
- Adaptability and flexibility
- Problem resolution
- Customer relations
- Phone etiquette
- Data entry
- Medical terminology
- Work prioritization
- Goal setting
- Issue and complaint resolution
- Quality control
- Resourcefulness
- MS office
- Time management abilities
- Billing procedures
- Customer data confidentiality
Timeline
Provider Services Representative
Community Health Choice
01.2023 - Current
Customer Service Representative
Community Health Choice
08.2021 - 01.2023
Customer Service Representative
Source point
11.2020 - 06.2021
Shift Lead Manager
Walgreens
10.2019 - 11.2020
Shift Lead Manager
Style Encore
04.2018 - 10.2019
Cashier
Starbucks
06.2016 - 05.2018
High School Diploma - undefined
Westfield High School
College - Medical Coding and Billing Healthcare Management
University Of Houston