Briana Shaw
Baltimore,MD
Summary
Well-qualified Customer Service Representative with proven success in improving operations and solving problems. Highly proficient in building lasting relationships with key decision makers, customers and team members to further company goals. Ready to leverage training and experience to take on new professional challenges
Overview
5
5
years of professional experience
Work History
Medical Care Program Associate
State Of Maryland MDH
03.2024 - Current
- Review, interpret, verify, and utilize Medicaid eligibility data to accurately update and maintain the Medicaid Management Information System (MMIS) Recipient Eligibility sub- system in accordance with State and Federally mandated policies and regulations.
- Resolve discrepancies that prevent recipients from receiving Medicaid benefits in a timely manner.
- Provide customer service in accordance with internal staff at the Maryland department of Health (MDH) and external customers at various agencies regarding issues related to Medicaid eligibility
- Act as a liaison with hospitals and LDSS regarding all policy and procedural requirements of the MMIS Eligibility File.
Facility Admissions Coordinator - Emergency Dept.
Baltimore Washington Medical Center
01.2023 - 03.2024
- Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage by reviewing benefits collection in Epic.
- Collecting copays and deposits prior to services and providing financial assistance to patients.
- Educates patients regarding adequate insurance coverage.
- Sending fax notifications to Kaiser Perm for patients who have Kaiser insurance coverage.
- Creating Worker's Compensation & Motor Vehicle Crash claims.
- Delivering IMM (important message from Medicare) to admitted patients.
- Scanning photo ID & insurance card into patient charts.
- Understands applicable hospital and physician billing requirements and communicates the proper procedures and requirements to patients.
Customer Service Representative - Front Desk
Planet Fitness
05.2021 - 12.2022
- Greeted guests at the front desk and engaged in pleasant conversations while managing the check-in process.
- Completed data entry and filing to keep records updated for easy retrieval.
- Managed memberships and billing information. Maintained confidentiality of sensitive data to protect customer and business information.
- Managed over 50 customer calls per day and answered questions from potential customers.
- Escorted new members on tours.
- Scheduled appointments for fitness training.
- Collected payments from members and updated account balances.
- Opened new accounts and documented personal, demographic and payment information in the system.
- Operation of sales register.
- Maintained organized and clean front office area to create a professional and welcoming environment for visitors and employees.
Cashier/Server
JET Services W/ The Orioles Stadium
04.2019 - 05.2021
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Facilitated high volumes of cash, credit, and gift card transactions, verifying cash drawer balance at end of each shift.
- Stocked merchandise, clearly labeling items, and arranging according to size or color.
- Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
- Helped customers place orders, explained menu items and suggested appropriate options for food allergy sufferers.
- Checked identification to enforce age requirement for alcoholic beverages.
- Collaborated with the kitchen team to support order preparation and minimize service issues by verifying meals.
Education
High School Diploma -
Baltimore City College
Baltimore06.2018
Skills
- Microsoft Word
- Microsoft PowerPoint
- Microsoft Excel
- Detail Oriented
- Complex Problem-Solving
- Interpersonal Skills
- Critical Listening
- Organization and Time Management
- Confidentiality Skills
- Customer Accounts Management
- Written & Verbal communication
Timeline
Medical Care Program Associate
State Of Maryland MDH
03.2024 - Current
Facility Admissions Coordinator - Emergency Dept.
Baltimore Washington Medical Center
01.2023 - 03.2024
Customer Service Representative - Front Desk
Planet Fitness
05.2021 - 12.2022
Cashier/Server
JET Services W/ The Orioles Stadium
04.2019 - 05.2021
High School Diploma -
Baltimore City College
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