Collaborative Insurance Verification Specialist with proven success building patient rapport and preserving data integrity. Smart, reliable and possessing extensive Medicaid and non-Medicaid benefits knowledge.
Overview
7
7
years of professional experience
Work History
A/ B/ DME Claims Specialist
Maximus Federal
Lawrence, KS
08.2018 - 07.2021
Conducted full claim investigations and reported updates and legal actions.
Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
Generated, posted and attached information to claim files.
Modified, updated and processed existing policies.
Maintained confidentiality of patient finances, records and health statuses.
Acted as claims subject matter expert, answering internal and external questions and inquiries.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Enrolled 100-200 Medicare beneficiaries into new plans every day during open enrollment(09/15-127 of every year) not including the regular daily calls
Checked documentation for accuracy and validity on updated systems.
Apple Tech Support Specialist
Alorica
Topeka, KS
07.2016 - 04.2017
Assessed system hardware and software and suggested modifications to reduce lag time and improve overall speed.
Resolved diverse range of technical issues across multiple systems and applications for customers and end-users across various time zones.
Recorded and maintained relevant notes for each client and work order.
Resolved multiple technical support inquiries per day.
Explained technical information in clear terms to non-technical individuals to promote better understanding.
Developed and maintained courteous and effective working relationships
Handled multiple calls per day to address customer inquiries and concerns
Increased customer satisfaction by resolving Apple Tech issues
Actively listened to customers' requests, confirming full understanding before addressing concerns
Interviewer
BRFSS
Topeke, KS
06.2015 - 07.2016
Delivered information from script regarding surveys for on-demand phone project assignment.
Observed participants and recorded results.
Explained questions in better detail for interviewees to allow truthful answers.
Conducted interviews with participants to assess eligibility
Explained questions in better detail for interviewees to allow truthful answers
Obtained updated contact information from all subjects and verified data for accuracy
Completed surveys by rechecking contact information before ending each call
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity
Demonstrated respect, friendliness and willingness to help wherever needed
Crew Leader
Burger King
Topeka, KS
05.2013 - 06.2015
Trained employees in time management and proper ways to complete job duties.
Discussed daily work requirements with crew and assigned skills-based tasks to enable completion of work.
Monitored overall team and individual employee performance and compiled data into project reports for supervisor.
Instructed crew members in safe work practices and methods to reduce work-related injuries.
Communicated effectively with upper management, team members and customers to keep everyone informed.
Supervised crew of 2-4 employees on Burger King protocol