BASHEBA CUMMINGS
Las Vegas,US
Summary
Results-oriented professional with expertise in client engagement strategies and operational excellence. Proficient in compliance standards and industry regulations, ensuring alignment with legal requirements. Strong problem-solving skills foster collaboration, enhancing project workflows and client satisfaction.
Overview
9
9
years of professional experience
Work History
Beauty Salon Coordinator
KHRYS’S Hair Designs
Los Angeles, CA
11.2024 - 12.2025
- Enhanced appointment booking efficiency through user-friendly software solutions.
- Boosted client loyalty by providing timely, professional customer service.
- Minimized no-show rates using proactive reminder calls and messages.
- Maintained professionalism while addressing customer concerns and complaints effectively.
- Coordinated client and staff schedules to optimize appointment flow.
Lead Case Worker
TEKsystems
Las Vegas, NV
08.2023 - 10.2024
- Enhanced service delivery by streamlining communication among patients, providers, and insurers.
- Identified improvement areas in service quality through patient feedback analysis.
- Ensured high standards of patient care by monitoring compliance with regulations and policies.
- Maintained confidentiality of sensitive patient information by adhering to HIPAA guidelines.
- Resolved patient concerns and ensured satisfaction through exceptional customer service.
- Strengthened relationships with referral sources, expanding clinic resources and patient benefits.
Senior Case Manager
TEKsystems
Las Vegas, NV
02.2022 - 08.2023
- Increased patient transitions efficiency by streamlining referral processes.
- Ensured patient confidentiality through rigorous compliance monitoring of healthcare regulations.
- Enhanced patient satisfaction scores by analyzing feedback and improving processes.
- Safeguarded sensitive data by adhering strictly to HIPAA privacy regulations.
- Facilitated continuous care by providing patients with after-visit summaries and scheduling.
- Improved appointment scheduling and registration processes to boost patient satisfaction.
- Confirmed patient appointments and prepared paperwork to expedite the check-in process.
Prior Authorization Specialist
Anthem Blue Cross Blue Shield
Las Vegas, NV
03.2020 - 02.2022
- Minimized authorization denials by analyzing trends and developing effective strategies.
- Streamlined data entry and retrieval using electronic health records and claims systems.
- Facilitated communication among members, providers, and teams to resolve complex cases.
- Enhanced approval rates by ensuring accuracy in patient eligibility verification processes.
- Secured necessary clinical information from physicians for prior authorization requests.
- Addressed provider inquiries regarding prior authorization requests swiftly and effectively.
Customer Representative
Bank of America
Las Vegas, NV
06.2019 - 03.2020
- Consistently exceeded customer call time targets.
- Resolved complex customer issues.
- Provided escalated technical support.
- Provided timely responses to customer complaints.
- Developed strong working relationships with key customers.
- Handled challenging inquiries.
- Exceeded quarterly performance goals.
CCR/ Team Supervisor
Republic Services
Las Vegas, NV
07.2016 - 11.2019
- Enhanced compliance through diligent adherence to regulations and standards.
- Accelerated vendor payment approvals, improving cash flow management.
- Achieved high-quality outcomes by implementing strict quality control measures.
- Ensured compliance with local tax laws, optimizing deductions and minimizing risks.
- Met documentation standards consistently, facilitating smooth audits and reviews.
- Shortened collection cycle, improving accounts receivable turnover and cash flow.
- Mentored junior accountants, fostering professional growth and skill development.
- Created growth opportunities for team members through targeted training initiatives.
Education
Some college (No degree) - Health Administration
Ashford University
OnlineCertificate - Medical Office Management
Bryman Medical College
Torrance01.2002
Skills
- HIPAA compliance
- Appointment scheduling
- Customer service
- Patient relations
- Insurance verification
- Patient documentation
Accomplishments
- Transformed corporate culture by reorienting staff to the new model.
- Customer Service - Managed high turn-over rate while maintaining quality service.
- Client Service - Developed long-term relationships with customers which increased repeat business. Maintained a positive an customer service experience, while meeting all deadlines.
Timeline
Beauty Salon Coordinator
KHRYS’S Hair Designs
11.2024 - 12.2025
Lead Case Worker
TEKsystems
08.2023 - 10.2024
Senior Case Manager
TEKsystems
02.2022 - 08.2023
Prior Authorization Specialist
Anthem Blue Cross Blue Shield
03.2020 - 02.2022
Customer Representative
Bank of America
06.2019 - 03.2020
CCR/ Team Supervisor
Republic Services
07.2016 - 11.2019
Certificate - Medical Office Management
Bryman Medical College
Some college (No degree) - Health Administration
Ashford University
Additional Information
Proficient with Microsoft Windows, Microsoft Office, Excel and PowerPoint.