Summary
Overview
Work History
Education
Skills
Computer Experience
References
Timeline
Generic

Deitra Seawood

Conyers,GA

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

17
17
years of professional experience

Work History

Customer Care Rep I

Elevance Health
04.2022 - Current
  • Assisting a minimum of 35 Anthem BCBS members via phone by accepting and posting monthly premiums for Medical, Dental and Vision insurance policies
  • Assisting Anthem members via phone with various questions about current health insurance policy
  • Listen to members concerns, answer member questions and route members to designated department for further resolution, which reduces customers hold time
  • Responded to customer needs through competent customer service and prompt problem-solving.

Precertification Rep/ Onsite Patient Service Rep II

MedAssist a Firstsource Company
08.2012 - 12.2021
  • Screening patients via phone to determine eligibility for one of the Medicaid classes of assistance for family and adult Medicaid
  • Reviewed 15 applications weekly for discrepancies and accuracy during interview process
  • Communicate effectively between patient, local DFCS and hospital on status of Medicaid applications
  • Enter and update both MedAssist and Hospital computer systems with screening notes, progress and status of patient eligibility
  • Process and request pre-authorizations for all patients who need prior Medicaid approval before billing
  • Scheduling appointments for disability and assisting patients in disability process when needed
  • Maintaining accurate notes and patients' files for follow up.
  • Improved client retention rates by building strong relationships and offering personalized solutions to their needs.

Family Independence Case Manager II

Department of Family and Children Services
04.2007 - 08.2012
  • Interviewed clients via phone and in-person to determine eligibility at application and ongoing eligibility for Food Stamps and Medicaid, 80 customer case-load
  • Referred clients to other agencies for further assistance
  • Processed and established claims for over and underpayment of benefits
  • Obtained information from parents, both custodial and absent parent to process Medicaid cases
  • Maintained accurate personal records, including leave, travel, phone log and work hours
  • Maintained accurate case records, documents and authorizations
  • Worked and communicated with the general public, internal customers and/or external customers to provide information and quality services and /or products targeted to meet customer expectations
  • Provided additional contact/resource information to customer for accessing supportive and emergency services.
  • Maintained detailed documentation of all client interactions, ensuring accurate records for reporting purposes and program evaluation efforts.

Education

Bachelor of Science - Financial Management

Indiana University Bloomington
Bloomington, IN
05.2000

Skills

  • Customer Service
  • Inbound Customer Service
  • Data Entry
  • Call center experience
  • Problem Resolution
  • Payment Processing
  • First Call resolution
  • Documentation And Reporting
  • Computer Skills
  • Calm Under Pressure
  • Work Prioritization
  • Account Management

Computer Experience

  • Microsoft Office (Excel, Word, PowerPoint and Outlook) and Internet Explorer, Access
  • Google Drive, Gmail
  • Presentations
  • Operating systems

References

References are available upon request

Timeline

Customer Care Rep I

Elevance Health
04.2022 - Current

Precertification Rep/ Onsite Patient Service Rep II

MedAssist a Firstsource Company
08.2012 - 12.2021

Family Independence Case Manager II

Department of Family and Children Services
04.2007 - 08.2012

Bachelor of Science - Financial Management

Indiana University Bloomington

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Deitra Seawood