Chloe Fraser
WILSON,NC
Summary
Healthcare customer service Professional, experienced in Medicare Advantage benefits, eligibility, and claims. Skilled at researching issues, communicating clearly, and providing accurate solutions in a fast-paced environment. Ready to grow into claims and healthcare data operations.
Overview
1
1
Language
8
8
years of professional experience
Work History
Provider Services Representative
CVS HEALTH CORPORATION
Remote-US-NC
07.2024 - Current
- Facilitated provider inquiries regarding eligibility, claims, and benefits to enhance service delivery.
- Coordinated with cross-functional teams to resolve provider issues efficiently and effectively.
- Increased efficiency by accurately entering provider data into company systems and databases.
- Improved communication between providers and insurance companies, leading to better understanding of policy coverage and claim status.
- Promoted positive relationships between the organization and its network providers through timely responses to inquiries and effective issue resolution.
- Maintained up-to-date knowledge on company products, services, and industry trends to provide accurate information to providers.
- Facilitated smoother claims processing by rigorously verifying provider information.
Sales Manager
BUDDY'S FURNITURE
Jacksonville, FL
01.2021 - 07.2024
- Coordinated sales team activities to streamline operations and enhance communication.
- Assisted in preparing sales forecasts and reports to support strategic decision-making.
- Managed customer inquiries and provided product information to boost client satisfaction.
- Trained and mentored junior sales staff, fostering professional growth and improving team performance metrics.
- Organized training sessions for new staff, improving onboarding efficiency and knowledge retention.
- Developed promotional materials that effectively conveyed product features and benefits.
- Supported the General Store Manager in implementing process improvements that enhanced overall productivity.
Hemodialysis Technician
DaVita
Charlotte, NC
06.2018 - 01.2021
- Administered dialysis treatments, ensuring patient comfort and adherence to safety protocols.
- Monitored vital signs and fluid balance, documenting changes to inform medical team decisions.
- Assisted in troubleshooting dialysis machines, ensuring optimal functionality and minimizing downtime.
- Responded to dialysis-related emergency situations under nurse supervision.
- Maintained accurate medical records, documenting treatment details and patient progress consistently.
- Reinforced patient and caregiver education to enhance understanding of disease and prescribed treatment protocols.
- Implemented process improvements that enhanced treatment accuracy and reduced patient wait times.
Education
Bachelor of Science - Business Marketing
Winston-Salem State University
Winston-Salem, NC05-2017
Skills
- Claims processing
- HIPAA compliance
- Goal orientation
- Call center operations
- Quality assurance
- Policies and procedures adherence
- Healthcare industry
- Microsoft office
- Attention to detail
- Problem-solving
- Effective communication
- Time management
- Multitasking
- Effective communication
- Verbal communication
- Active listening
- Conflict resolution
- Calm under pressure
- Task prioritization
- Quality assurance
- Policy adherence
Accomplishments
Developed PowerPoint training guides and quick-reference email resources to help team members navigate appeals for claims, and proper use of internal systems for more efficiency and accuracy.
Mentored fellow representatives through real-time chat support, providing call guidance, per the companies policies and procedures, and directing them to internal resources and databases to ensure, accurate, consistent service for providers.
Affiliations
WSSU Alumni Association
Languages
English
Native or Bilingual
Timeline
Provider Services Representative
CVS HEALTH CORPORATION
07.2024 - Current
Sales Manager
BUDDY'S FURNITURE
01.2021 - 07.2024
Hemodialysis Technician
DaVita
06.2018 - 01.2021
Bachelor of Science - Business Marketing
Winston-Salem State University