Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Bethany Touseull

Jermyn,PA

Summary

Dynamic professional with a proven track record at Cognizant, excelling in process optimization and compliance. Skilled in analytical thinking and active listening, I significantly reduced error rates and thereby operational costs. Committed to enhancing customer satisfaction through efficient document review and exceptional service delivery.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Process Executive - DCU

Cognizant (TMG Health)
10.2015 - Current
  • Received and analyzed all incoming documents and determined the correct course of action for each, providing clear information to the recipient as to the nature of the document for prompt handling
  • Collaborated closely with other departments for achieving operational excellence across the organization.
  • Investigated basic issues and escalated more complicated concerns for documents received and insurance member's accounts.
  • Answered telephone or online requests and completed interactions quickly to meet productivity goals.
  • Maintained strict adherence to quality standards by conducting regular training and self evaluation, resulting in reduced error rates.
  • Reduced operational costs with thorough process analysis and optimization strategies.
  • Assisted management by providing data-driven insights on process performance trends and opportunities for improvement.
  • Inputted and submitted client information to facilitate speedy processing of paperwork.
  • Accurately processed documents for provider, insurance member, health insurance, and other's needs.
  • Streamlined workflows for increased productivity through the application of automation tools and lean methodologies.
  • Improved process accuracy, conducting thorough quality checks and implementing corrective measures.

Customer Service Representative

Cigna
08.2014 - 02.2015
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.

Spa Attendant

The Lodge at Woodloch
08.2011 - 07.2014
  • Supported front desk operations including greeting guests upon arrival, providing informative tours of the facility, assisting with preparations for treatments, maintaining a clean and hygienic environment at all times.
  • Assisted estheticians and massage therapists in setting up rooms and stations with supplies.
  • Trained new employees in best practices for customer service, cleanliness, and product knowledge within the spa environment.
  • Improved customer satisfaction by providing exceptional service and maintaining a clean, organized spa environment.

Education

No Degree - Associates of Science, Emphasis in Microsoft Progr

Red Rocks Community College
Denver, CO

Skills

  • Document review
  • Efficiency improvement
  • Software knowledge
  • HIPAA Compliance
  • Medicare and Medicaid
  • Corporate Compliance
  • Analytical thinking
  • Microsoft office
  • Data review
  • Account updates
  • Time management
  • Data entry
  • Escalation procedures
  • Active listening
  • Attention to detail

Certification

Currently undergoing the Cognizant training program for Medical Coding 101.

Timeline

Process Executive - DCU

Cognizant (TMG Health)
10.2015 - Current

Customer Service Representative

Cigna
08.2014 - 02.2015

Spa Attendant

The Lodge at Woodloch
08.2011 - 07.2014

No Degree - Associates of Science, Emphasis in Microsoft Progr

Red Rocks Community College
Bethany Touseull