Danisha R. Cathcart
Albany,GA
Summary
Dedicated employee known for punctuality, pursuing employment options where good customer service and a positive attitude will make a difference. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth. Flexible hard worker ready to learn and contribute to team success.
Overview
10
10
years of professional experience
Work History
Dental Claims Resolution Specialist
Sierra 7 / OPTUM
Albany, GA
10.2023 - Current
- Responsible for providing claims support to our teams in reviewing, analyzing, and researching dental claims in order to identify discrepancies and to confirm prior authorizations.
- Reviews, processes and identifies dental claims based on standard operating procedures.
- Applies appropriate processes and procedures to process claims efficiently and accurately.
- Supports implementation of updates to the current procedures and participate in new system updates and training.
- Evaluates accuracy and quality of data entered into agency management system.
- Assists in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Utilizes specialized software to process incoming claims, enter data and generate reports.
- Manages workload and priorities to meet claims processing deadlines.
- Complies with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Checks documentation for accuracy and validity on updated systems.
VA CCN CSA /OJT
Sierra 7 / OPTUM
Albany, GA
11.2021 - 10.2023
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication.
- Addressed inquiries, resolved customer issues and managed customer relations.
- Organized and prioritized tasks and activities and worked within strict timeframes and deadlines.
- Trained newly hired top talent to fill key positions and maximize productivity.
- Trained new hires regarding medical and dental claims, urgent care referrals, and pharmacy claims in the VA Community Care Network (CCN).
- Provided constructive feedback and positive reinforcement to keep trainees motivated.
- Evaluated individuals regularly for progress or growth potential to guide decisions regarding advancement and additional training.
- Maintained customer privacy and protected company operations by keeping information private and confidential.
- Upheld quality control policies and procedures to increase customer satisfaction.
Captioning Assistant
Hamilton Relay
Albany, GA
01.2021 - 10.2021
- Provided excellent customer service by transcribing or captioning telephone conversations for individuals who are deaf, hard of hearing, deaf-blind or have difficulty speaking or communications over the telephone
- Maintained a high level of dictation speed and accuracy
- Maintained strict customer confidentiality
- Communicated effectively through reading, writing, speaking, and listening
- Worked and maintained focus in an environment with noise and other distractions
Shift Manager
Arby's
Tybee Island, GA
08.2018 - 03.2020
- Provided excellent customer service to both outside and internal customers
- Responsible for overseeing daily business operations
- Managed 8 to 10 employees by delegating tasks
- Provided conflict resolution regarding employee relations
- Coordinated shift workers for inventory receiving, auditing and restocking.
- Managed daily cash intake by counting out registers and tabulating profits.
- Upheld company standards and compliance requirements for operations.
- Coached employees on interactions with customers to drive exceptional service.
Crew Member
Dairy Queen
Jekyll Island, GA
05.2018 - 08.2018
- Processed cash and credit card payments, promptly returning receipts, coin, bills and payment cards to customers.
- Prepared food items according to operational quality standards
- Organized and restocked supplies to support operations and team productivity.
- Interacted pleasantly with guests to deliver quality customer service.
- Demonstrated proper food safety practices by accurately completing quality control checklist.
Early Childhood Teacher Assistant
Albany Technical College
Albany, GA
08.2014 - 12.2014
- Worked with interdisciplinary team members to evaluate children’s’ progress and recommended appropriate learning plans
- Supervised a group of 20 student teachers throughout the semester
- Fostered reasoning and problem solving through active exploration games and activities
- Monitored students educational progress with individual charts and files
- Sanitized toys and play equipment daily to maintain safety and cleanliness
- Identified signs of emotional and developmental problems in children and reported to parents
- Gave one-on-one attention to children while maintaining overall focus on the entire group
- Coordinated parent-teacher conferences for the Semester
- Established daily routines that were easy for the children to follow
- Allowed for ample outdoor discovery time each day
Education
Bachelor of Science - Behavioral Analysis And Sociology
Savannah State University
Savannah, GA12.2018
Certificate - Early Childhood Education
Albany Technical College
Albany, GA12.2014
Diploma - General Studies
Monroe High School
Albany, GA05.2013
Skills
- Writing
- Clerical
- Management and Supervision
- Time Management
- Communication
- Computer Proficiency
- Instructional and Learning Technology
- Simulation Leadership
- Attention to Detail
- Presentations and Demonstrations
- MS Office Proficiency
- Verbal Communication
- Customer Service
- Verbal and Written Communication
- Customer Data Confidentiality
- Upbeat and Positive Personality
- Creative Problem Solving
- Call Documentation
- Courteous with Strong Service Mindset
- Responding to Difficult Customers
- Efficient and Detail-Oriented
- Data Entry
- Quality Assurance
- Computer Skills
- Team-Oriented and Cooperative
Personal References
- Sherri D. Whitfield, South Regional Director, Georgia Department of Veterans Service
- LaToya Watson, Medical Records Technician (Medical Coder), Department of Veterans Affairs
Timeline
Dental Claims Resolution Specialist
Sierra 7 / OPTUM
10.2023 - Current
VA CCN CSA /OJT
Sierra 7 / OPTUM
11.2021 - 10.2023
Captioning Assistant
Hamilton Relay
01.2021 - 10.2021
Shift Manager
Arby's
08.2018 - 03.2020
Crew Member
Dairy Queen
05.2018 - 08.2018
Early Childhood Teacher Assistant
Albany Technical College
08.2014 - 12.2014
Bachelor of Science - Behavioral Analysis And Sociology
Savannah State University
Certificate - Early Childhood Education
Albany Technical College
Diploma - General Studies
Monroe High School
Similar Profiles
Jazman RoweJazman Rowe
Remote Appointment Scheduler at Sierra 7Remote Appointment Scheduler at Sierra 7
ALEXIS REESEALEXIS REESE
Appointment Scheduler at Sierra 7Appointment Scheduler at Sierra 7
Charleslyn GuilbeauxCharleslyn Guilbeaux
CSR/ASR-VACCN/Optum at Sierra 7CSR/ASR-VACCN/Optum at Sierra 7