Chevanique Black
Pembroke Pines
Summary
Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
7
7
years of professional experience
Work History
Medicare/Medicaid Collections Coordinator & Refund Request Specialist
VITAS Healthcare
04.2023 - Current
- Managed timely billing and collection of Medicare and Medicaid claims in compliance with federal and state regulations.
- Reviewed Medicare accounts to ensure all required documentation and claim information were complete and compliant.
- Reviewed pending reports and followed up to resolve outstanding issues, ensuring timely claim resolutions.
- Responded to technical assistance letters and resolved claim discrepancies promptly.
- Communicated with necessary departments to verify or obtain Medicaid/ Medicare admissions for eligibility verification and third-party payer information.
- Collaborated with clinical teams and medical records departments to obtain required documentation for billing.
- Communicated with state agencies regarding claim status, eligibility, and reimbursement matters.
- Analyzed Aged Trial Balance (ATB) reports to track collection progress and identify problematic accounts for targeted follow-up.
- Managed patient account inquiries and resolved billing discrepancies to enhance patient satisfaction and streamline collections.
- Collaborated with other departments to streamline billing processes.
- Identified uncollectible accounts and recommended them for supervisory review and resolution.
Customer Service/ Sales Associate
Verizon Wireless
08.2022 - 06.2023
- Consulted and assisted customers with billing, product, service, and account inquiries.
- Deescalated customer concerns to achieve first contact resolution and enhance customer satisfaction, positively impacting company brand.
- Managed and prioritized daily workload for assigned group customers, meeting customer demands.
- Practiced advanced follow-up skills with internal and external parties to ensure group customer expectations were met.
- Provided consumers clear disclosures for policies and procedures by supporting customer and partner inquiries.
- Increased company earnings by creating average $227 value gain per hour.
- Created and drove change amongst team through virtual platforms, encouraging a positive, goal-oriented, and focused team.
- Troubleshot devices, processed replacements, and documented product issues identified through investigation of software and devices.
- Provisioned devices and services into company network by completing initial set up and activation.
- Read, interpreted, and communicated eligibility requirements following plan guidelines.
Pharmacy Technician
Walgreens
Pembroke Pines
11.2020 - 08.2022
- Served as the primary contact for all enrollment tasks for an assigned book of business.
- Answer member, provider, and group customer phone calls, consistently meeting department expectations for responsiveness and providing friendly customer service.
- Responded to provider and pharmacy inquiries regarding prior authorizations, formulary processes, and overrides.
- Reviewed and audited pharmacy and override requests for compliance with company and state guidelines.
- Utilize established procedures to maintain enrollment data in applicable systems based on customer requests, electronic files, or internal reports.
- Consulted with supervisors on complex enrollment inquiries to ensure accurate processing.
- Resolved provider and member complaints regarding pharmacy network issues, facilitating effective communication and support.
- Assisted with pharmacy utilization review, reporting, and quality improvement meeting preparation.
- Analyzed utilization trends and costs to support pharmacy management decisions.
Customer Experience Specialist
Best Buy
Pembroke Pines
11.2018 - 11.2020
- Resolved customer inquiries, ensuring complete resolution of current and potential issues.
- Maintained and updated customer information ensuring accurate and current data.
- Conducted returns, exchanges, and trade-ins.
- Handled cash and cashless transactions.
- Drove store sales through effective promotion of company offers and initiatives.
- Prepared online orders and ship-to-home packages.
- Investigated and documented cashflow shortages and overages.
- Calculated and reported on store profits, losses, and product shrink to inform management decisions.
Education
High School Diploma -
Glenmuir High School
Jamaica06-2018
Skills
- Medicare billing
- Claims Resolution
- Patient Advocacy
- Customer relationship management
- Record keeping
- Data Analysis
- Microsoft Office/ Word/ Excel
- Problem solving
- Attention to detail
- Administrative problem-solving
- Critical Thinking
- Active listening
- Team collaboration
- Teamwork orientation
- Management
- Communication skills
Education and Training
other,other
Timeline
Medicare/Medicaid Collections Coordinator & Refund Request Specialist
VITAS Healthcare
04.2023 - Current
Customer Service/ Sales Associate
Verizon Wireless
08.2022 - 06.2023
Pharmacy Technician
Walgreens
11.2020 - 08.2022
Customer Experience Specialist
Best Buy
11.2018 - 11.2020
High School Diploma -
Glenmuir High School