Continually maintain and improve company's reputation and positive image in markets served.
Oversee preparation of marketing copy, images, videos, emails and other collateral.
Builds and strengthen strategic relationships with vendors, advertising agencies and leading caters, community organizations, venues, and event coordinators, wedding consultants, and community at large.
Creates printed marketing materials designed to drive campaigns.
Enhances profitability to achieve marketing objectives and drive productivity and growth from concept to implementation
Capture new customers by optimizing business strategies and launching products to diversify offerings.
Creates all contracts and invoices for all clients.
Oversees all Facebook, Instagram and TikTok Marketing.
Communicates to all client and potential clients by telephone, email or text.
Meets all client prior to event to finalized all detail for the event.
Processes all payments and deposits.
Tracks all events, costs, expenses and revenues.
Trains all new employees.
Medical Review Claims Specialist (Medical Policy)
Blue Cross Blue Shield Of Louisiana
Baton Rouge, LA
10.2013 - Current
Maintains knowledge of claim processing, claims principles, medical terminology and procedures and HIPAA regulations pertaining to Medical Policy.
Retrieves, sort, and scan medical records.
Prints, uploads and mail denial letters.
Faxes denial verbiage to providers for MSK, cardiac and radiology programs (Utilization Management).
Researches Medical Policy edits and claims to determine appropriate actions.
Coordinates oral and written communications between providers, nursing staff and management.
Responsible to meeting targets for staff and unit performance as required by management and company standards.
Maintains accuracy, completeness and security for medical records and health information.
Receives MICC (medical records) request and create cases for nursing review.
Prints, uploads and mails denial letters.
Trains employee on Medical Policy.
Communicates effectively with nursing, support and management staff by email, teams and telephone.
Service Representative, Medical Underwriting
Blue Cross Blue Shield Of Louisiana
Baton Rouge, LA
03.2004 - 09.2013
Maintained productivity and quality standards at all times.
Responded to written and oral communications from internal and external customers.
Ensured all underwriting activities were handled according to HIPPA Guidelines and State and Federal regulations.
Performed clerical duties, such as word processing, data entry, answering phones and filing.
Processed customer refunds when applicable
Generated daily inventory reports for management and underwriters.
Maintained storage of medical documents in secured area.
Maintained inventory logs on incoming applications.
Distributed all incoming new applications to nursing staff for review.
Underwriting Assistant, Medical Underwriting
Blue Cross Blue Shield Of Louisiana
Baton Rouge, LA
05.2000 - 02.2004
Ordered medical claims histories for applications
Organized and prepared applications for nurse's review
Managed written departmental correspondence
Reviewed medical questions on applications and processed according to existing underwriting guidelines
Screened all applications for accuracy and completeness according to all legal and compliance guidelines.
Maintained underwriting logs and reports for managment.
Administrative Assistant
Pennant Financial/NF Investments/Capital Mortgage
Baton Rouge, LA
05.1997 - 03.2000
Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
Executed record filing system to improve document organization and management.
Scheduled office meetings and client appointments for staff teams.
Sorted and distributed office mail and recorded incoming shipments for corporate records.
Restocked supplies and placed purchase orders to maintain adequate stock levels.
Tracked and Reported incoming leads.
Performed telemarketing for new customers and processed all new mortgage applications.
Created and typed business forms and marketing flyers.
Administrative Assistant/Marketing Assistant
Help For Thy Neighbor, Inc.
New Roads, Louisiana
01.1994 - 02.1997
Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
Assisted coworkers and staff members with special tasks on daily basis.
Managed filing system, entered data and completed other clerical tasks.
Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
Answered multi-line phone system and transferred callers to appropriate department or staff member.
Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
Volunteered to help with special projects of varying degrees of complexity.
Established administrative work procedures to track staff's daily tasks.
Facilitated timely delivery of special projects to meet organizational and departmental objectives.
Worked closely with product development teams to create and maintain marketing materials for presentation and client meetings.
Kept organized tracking documents detailing assignments, in-progress work and completed project milestones.
Organized contacts and orchestrated innovative marketing campaigns to boost community awareness and engagement for target groups.
Prevention and Education Instructor/Event Coordinator
People's Rehabilitations And Recovery Services
Port Allen, Louisiana
01.1992 - 02.1994
Coordinated schedules and timelines for events.
Created drug awareness program for at risk children.
Managed event logistics and operations.
Performed event coordination for larger parties and gatherings with a tri-parish area.
Performed public speaking on facility's services for drug addictions programs and awareness.
Organized, coordinated and deployed drug awareness events while focusing at risk groups within in the community.
Managed clerical support.
Evaluated existing plans, processes and events planning services to identify opportunities for improvement.
Education
Bachelor of Science - Sociology And Criminal Justice
Louisiana State University And A&M College
Baton Rouge, LA
05.1993
Associate of Science - Computer Science And Accounting
Spencer College
Baton Rouge, LA
08.1986
Skills
50 WPM
Customer Service
HIPPA
Multi-phone Lines
Problem Solving
Payment Processing
Supervision
Knowledge of Office Administration and Equipment
Organized
Detailed
Problem Solving
Team Work
Blue 2
Case Management Work Distribution (CMWD)
Common Query
IPD
JIVA
Microsoft Office
PeopleSoft
Sharepoint
Excel
Workday
Teams
Factual Data & Instant Merge( Credit Reports Software)
MRCAMIS (Case Management Billing Software)
Mortgage Ware & Win Point (Mortage Software)
IMS (Extra)
Common Query
DataCap
Direct Commital
Affiliations
Member of Team Blue, LSU Alumni Association, March of Dimes, American Heart Association, Junior Achievement League, Pointe Coupee Historical Society.
Certification
Computerized Customer Service Program, Governor's Office of Women Services, State of Louisiana, Baton Rouge, LA.
Utilization of Case Management Information System Certificate, Office of Mental Health, State of Louisiana, Baton Rouge, LA .
Drug Prevention Certification, Southern University, Baton Rouge, LA
Timeline
Event Coordinator
R & B Bartenders And Servers
10.2019 - Current
Medical Review Claims Specialist (Medical Policy)
Blue Cross Blue Shield Of Louisiana
10.2013 - Current
Service Representative, Medical Underwriting
Blue Cross Blue Shield Of Louisiana
03.2004 - 09.2013
Underwriting Assistant, Medical Underwriting
Blue Cross Blue Shield Of Louisiana
05.2000 - 02.2004
Administrative Assistant
Pennant Financial/NF Investments/Capital Mortgage
05.1997 - 03.2000
Administrative Assistant/Marketing Assistant
Help For Thy Neighbor, Inc.
01.1994 - 02.1997
Prevention and Education Instructor/Event Coordinator
People's Rehabilitations And Recovery Services
01.1992 - 02.1994
Bachelor of Science - Sociology And Criminal Justice
Louisiana State University And A&M College
Associate of Science - Computer Science And Accounting