Dynamic and skilled professional with a strong ambition and a go-getter attitude. Demonstrating self-starting qualities developed over 14 years of caring for military children, adaptable and eager to learn new trades. Possessing creative expertise in activity coordination from a role as an inventory parts specialist, dedicated and experienced in the medical claims and patient relations sector. Known for reliability in adhering to schedules and providing structure to supervised groups, excels at managing expectations while fostering innovation. Committed to promoting positive behavior, willingly volunteers to provide clear guidelines and ensure everyone feels welcome, recognizing that the strength of a team lies in its members.
Overview
5
5
years of professional experience
Work History
Caregiver Health Services
Providence Health Services/ R1 RCM Revenue Cycle
10.2023 - Current
Provided clinical health services to caregivers through telephonic and virtual methods.
Ensure compliance while directing customers in accordance with set guidelines.
Ensured effective inquiry management in compliance with Service Level Agreements.
Providence caregivers are not simply valued - they're invaluable
Handled essential inter-office communications to address patient and insurance company needs.
Provided detailed instructions on billing and claims processes.
Trained caregivers in managing payment plans and processing customer payments.
This is a billing office role with administrative duties, empathy is needed for inbound patient contact, as well as a fast-paced answer and wrap up for FCR
Conveyed policies, procedures, and services of the Plan to Members and Providers to ensure full understanding.
Facilitated member access to the Plan system.
Adheres to call handling goals of 80% of calls answered within 30 seconds
Helps and adheres to call abandonment rate of less than five percent (5%) with average hold time not to exceed 2 minutes based on regulatory requirements
Meets monthly quality goal of ninety-two percent (92%) or greater based on two percent (2%) of calls monitored
Helps and meets schedule adherence goals based on department policy successful completion of proficiency
Central point of contact addressing benefits, claim statuses, and routine drug questions related to Personal Plans utilizing expertise in various other products per first contact resolution parameters.
Verifies demographic information on all inquiries and updates the Plan system
Helps Members with concerns and effectively works toward a resolution before the concern escalates to a complaint
Accesses appropriate sources to obtain benefit information requested by Member and Providers
Acts as liaison between Members, Providers, and billing offices, with follow through to resolve issues
Documented phone log records for each inquiry ensuring compliance with department standards.
Delivery Driver
Uber
10.2019 - 01.2024
Favor delivery driver/ Uber eats and Uber driver
Used GPS system to deliver food and collect people for rides
Quick and Efficient 5.00 star rating
Under 5% cancellations/ Unable to locate/ Return to store
Squeaky clean driving record
Team manager/ Supervisor
Movate LLC
08.2022 - 08.2023
Led and coordinated efforts of an 8-person team.
Assessed warranty claims collaborating with BBB and Attorney Generals.
Outbound calls and customer management
Coordinated large case load of up to 105 cases at once, meeting a resolution metric of 14 days.
Collaborated with dealership service departments.
Detail oriented
Subject matter expert overseeing complex customer service issues within CSS department tier 3.
Evaluated case by case status for buyback potential
Committed to service level daily
Skilled in using Microsoft Office 365.
Maintained high standards of conduct and professionalism.
FedEx Domestic Trace
GC Services
04.2022 - 08.2022
Tracked delivery coordinates.
Obtained information on stalled packages through direct calls to stations.
Utilized picture database to successfully find lost items.
Eops (station scanning program), Cebs (package information and case database), 1source (FedEx tracking system)
Managed inquiries through live chat platform for Shippers.
Cons report (locating packages on containers), Flight aware (tracked flights that packages were on)
Skilled in Microsoft Office applications such as Word, Excel, and Outlook.
Provided updates by making outbound calls to both customers and shippers.
Oversaw large caseloads that were significantly behind schedule, contributing to timely completion.
Emergency Dispatch
Southern California Edison
04.2022 - 05.2022
Handled safety calls and emergencies dispatched to the area.
Provided updates to customers regarding both planned and unplanned outages.
Conducted account maintenance.
Coordinated emergency responses for fires in South Cal area amid project closure.
Bank of America Prepaid Fraud/Risk analyst
Teletech communications
10.2019 - 11.2021
Managed prepaid cardholder accounts.
Resolved customer account issues via chat.
Removed holds and blocks from accounts
Assessed and verified high-risk callers to support departmental safety protocols.
Coordinated bank referrals.
Monitored patterns in fraudulent activities.
Managed detection efforts of potential high-risk fraud cases in workman's compensation.
Executed a detailed 8-step verification process via phone calls to protect California's funds from theft.
South Carolina DHEC COVID-19
Teletech communications
01.2021 - 06.2021
Implemented new line of business for South Carolina, previously unassociated with call centers.
Coordinated efforts to ensure COVID-19 vaccination for senior citizens in South Carolina.
Utilized GPS to identify nearby vaccine appointment availability.
Updated records to ensure residents received the second vaccine dose effectively.
Pharmacy Service Representative
Optum home delivery pharmacy
10.2019 - 01.2021
Facilitated high-quality support for members requesting prescription refills.
Aided in the search for lost medication shipments.
Liaised with healthcare providers regarding prescription renewals.
Processed insurance authorizations.
Demonstrated expertise in HIPAA regulations via comprehensive training and evaluation.
Child Youth Program Assistant (CYPA)
Department of Defense
02.2020 - 08.2020
As a CYPA we are teachers to our military's youth
Provided learning environment
Fun and outdoor play
Family style dining
Worked with children with disabilities at this center
Making lesson plans
Infant-school age
Kept record keeping of room supplies and paperwork
Followed SOP's
American Express Travel Sales/Servicing Agent
Teleperformance
01.2020 - 07.2020
Guided users through the process of making travel bookings.
Became key team member during COVID-19 to assist stranded travelers.
Coordinated with airlines to ensure timely cancellation management and refund processes.
Coordinated travel logistics involving flights, lodging, and vehicle rentals.
Adjusted flight times, hotel reservations/cancellations, car rental cancellations
Implemented digital solutions to manage travel arrangements.