Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Dacia Eady

North Las Vegas,NV

Summary

Healthcare professional with solid foundation in provider enrollment. Recognized for improving enrollment efficiency and ensuring compliance with regulatory standards. Known for fostering team collaboration and consistently achieving successful outcomes through adaptability and reliability. Proficient in credentialing processes and regulatory requirements.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Provider Enrollment Representative

Noridian Healthcare Solutions
Fargo, ND
10.2019 - Current

Achieved streamlined enrollment processes through effective support of provider enrollment team. Delivered comprehensive research to optimize enrollment practices. Established robust control mechanisms to enhance documentation accuracy.

Achieved improved organization of incoming applications and correspondence through effective categorization. Enhanced review processes to facilitate timely responses and maintain workflow efficiency. Contributed to overall team productivity by optimizing application management.

Achieved timely processing of medicare provider enrollment applications, contributing to improved provider onboarding. Generated and sent enrollment packages to prospective providers, facilitating smoother enrollment.

Facilitated timely processing of notification letters. Optimized data entry processes within internal document management and workflow systems. Improved workflow efficiency by leveraging PECOS capabilities.

Facilitated team growth through effective mentoring on CMS, MCS, and MAC systems. Promoted knowledge sharing that resulted in enhanced team performance and collaboration. Enabled team members to develop skills that contributed to overall project success.

Cultivated a supportive environment for mentees, enabling them to reach their objectives effectively.

Fraud Analyst

U.S. Bank
Fargo, ND
10.2018 - 10.2019
  • Achieved effective risk assessment and fraud detection through diligent research and analysis of account activities. Proactively contacted cardholders to verify suspicious transactions, leading to timely fraud case initiation. Streamlined card reissuance processes and ensured cases were promptly forwarded for in-depth investigation.

Customer Service Representative

Tele-Direct Communications
Remote
06.2018 - 10.2018
  • Achieved high client satisfaction through effective remote communication. Streamlined 30-40 calls handling for a variety of clients and optimized seminar reservation processes. Enhanced donation efforts through efficient appointment management.

Customer Advocate

Blue Cross Blue Shield
Fargo, ND
02.2018 - 05.2018
  • Achieved high levels of customer satisfaction by effectively addressing inquiries related to Blue Cross Blue Shield of North Dakota products and plans. Delivered accurate and timely responses to a wide array of inquiries. Resolved intricate customer issues through diligent claims research and system enhancements. Facilitated follow-up communications to ensure resolution of discrepancies and maintain customer trust.

Fraud Analyst II

US Banks
Fargo, ND
09.2015 - 02.2018
  • Oversaw daily processing of 1500+ credit card applications. Led verification of personal information through credit bureaus and various tools to ensure accuracy. Initiated outbound calls to gather additional information and address fraud alerts on customer credit reports. Managed requests for documentation to confirm customer identity as needed. Supervised handling of 50-60 inbound calls daily, providing clarity on application status and fraud concerns. Executed cancellation of fraudulent applications and coordinated with credit bureaus for inquiry removals. Guaranteed accuracy of valid applications prior to submission to underwriting for final approval. Identified and analyzed high-risk transactions to mitigate potential risks to the bank and its clientele.

Customer Service Representative

ADECCO STAFFING
Corpus Christi, TX
10.2014 - 06.2015
  • Oversaw customer service operations by managing 20-40 incoming calls and delivering exceptional support to credit card clients. Addressed complex inquiries related to billing, credit limits, and account balances. Conducted thorough verification of posted and pending transactions to ensure accuracy. Facilitated seamless payment processing over the phone. Maintained comprehensive customer records by updating contact information. Initiated and processed requests for personal changes, including name modifications and interest rate adjustments. Coordinated the secure closure and reissuance of credit cards in instances of loss or fraud. Directed the submission of lost or stolen reports to appropriate authorities. Collaborated with various departments to ensure customer needs were met. Led training initiatives to uphold compliance with federal credit card regulations and enhance overall service quality.

Customer Service Representative

KAISER PERMANENTE
Corona, CA
12.2000 - 01.2014
  • Achieved high customer satisfaction by effectively addressing membership inquiries. Enhanced customer relationships through clear and precise communication. Delivered timely assistance and support while maintaining a positive demeanor. Resolved customer inquiries and provided essential information efficiently. Improved response times for inbound inquiries regarding claim procedures. Investigated and resolved disputes, contributing to overall customer satisfaction. Preserved a positive company image during difficult interactions. Optimized customer service and order entry processes, resulting in improved service quality. Managed large volumes of calls with professionalism and courtesy. Strengthened interactions with clients and staff at all levels, fostering collaboration. Delivered accurate payment information, cycle dates, and interest rates to customers. Responded swiftly to inbound service calls in a high-volume call center, ensuring customer needs were met. Exemplified outstanding customer service skills, leading to enhanced customer loyalty.

Education

High School Diploma -

San Gorgonio High School
Highland, CA

Skills

  • Customer Service (10 years)
  • Call Center
  • Windows, Microsoft office, Communication Ability to Work Under Pressure Decision Making, Time Management, Self-motivation, Conflict Resolution, Adaptability, and Multi-task (10 years)
  • CSR
  • Customer Support
  • Customer Care
  • Order Entry
  • Microsoft Excel
  • Typing
  • Microsoft Office
  • Microsoft SharePoint
  • LAN
  • Filing
  • Research
  • Computer Networking
  • Computer literacy
  • Clerical experience
  • Microsoft Word
  • Fraud
  • Communication skills
  • 10 key typing
  • Banking
  • Office experience

Certification

  • Customer Service Skills — Proficient
  • September 2018
  • Measures a candidate's skill in evaluating approaches to customer service & satisfaction.
  • Full results: Proficient
  • Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Timeline

Provider Enrollment Representative

Noridian Healthcare Solutions
10.2019 - Current

Fraud Analyst

U.S. Bank
10.2018 - 10.2019

Customer Service Representative

Tele-Direct Communications
06.2018 - 10.2018

Customer Advocate

Blue Cross Blue Shield
02.2018 - 05.2018

Fraud Analyst II

US Banks
09.2015 - 02.2018

Customer Service Representative

ADECCO STAFFING
10.2014 - 06.2015

Customer Service Representative

KAISER PERMANENTE
12.2000 - 01.2014

High School Diploma -

San Gorgonio High School