Achieved high customer satisfaction ratings through effective problem-solving and conflict resolution. Contributed to team success by promoting collaboration and support. Recognized for rapid learning and commitment to excellence in service.
Overview
16
16
years of professional experience
Work History
Senior Assistant Customer Support
Gainwell Technologies
Conway, AR, USA
11.2021 - Current
Provided support to members in navigating Medicaid coverage and managing prior authorization requests.
Handled a significant volume of inbound calls to address customer inquiries and provide support.
Analyzed Medicaid claims in collaboration with providers to determine causes of denials or reduced payments for specific procedure codes. Provided strategic guidance to enhance claim submission processes and improve approval rates. Led discussions with providers to clarify claim requirements and optimize reimbursement outcomes.
Supported healthcare providers in retrieving accurate procedure codes and confirming member eligibility.
Sourced and verified Medicaid member details to ensure accurate departmental direction.
Sourced and analyzed information regarding SNAP and SSI benefits to assist individuals with their questions.
Guided members in navigating Wisconsin DHS digital platforms to ensure efficient benefit access and application processes.
Oversaw client engagement with Georgia Medicaid and Wisconsin Medicaid initiatives. Led efforts to facilitate access to state supplement income, SNAP benefits, and senior care programs. Developed strategies to enhance client understanding of available resources and support systems.
Provided mentorship to new hires, ensuring smooth adaptation to workplace expectations.
Nutritional Ambassador
Conway Regional Medical Center
Conway, AR, USA
10.2020 - 07.2021
Monitored and verified adherence to dietary restrictions to support optimal patient care.
Managed patient feedback on meal quality and dietary needs to enhance satisfaction.
Supported patients in selecting meal options to ensure satisfaction during their visit.
Contributed to food preparation and service by assisting with cooking and baking in kitchen and food line.
Managed inventory levels of drinks and snacks in nursing stations and doctors' lounges to support staff well-being.
Managed meal planning and delivery processes to support patient health and recovery.
Personal Care Aide
Independent Choices (Palco)
Little Rock, AR, USA
05.2010 - 01.2020
Documented patient care activities and medication details to ensure accurate health tracking.
Facilitated patient transportation to doctor appointments and meetings to support healthcare access.
Performed essential chores and meal preparation to support patient care and daily living activities.
Delivered essential personal hygiene services to support overall patient well-being.
Oversaw administration of medications to support optimal patient health outcomes.
Provided compassionate support and assistance with daily living activities to promote independence.
Skills
Exhibited consistent reliability and dedication in all professional responsibilities
Engaged with clients to understand their needs and deliver tailored solutions
Exhibited exceptional communication proficiency in conveying complex information clearly and effectively to diverse audiences
Conducted training workshops and provided ongoing mentorship to foster a culture of continuous learning