Briana Giles
Summary
Professional representative with robust experience and strong commitment to delivering exceptional results. Offering excellent interpersonal skills and ready to learn and grow in dynamic environment. Brings ability to quickly understand and adapt to new procedures and technologies, including efficient problem-solving and multitasking. Ready to use and develop effective communication and organizational skills in a Supervisor role.
Overview
12
12
years of professional experience
Work History
Independent Dispute Representative II
HCSC, Blue Cross Blue Shield of Texas
09.2022 - Current
- Assisted with inputting proper information for disputes being initiated.
- Provided detailed notes when there were inconsistencies with information provided on disputes.
- Learned more than one step in the process it takes to finalize a dispute for providers.
- Determined if a dispute is eligible or ineligible for the Formal IDR process.
Insurance Follow-Up Representative
Hendrick Health System
02.2021 - 08.2022
- Safeguarded patient privacy by adhering to HIPAA guidelines when handling sensitive personal information during claim follow-up processes.
- Exemplified professionalism when interacting with clients in-person or via telephone, consistently displaying empathy, patience, and tact during difficult conversations.
- Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
- Enhanced customer satisfaction by providing timely and accurate updates on the status of insurance claims.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Optimized workflow productivity through diligent organization and prioritization of daily tasks, resulting in swift resolution of outstanding issues.
- Contributed to a positive work environment by sharing best practices among peers and actively participating in team meetings geared towards continuous improvement.
Administrative Assistant
Texas Department Of Criminal Justice-Robertson
12.2019 - 10.2020
- Answered phone calls from ranking officers to assist in matters of new lock up beds or job placement of an inmate. Answered calls regarding buses coming in from different units with transferred inmates.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Printed daily reports for all staff on the unit that listed all inmates on the unit including housing location, job, school information, and medical appointments.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Maintained confidentiality of sensitive information, adhering strictly to data protection regulations.
- Assisted coworkers and staff members with special tasks on daily basis.
Clerk II
Texas Department Of Criminal Justice-Robertson
06.2019 - 12.2019
- Utilized strong multitasking skills to manage multiple priorities and tasks,
- Supported administrative staff with timely completion of daily tasks, ensuring smooth operations.
- Processed mail accurately and efficiently, ensuring that all correspondence was distributed to the correct recipients in a timely manner.
- Processed mail accurately and efficiently to ensure no inappropriate mail would be given to inmates.
- Maintained a professional atmosphere within the office setting through effective communication skills and polished presentation abilities.
- Maintained confidentiality of sensitive information, adhering strictly to privacy policies.
Customer Service Representative
Pack and Mail
09.2018 - 06.2019
- 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.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Maintained clean and orderly checkout areas by mopping floors, emptying trash cans and wiping down surfaces.
Sales Associate
James Avery Jewelry
11.2017 - 12.2018
- Built relationships with customers to encourage repeat business.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Helped customers locate products and checked store system for merchandise at other sites.
- Provided positive first impressions to welcome existing, new, and potential customers.
- Engaged in friendly conversation with customer to better uncover individual needs.
- Listened to customer needs and desires to identify and recommend optimal products.
- Answered customer questions about sizing and merchandise care.
- Managed returns, exchanges and refunds in accordance with store policy.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
Certified Nursing Assistant
Hendrick Health System
11.2017 - 07.2018
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
Sales Associate
Target
05.2017 - 11.2017
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
- Helped customers locate products and checked store system for merchandise at other sites.
- Rotated stock and restocked shelves to maintain product availability and store appearance.
- Solved customer challenges by offering relevant products and services.
- Increased sales revenue by building strong rapport with customers and recommending appropriate products based on their needs.
- Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
- Participated in visual merchandising, creating attractive displays that stimulated customer interest and sales.
- Contributed to positive shopping environment by maintaining organized and welcoming store appearance.
- Stocked merchandise, clearly labeling items, and arranging according to size or color.
- Engaged in friendly conversation with customer to better uncover individual needs.
- Prioritized helping customers over completing other routine tasks in store.
Micrographic Tech I
Texas Department Of Criminal Justice-Middleton
01.2016 - 11.2016
- Assisted in the process of switching from paper to electronic files of all inmates in the prison system.
- Scanned offender files into a database that essentially held all electronic copies of their paperwork.
- Assisted with cross training and helping the clerks with other tasks in the office when waiting for more files to come in from the intake process.
Clerk II
Texas Department Of Criminal Justice-Robertson
06.2015 - 01.2016
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
- Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
- Supported administrative staff with timely completion of daily tasks, ensuring smooth office operations.
- Ensured confidentiality of sensitive documents through proper storage methods and restricted access control implementation.
- Enhanced team morale by a fostering positive work environment.
- Reduced errors in data entry through rigorous attention to detail and double-checking work.
- Promptly received and forwarded incoming communications, such as phone calls, emails, and letters, to appropriate staff.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to Supervisors and office staff. This includes housing and job changes for inmates.
- Assisted with the printing and distributing of all reports for all officers on the unit that kept track of all inmates housing, job placements, school schedules, and medical appointments.
- Answered incoming calls of buses from other units transferring inmates to the unit to ensure an accurate account of all inmates throughout the day.
Clerk II
Texas Department Of Criminal Justice-Price Daniel
07.2014 - 06.2015
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
- Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
- Supported administrative staff with timely completion of daily tasks, ensuring smooth office operations.
- Ensured confidentiality of sensitive documents through proper storage methods and restricted access control implementation.
- Enhanced team morale by a fostering positive work environment.
- Reduced errors in data entry through rigorous attention to detail and double-checking work.
- Promptly received and forwarded incoming communications, such as phone calls, emails, and letters, to appropriate staff.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to Supervisors and office staff. This includes housing and job changes for inmates.
- Assisted with the printing and distributing of all reports for all officers on the unit that kept track of all inmates housing, job placements, school schedules, and medical appointments.
- Answered incoming calls of buses from other units transferring inmates to the unit to ensure an accurate account of all inmates throughout the day.
Assistant
Albany Abstract
09.2012 - 06.2014
- Contributed to a positive work environment with strong interpersonal skills and proactive teamwork attitude.
- Provided clerical support by copying, faxing, and filing documents.
- Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
- Safeguarded sensitive information through proper documentation handling, data entry, and record maintenance procedures.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Responded to inquiries from callers seeking information.
- Reduced errors in documentation by meticulously proofreading and editing written materials.
- Ensured timely completion of projects with diligent task prioritization, delegation, and followup.
- Streamlined office processes by implementing efficient filing and organizational systems.
Education
Bachelor of Science - Business Administration
Colorado Technical University
Colorado Springs, CO10-2024
Skills
- Problem solving
- Communication skills
- Time management
- Adaptability
- Attention to detail
- Documentation skills
- Multitasking abilities
- Work prioritization
- Positive attitude
- Goal-oriented mindset
- Teamwork and collaboration
Timeline
Independent Dispute Representative II
HCSC, Blue Cross Blue Shield of Texas
09.2022 - Current
Insurance Follow-Up Representative
Hendrick Health System
02.2021 - 08.2022
Administrative Assistant
Texas Department Of Criminal Justice-Robertson
12.2019 - 10.2020
Clerk II
Texas Department Of Criminal Justice-Robertson
06.2019 - 12.2019
Customer Service Representative
Pack and Mail
09.2018 - 06.2019
Sales Associate
James Avery Jewelry
11.2017 - 12.2018
Certified Nursing Assistant
Hendrick Health System
11.2017 - 07.2018
Sales Associate
Target
05.2017 - 11.2017
Micrographic Tech I
Texas Department Of Criminal Justice-Middleton
01.2016 - 11.2016
Clerk II
Texas Department Of Criminal Justice-Robertson
06.2015 - 01.2016
Clerk II
Texas Department Of Criminal Justice-Price Daniel
07.2014 - 06.2015
Assistant
Albany Abstract
09.2012 - 06.2014
Bachelor of Science - Business Administration
Colorado Technical University
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