Chinita Toussaint
Houston,Texas
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
Senior Team Representative
Continuum Global Solutions - Aetna-Medicare
07.2020 - 03.2023
- Managed a high volume of inbound calls, assisting Aetna Medicare and Commercial customers effectively.
- Delivered information regarding insurance coverage and plan
- Streamlined prescription processing procedures
- Managed high volume of monthly inbound and outbound calls, averaging between 1000-1200.
- Achieved outstanding customer satisfaction scores by liaising with plan members, multiple healthcare insurance companies, and various healthcare providers.
- Demonstrated strict adherence to HIPAA regulations while effectively managing member data profiles, including PHI updates, and processed premium payments using internal software.
Customer Service Agent
Alorica - United Healthcare
01.2019 - 03.2020
- Consistently responded to over 100 daily inbound calls from United Healthcare members, offering accurate information on insurance plans and benefits
- Ensured confidentiality of member's medical records by collecting and entering information into the designated internal software, following HIPAA guidelines.
- Managed the processing of medical claims and prior authorizations for various prescriptions, as well as medical services and procedures.
- Identified opportunities to improve customer service processes and procedures.
- Created reports detailing customer interactions for management review.
- Processed refunds, returns, exchanges, and order cancellations according to policy.
Guidance Counselor Assistant
Spring ISD - Dekaney High School
11.2015 - 01.2019
- Delivered comprehensive secretarial support, effectively communicating information to staff, students, parents, and the public
- Maintained accurate records of student interactions including assessments, referrals, follow-up activities.
- Managed the schedule and supervision of student aides.
- Supported the implementation of standardized testing processes
- Organized and maintained filing systems and database systems for physical and electronic documents, ensuring accuracy and confidentiality of student records.
- Scheduled appointments between parents and students and guidance counselors.
- Ensured efficient operation of office equipment such as printers, copiers and fax machines.
Education
Associate of Arts - Vocal Music Education
Southern University And A&M College
Baton Rouge, LA04.1998
High School Diploma -
Baker High School
Baker, LA05.1996
Skills
- Administrative Support
- Insurance Verifications
- HIPPA Rules and Regulations
- Claims Filing
- Financial Transactions
- Account Management
- Customer Service
- Product Knowledge
- Leadership
- Community Relations
References
References available upon request.
Timeline
Senior Team Representative
Continuum Global Solutions - Aetna-Medicare
07.2020 - 03.2023
Customer Service Agent
Alorica - United Healthcare
01.2019 - 03.2020
Guidance Counselor Assistant
Spring ISD - Dekaney High School
11.2015 - 01.2019
Associate of Arts - Vocal Music Education
Southern University And A&M College
High School Diploma -
Baker High School
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