Summary
Overview
Work History
Education
Skills
Timeline
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DeJa Williams

Dallas,TX

Summary

Motivated customer service representative of 10+ years which thrives in fast-paced environments. Works independently, with minimal supervision and pitch in to complete tasks. Demonstrated consistently strong work ethic and adherence to company policy and procedures,

Overview

6
6
years of professional experience

Work History

Provider Services Representative

Molina Healthcare
Irving, TX
04.2021 - Current
  • Met customer call guidelines for service levels, handle time and productivity.
  • Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
  • Maintained up-to-date knowledge of benefit and service changes.

Claims Specialist

Molina Healthcare
Irving, TX
05.2018 - 04.2021
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Used administrative guidelines as resource or to answer questions when processing medical claims.
  • Reviewed new files to determine current status of claims and to develop plan of action.

Member Service Representative

Molina Healthcare
Irving, TX
03.2017 - 05.2018
  • Learned internal systems and related service role duties to provide skilled team backup in handling customer demands.
  • Maintained accurate and current customer account data with manual forms processing and digital information updates.
  • Assisted members with correcting account, service and system issues by educating on required forms and technical processes.

Education

High School Diploma -

Richardson High School
Richardson, TX
05.2007

Skills

  • Efficient and Detail-Oriented
  • Benefits Verifications
  • Billing Statements
  • Data Entry and Maintenance
  • Building Customer Trust and Loyalty

Timeline

Provider Services Representative

Molina Healthcare
04.2021 - Current

Claims Specialist

Molina Healthcare
05.2018 - 04.2021

Member Service Representative

Molina Healthcare
03.2017 - 05.2018

High School Diploma -

Richardson High School

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DeJa Williams