Cynthia Bethea
Clemmons Medical Center
Winston-Salem,NC
38
years of professional experience
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings. Customer-focused professional with successful 16 years career in medical sector. Dynamic successful applying good communication and the ability to identify problems and execute solutions when needed Reliable employee seeking Manager position. Offering excellent communication and good judgment.
Work History
Disability Claims Manager
4 Years- Experience Telecommuter
- Determined proper course of action for claims processing.
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
- Documented and communicated timely claims information while supporting accurate outcomes.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Examined claims forms and other records to determine insurance coverage.
- Exceeded clients' expectations by compassionately gathering required medical and work history information to complete disability claims.
- Identified issues, analyzed information and provided solutions to problems.
- Used coordination and planning skills to achieve results according to schedule.
- Maintained excellent attendance record, consistently arriving to work on time.
- Managed time efficiently in order to complete all tasks within deadlines
- Skilled at working independently and collaboratively in the team environment
- Worked effectively in fast-paced environments
- Strengthened communication skills through regular interactions with others
Guest Services Representative
4 Years- Part-time weekend position
- Greeted visitors and Patient upon arrival, offered assistance and answered questions to build rapport and retention.
- Oversaw fast-paced front desk operations and visitors needs at busy facility.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Followed document protocols to safeguard confidentiality of patient records.
- Facilitated communication between patients and various departments and staff.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Worked flexible hours, night, weekend, and holiday shifts.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Offered friendly and efficient service to Patient and Visitors, handled challenging situations with ease.
- Resolved problems, improved operations and provided exceptional service.
- Volunteered at local community organizations, providing assistance with day-to-day operations
Patient Sources Coordinator
6 Years 7 Months- Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
- Called patient to confirm appointment and prepared paperwork prior to visit to expedite check-in process.
- Conducts in-bound and out-bound calls scheduling, surveys/screenings
- Epic/Telecommuter Experience
- Respected patients by recognizing rights and maintaining confidentiality.
- Verified patient availability during appointment scheduling process to reduce reschedules and cancellations.
- Delivering the most remarkable patient experience
- Monitor physicians schedules
- Employee of the Month. Press Gainey for outstanding Patient and customer service.
- Lead Patient Service Coordinator for Winston Salem and Kernersville location.
- Preceptor for training for New Hires
- Preform dimensions user functions: Process referrals: Work miscellaneous work queues
- Event Organizer for Winston-Salem and Kernersville location.
- Oversaw monthly inventory orders to guarantee properly stocked office
Behavior Technician
5 Months- Offered active guidance to families adjusting to life with loved one on autism spectrum.
- Implemented and established behavior strategies by setting rules, reiterating expectations and rewarding good behavior for over 10 students.
- Provided responsive communication by phone and email to answer general and pressing questions.
- Exercised physical dexterity to safely implement crisis management interventions and therapeutic holds.
- Completed one-on-one counseling with broad range of clients suffering from Autism and ADHD Behavior Health issues.
- Observed and monitored client behavior and responses to treatment.
- Consulted with other staff members regarding treatment plans as deemed appropriate by team leader.
- Developed goal-oriented psychoeducational and activity therapy groups to improve clients' level of functioning.
- Encouraged patients to discuss experiences in group and individual settings.
- Involved clients' family members in planning social service programs.
- Worked as part of collaborative team to address changing needs of children and families
Auto Claims Adjuster
26 Years 10 Months- Epic system Experience Telecommuter
- Processed ARS Tow invoices on a monthly
- Ten years of Epic Experience
- Ten years’ Experience and Policy sales and service
- Twenty eight of Experience deescalating problems that may arises on a daily bases.
- Sixteen years of Claim Experience (Bodily Injuries, Property Damages )
- Two years of experience with Human Resources in Building Relationship Employee/Team member Relationships
- Interviewed and trained incoming Claims Adjuster and Customer service Representatives.
- Lead company Community outreach service programs and Marketing Event/ Projects
- Managed call Center staff on weekends and holiday five years of experience.
- Managed staffing and scheduling for peak times of high and low call volume.
- Run daily claim reports in Microsoft Excel: Balancing monthly spreadsheets
- Six years of Underwriting Automobile polices for the following states GA, TN ,FL, VA and SC.
- Eight years of Negotiating the cost to repair of vehicles damages property
- Issued payment in the amount of $1,000 to $60,000 to refer Gold Medal shops.
- Advised Customer of legal binding rights of the automobile policy and claim process
- Documented vehicle damage and submitted photographs and in-depth reports to claims department for effective processing.
- Examined potential loss stemming from catastrophe, severity or frequency of possible loss.
Education
Specialist in Psychology
Skills
Epic Experience
VPN
Expense Control
Corporate Social Responsibility
Call Center Transactions
Claims Understanding
Skilled Trainer
Customer Retention
Organization and Planning
CCC Pathways
Disability Claims Process
Performance Monitoring
Team Motivation
Interview Claimants
Investigation/ Research
Workers' Compensation Claims
Estimate Repair Costs
Insurance Fraud Expertise
Managing Referral
Onsite Evaluation
Federal
State and Local Regulations
Hail and Wind Damage Assessment
Familiar with Fraud Statutes
Investigate Property Damage
Insurance Policy Review
Medicare and Medicaid Eligibility
MS Office Suite
Denied claims identification
Contract Negotiator
Care Advocate
Accomplishments
- Resolved product issue through consumer testing.
- Collaborated with team of five in the development of renaming a marketing program for General Motor GMAC.
Timeline
Disability Claims Manager
Lincoln Financial
08.2022 - CurrentRead More
Guest Services Representative
Clemmons Medical Center
08.2022 - CurrentRead More
Patient Sources Coordinator
Novant Health, Inc
01.2016 - 08.2022Read More
Behavior Technician
Maximum Healthcare Solutions
11.2015 - 04.2016Read More
Auto Claims Adjuster
National General Insurance
08.1988 - 06.2015Read More
Western Governors University
Specialist in Psychology
Read More