Crystal Ware
Lafayette ,USA
Summary
- Achieved significant improvements in production quality control and employee performance through effective leadership and safety protocols. Fostered a collaborative team environment to drive operational success in healthcare. Transitioned into healthcare management to leverage skills in a growth-oriented organization.
- Enhanced healthcare delivery by effectively managing EMR/EHR systems. Maximized productivity through proficient use of MS Office applications including Outlook, Excel, Word, and PowerPoint. Achieved timely documentation with a typing speed of 45 wpm.
- Achieved seamless project execution by effectively guiding teams in following directions. Enhanced production quality through proactive safety measures. Built strong team dynamics that resulted in increased trust and dependability. Accelerated learning processes to improve overall team performance.
- Exhibited superior communication skills, enhancing interactions through verbal, written, and interpersonal channels.
- Leveraged strong multitasking skills and attention to detail to support effective team collaboration.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Sierra health
07.2024 - Current
- Resolved customer issues and concerns related to product and service usage.
- Recorded call-related information to ensure compliance with auditing standards.
- Oversaw maintenance and updates of customer information to ensure data accuracy.
- Maintained focus and productivity in a tranquil workspace.
- Reviewed and analyzed policy information to ensure compliance and understanding.
- Streamlined navigation across multiple systems simultaneously.
Freight Handler
Walmart distribution center
Opelika, AL
09.2022 - Current
- Executed strategic initiatives to drive customer retention efforts.
- Organized and stacked merchandise for efficient shipping to retail locations.
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- Utilized headset and handheld device to accurately organize merchandise according to specified directions.
- Executed order fulfillment processes to ensure timely delivery of products.
Customer Service Representative
Continuum Global Solutions
08.2021 - Current
- Managed high-volume call operations to ensure efficient customer service delivery.
- Addressed and resolved customer issues to enhance satisfaction and loyalty.
- Managed inbound call center operations to ensure efficient customer service delivery.
- Addressed inquiries and resolved issues to enhance customer satisfaction.
- Led troubleshooting initiatives to resolve technical issues efficiently.
- Assisted in clarifying billing processes for clients. Supported team in addressing billing inquiries and resolving discrepancies. Facilitated communication between departments to streamline billing operations.
- Orchestrated navigation across multiple systems to streamline workflows.
- Managed high-volume call traffic while maintaining quality service and response times.
- Collaborated with cross-functional teams to streamline processes and improve customer satisfaction ratings.
- Analyzed customer service trends to provide insights for strategic decision-making and resource allocation.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Customer Service Representative
Verizon
11.2021 - 09.2022
- Oversaw incoming call operations to deliver prompt and professional customer service.
- Addressed customer billing issues, delivering prompt and effective resolutions.
- Provided technical support to resolve user issues and enhance system functionality.
- Facilitated customer bill payment processes to enhance service efficiency.
- Executed order placement processes to ensure timely procurement of necessary materials.
- Executed troubleshooting procedures to identify and resolve technical issues.
Quality Control Specialist/ Operator
Great Lakes Metal Stamping, Inc
Cusseta, AL
04.2017 - 08.2021
- Coordinate job requirements with clients to maintain quality assurance of projects produced.
- Serve as inspector, perform safety & quality checks, and prepare equipment.
- Maintain safe, productive working environment at all times.
- Inspecting parts and equipment to ensure they are safe for production and use.
- Resolve production, safety and quality-related issues in a timely manner.
- Recommend improvements to the production process to ensure quality control.
Team Leader / Quality Control and Safety Instructor
Johnson Controls
West Point, GA
06.2011 - 02.2017
- Responsible for day to day production, training, safety and quality standards for between 20-30 employees.
- Continually examined product quality to ensure adherence to production safety and quality standards.
- Ensured and maintained the flow of production at all times.
- Maintained a productive, safe and healthy work environment by following all company standards and procedures, and complying with legal regulations.
- Ensure that all of the safety and quality check procedures put in place by the company are followed during every level of the production process.
- Investigates accidents and production errors to determine causes and devise preventive measures & solutions.
Customer Service Associate/ Cashier
Parker Foods
La Fayette, AL
07.2004 - 10.2008
- Responsible for answering phones, greeting & providing quality service, direction and solutions to customers.
- Cross trained in multiple departments including: front line, cashier, produce and back line.
- Accurately ring up and total customer merchandise.
- Ensure clean and safe working environment and report to superior any challenge unable to handle in the course of work.
Education
High School Diploma -
Lafayette High School
Lafayette AL05.2008
Associate's degree - undefined
Associate of Science degree - Health Sciences
Ultimate Medical Academy
01.2019
Skills
- Executed ICD-10 coding to ensure accurate medical billing and compliance
- Facilitated appeals process by reviewing and analyzing case details
- Assisted customers in identifying product needs and providing solutions Supported sales team in achieving targets through effective communication Contributed to maintaining inventory levels and product displays
- Assisted healthcare teams in managing payer relationships Supported the coordination of claims processing and reimbursement activities Aided in the resolution of billing inquiries and discrepancies
- Assisted in managing electronic medical records to support healthcare teams Facilitated data entry and retrieval processes to enhance patient care Provided training to staff on EMR systems for improved efficiency
- Assisted clients in navigating Medicare and Medicaid programs Supported enrollment processes for government payers Provided information on benefits and coverage options
- Assisted guests with inquiries and requests to enhance their experience Supported team members in daily operations to maintain service standards Contributed to a positive atmosphere through friendly interactions with customers
- Assisted in connecting clients with appropriate services through referrals Supported team members in identifying potential leads for business growth Facilitated communication between clients and service providers to enhance satisfaction
- Demonstrated exceptional verbal and written communication skills to facilitate effective collaboration
- Assisted in organizing and maintaining medical charts for efficient access Supported healthcare professionals by ensuring accurate documentation of patient information Contributed to the overall quality of patient care through diligent record-keeping
- Assisted in managing patient records and scheduling appointments Supported administrative tasks to maintain office efficiency Helped coordinate communication between medical staff and patients
- Executed insurance verification processes to ensure accurate patient billing
- Assisted in typing documents and reports for team projects Supported colleagues by transcribing meeting notes and correspondence Contributed to maintaining organized records through accurate data entry
- Assisted in coding and categorizing medical records using ICD-9 standards Supported healthcare teams in maintaining accurate patient data Contributed to the organization of medical documentation for efficient retrieval
- Assisted in understanding medical fundamentals and healthcare claim processes Supported teams in navigating the healthcare claim cycle effectively Contributed to the resolution of claim-related inquiries and issues
- Administered computer systems and software applications for medical office operations
- Oversaw medical records management to ensure accurate billing processes
- Utilized medical terminology to enhance communication and documentation accuracy
- Assisted in processing claims from third party payers Supported teams in managing payer communications Aided in resolving discrepancies with payment processing
- Assisted in daily operations of medical office Supported patient scheduling and appointment management Helped maintain organized patient records
- Assisted in maintaining compliance with HIPAA regulations to protect patient information Supported training initiatives for staff on HIPAA policies and procedures Aided in the development of documentation to ensure adherence to privacy standards
- Ensured adherence to HIPAA regulations to protect patient privacy and confidentiality
- Analyzed and resolved healthcare setting denials to ensure timely reimbursement
- Assisted customers with inquiries and issues to enhance satisfaction Provided support in resolving product-related concerns Facilitated communication between customers and service teams
- Facilitated introduction to CPT coding within managed care frameworks, including HMO, PPO, and POS models
- Utilized Microsoft Office applications to assist in document creation and data management Supported team members in organizing presentations and reports Aided in maintaining accurate records and schedules
- Assisted in processing reimbursement requests for employees Supported team members in understanding reimbursement policies Helped maintain accurate records of reimbursement transactions
- Assisted in processing cms1500 claim forms to facilitate timely reimbursements Supported healthcare providers in completing superbill documentation accurately Collaborated with team members to streamline claims submission processes
- Assisted in understanding basic anatomy and physiology concepts Supported peers in grasping foundational biological principles Contributed to group discussions on human body systems
- Executed accurate data entry processes to ensure information integrity
- Assisted with payment processing and charge entry tasks Supported accurate posting of payments to accounts Collaborated with team members to maintain organized records
- Executed cash handling procedures to ensure accurate financial transactions
- Assisted patients with registration processes to ensure accurate data entry Supported front desk operations by managing patient information efficiently Facilitated communication between patients and healthcare providers to enhance service delivery
- Oversaw medical billing processes to ensure accurate and timely claims submission
- Medical Office
Certification
- Property & Casualty License
- Driver's License
- Life & Health Insurance License
Timeline
Customer Service Representative
Sierra health
07.2024 - Current
Freight Handler
Walmart distribution center
09.2022 - Current
Customer Service Representative
Verizon
11.2021 - 09.2022
Customer Service Representative
Continuum Global Solutions
08.2021 - Current
Quality Control Specialist/ Operator
Great Lakes Metal Stamping, Inc
04.2017 - 08.2021
Team Leader / Quality Control and Safety Instructor
Johnson Controls
06.2011 - 02.2017
Customer Service Associate/ Cashier
Parker Foods
07.2004 - 10.2008
Associate's degree - undefined
Associate of Science degree - Health Sciences
Ultimate Medical Academy
High School Diploma -
Lafayette High School