Cherrelle Vaughn
Plainfield,NJ
Summary
Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success.
Overview
16
16
years of professional experience
Work History
Schedule Specialist- Home Health
LHC Group
Nutley, NJ
06.2023 - 09.2023
- Developed strong client relationships through consistent communication and attentive service.
- Assisted in coordination of scheduling and tracking all supervisory visits and therapy as required.
- Utilized EMR and scheduling tools to efficiently schedule all visits with field staff.
- Processed workflow for requested scheduled, missed, reassigned and delivered visits.
- Reviewed Unverified Visit report daily and communicated directly with field staff, patient care manager, and clinical director as needed.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
Customer Service/ Claim Processor
Connective RX
Fairfield, NJ
12.2018 - 05.2023
- Enrolled Patient's into co-pay assistance program (inbound calls), Processed EOB claims for Patient's & HCP Offices for several drug programs, Reported AE/ PC as needed, Assisted Patient's with online portal to upload EOB/ Health Form(s) for processing, Correspond with Patient's Pharmacies with rejected claims; escalate as needed to resolve denial, Processed EOB claims for several programs within company
- Enhanced team collaboration, sharing best practices for efficient processing techniques.
- Adhered to strict deadlines for processing applications, ensuring timely approvals and client satisfaction.
Customer Service/ Program Support
Iqvia
07.2016 - 09.2018
- Enrolled eligible patients into copay assistance programs, Processed medical claims and interpreted EOB's, Made outbound calls to follow up on rejected claims, Handled denied claims from pharmacies and resolved the issue, Administrative task ; scanning, copying & data entry
Customer Service
Aaron Bail Bonds
07.2015 - 07.2016
- Inbound and outbound calls, Assist individuals needing bail bonds, Creating new files, maintaining customer records, scanning and making copies of bail bond information
Customer Service
Sutherland Global Services
11.2011 - 06.2015
- Obtained patient's Insurance Information, Pre-screened patients documents for eligibility, Trained new employees to meet company requirements; while taking live calls, Inbound/Outbound Calls, Collected payments and arranged payment plans for patients
Credit Card Consultant
New Millennium Bank
04.2007 - 06.2009
- Assisted customers with secured credit cards, Handled daily transitions; set up new accounts, Provided existing card holders with balance information, Data entry, updated existing customers information, Explained the importance of rebuilding and establishing an attractive credit score
Education
High School Diploma -
St. Patrick High School
Elizabeth, NJCompletion of Certificate - Cardiology Technician: Performed EKG, Holter Scanning, Phlebotomy
Star Career Academy
Newark, NJBusiness Administration
Union County College
Cranford, NJSkills
- Root Cause Analysis
- Customer Service & Relations
- Quality Assurance
- Resource Allocation
Timeline
Schedule Specialist- Home Health
LHC Group
06.2023 - 09.2023
Customer Service/ Claim Processor
Connective RX
12.2018 - 05.2023
Customer Service/ Program Support
Iqvia
07.2016 - 09.2018
Customer Service
Aaron Bail Bonds
07.2015 - 07.2016
Customer Service
Sutherland Global Services
11.2011 - 06.2015
Credit Card Consultant
New Millennium Bank
04.2007 - 06.2009
High School Diploma -
St. Patrick High School
Completion of Certificate - Cardiology Technician: Performed EKG, Holter Scanning, Phlebotomy
Star Career Academy
Business Administration
Union County College