Chiniqua Davis

Complete, organize and oversee the negotiation and IDR process of assigned cases to ensure all receipts are processed accurately and promptly.

Complete dispute procedures as assigned such as intake, case creation, package creation, IDR Entity coordination and response, invoice payment coordination or research.

Coordinate and maintain system of tracking provider disputes which includes identification and resolution of outcome of the case.

Ability and possible assignment to complete claims adjustments regarding processing of IDRs or negotiations.

Determine need for obtaining additional information and notifying providers as related to the processing of disputes.

• Handled difficult customer situations with grace and professionalism, consistently meeting first-call resolution metrics.
• Provided exceptional customer service to high-volume customer base, resolving issues, answering inquiries and providing product information.
• Developed and maintained strong customer relationships by promptly addressing and resolving customer concerns.
• Listened to customers in actively to assess issues and provide accurate information.
• Researching and responding to telephone and written inquiries within the statutory time frames and in an accurate and objective manner; collecting non-clinical data; determining benefit levels according to contract guidelines; and pending designated cases and referral requests to a RN for clinical review.

• Handled customer inquiries and suggestions courteously and professionally.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
• Answered constant flow of customer calls with minimal wait times.
• Answered customer telephone calls promptly to avoid on-hold wait times.
• Updated account information to maintain customer records.
• Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
• Responded proactively and positively to rapid change.
• This Job was temporary and I was hired on permanently hired on to HCSC
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• Opened and closed the store daily, maintaining food records and inventory
• Created schedules that are flexible to meet staffing criteria and keep the atmosphere uplifted
• Resolved customer complaints and maintained clean and tidy checkout area.
• Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
• Met customer service goals and exceeded customer expectations.
• Enabled customers to feel welcomed, important, and appreciated by answering questions about products sold throughout store.
• Processed customer orders and accurately handled payment transactions.
• Developed and managed relationships with customers to increase customer loyalty.
• Counted money in drawers at beginning and end of each shift.
• Answered product questions using knowledge of sales and store promotions.
• Maintained accurate records of customer transactions for reporting purposes.
• Performed cash, card and check transactions to complete customer purchases.
• Opened and closed the store daily, maintaining food records and inventory
• Created schedules that are flexible to meet staffing criteria and keep the atmosphere uplifted