Briana Good
Rock Hill,SC
Summary
Highly motivated and client-focused professional with exceptional communication skills and a positive learning process. Experienced in customer service, financial processing, behavioral youth support and medical billing. Empathetic, detail-oriented, and skilled in team leadership. Eager to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
5
5
years of professional experience
Work History
Residential Counselor Behavioral Youth Support
New Hope Treatment Center
2024.06 - Current
- Monitor youth behaviors and document progress in compliance with treatment protocols.
- Provides documentation in the health record of resident behavior, and interventions provided and their effectiveness on a daily basis.
- Ensures the safety of all residents under their care by learning and implementing only those medical and life safety policies and procedures.
- Assists in the coordination of therapeutic activities and oversees the completion of resident activities including but not limited to hygiene, chores, journalizing, homework or other clinical assignments.
Member Billing Representative
Point32 Health
2023.10 - Current
- Assist customers with plan inquiries, coverage details, and billing questions to maintain high satisfaction levels.
- Collaborated with healthcare providers to verify patient insurance coverage and billing details.
- Monitor customer account details for non-payments, delayed payments, and other irregularities
- Maintained comprehensive knowledge of health plan policies to ensure compliance and efficient service delivery.
Customer Service Representative
Progressive
2022.11 - 2023.10
- Assist customers with policy inquiries, coverage details, and billing questions, ensuring high customer satisfaction.
- Effectively resolve customer conflicts and complaints, maintaining a positive brand image for the company.
- Handle policy renewals, identifying potential upsell opportunities and tailoring coverage to meet individual needs.
Disputes and Fraud Management Specialist
PSCU
2021.05 - 2022.11
- Conduct thorough investigations of suspected fraudulent transactions and chargebacks, utilizing advanced fraud prevention tools and techniques.
- Process and manage chargebacks, adhering to strict deadlines and regulatory requirements.
- Monitor transactions and account activities, identifying potential fraud patterns and implementing risk mitigation measures.
- Maintain detailed case documentation, ensuring accuracy and compliance with internal policies.
Education
Bachelor of Science -
Limestone University
2020-12
Skills
- De-escalation techniques
- CRM Software Proficiency
- Detail Orientation
- Active Listening
- Conflict Resolution
- Fraud Analyst Skills
- Medical Billing Expertise
- Prioritization and Multi-Tasking
- Claims Management Support
- Effective Time Management
- Clear Oral Presentation Skills
- Clear Written Communication Skills
Timeline
Residential Counselor Behavioral Youth Support
New Hope Treatment Center
2024.06 - Current
Member Billing Representative
Point32 Health
2023.10 - Current
Customer Service Representative
Progressive
2022.11 - 2023.10
Disputes and Fraud Management Specialist
PSCU
2021.05 - 2022.11
Bachelor of Science -
Limestone University