Brandy Felton
Louisville,KY
Summary
Eager and resolute professional seeking a challenging role in customer service, leveraging a proven history of organizational skills, a strong work ethic, and a passion for delivering exceptional service experiences. With a focus on cultivating positive outcomes for customers and team members, I aim to apply my expertise to contribute to a dynamic team environment, fostering a culture of respect, support, and collaborative success Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
7
7
years of professional experience
Work History
Claim & Authorization
OnPoint Warranty
, KY
06.2023 - 07.2024
- Evaluate all new claims, approvals, and denials.
- Respond promptly to customer inquiries via phone, email, and chat, maintaining a professional and cheerful outlook.
- Administer claims adjudication based on claims logic and rules.
- Analyze all claims and identify all risks, and ensure processing of all claims as per company policy and T&C's of warranty replacement and Buyout comp.
- Process 30-35 claims weekly.
- Process payments.
- Microsoft Office, Outlook.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Staff Coordinator
Nortons Healthcare
04.2021 - 06.2023
- Assign staff to hospitals to work scheduled shifts.
- Upload contracted employees' schedules into the time management applications.
- Enter all clock ins/out.
- Enter education/LMS time into timecards.
- Help with the upkeep of timecards for employees.
- Attend staff meetings with all management within all four hospitals.
- Report and document all call-ins/tardies.
- Assist with keeping employees' files updated.
- Served as a liaison between upper management and staff members by communicating expectations and providing guidance as needed.
Patient Advocate
Elevate PFS
11.2019 - 04.2021
- Working as the liaison between the patient in need, the hospital facility, and government agencies.
- Complete the appropriate applications and follow through until approved.
- Detailed, accurate, and timely documentation in both Greenscreen and the hospital systems on all cases worked.
- Collaborate with hospital staff, case managers, social workers, and financial counselors.
- Microsoft Office, Outlook.
- Facilitated communication between providers, patients, and family members.
Program Coordinator
Evolent Health
02.2017 - 11.2019
- Function as the pivotal point of communication for all members of the health team, their patients, and their patients' physicians.
- Achieved excellent customer service to patients and physicians.
- Maintain and manage the team's databases.
- Assigned cases to appropriate Care Advisors.
- Prepared reports on progress towards program goals for management review.
Education
Some College (No Degree) - LPN Nursing
ATA College
Louisville, KYSkills
- Manage emails correspondences and scheduling
- Pleasant, professional, and articulate phone voice
- Ability to multi-task and manage multiple tasks
- Interpersonal and organizational skills
- Efficient and accurate data-entry skills
- Microsoft Office
- Outlook
- Problem-Solving
- Communication
Timeline
Claim & Authorization
OnPoint Warranty
06.2023 - 07.2024
Staff Coordinator
Nortons Healthcare
04.2021 - 06.2023
Patient Advocate
Elevate PFS
11.2019 - 04.2021
Program Coordinator
Evolent Health
02.2017 - 11.2019
Some College (No Degree) - LPN Nursing
ATA College
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