Bringing forth excellent customer service skills and an understanding of the medical industry and important medical terminology. Proven ability to establish and maintain excellent communication and relationships with clients.
Overview
15
15
years of professional experience
Work History
Long-Term Substitute Teacher
Bates Middle School
10.2023 - Current
Utilized technology, such as online learning platforms, to enhance instruction and student engagement.
Ensured compliance with the school’s policies, procedures, and regulations.
Provided classroom instruction to students , in Social Studies, with a focus on promoting a safe and engaging learning environment.
Claims Specialist
Sedgwick
09.2022 - 09.2023
Assisted the healthcare provider by retrieving medical records and test results
Prepared and filed medical paperwork, including insurance and medical claims
Ensure appropriate diagnostic and procedural coding for all HCFA-1500, UB92 and other claim forms.
Sales Representative
Iqor
10.2021 - 09.2022
Contacted new and existing customers to outline benefits of products
Identified customer needs to deliver relevant product solutions
Build relationships with customers to expand customers and retain business.
Customer Care Advocate
Everise
05.2020 - 08.2021
Assisted clients in understanding their Medicaid benefits, explaining complex regulations and policies with clarity.
Improved member satisfaction by responding promptly and professionally to Medicaid inquiries.
Resolved discrepancies in member accounts by conducting thorough research and applying appropriate corrective actions as necessary.
Assistant Manager
Red Bay Grocery Store
02.2010 - 03.2020
Set schedules and assignments to optimize floor coverage and service levels
Provided mentorship for employees to generate sales; promote up selling
Reviewed monthly sales and performance reports to support operational planning.
Education
Medical Front Office & Administration Specialist -
Professional Medical Training Center
06.2015
H.S Diploma -
Sumter High School
06.2009
Skills
Computer Skills
Leadership
Communication
Customer Service
Inbound & Outbound calling
First aid & CPR
Medical Terminology
Claims Management
Quality Control
Timeline
Long-Term Substitute Teacher
Bates Middle School
10.2023 - Current
Claims Specialist
Sedgwick
09.2022 - 09.2023
Sales Representative
Iqor
10.2021 - 09.2022
Customer Care Advocate
Everise
05.2020 - 08.2021
Assistant Manager
Red Bay Grocery Store
02.2010 - 03.2020
Medical Front Office & Administration Specialist -