DENEESHA HODGES
Owings Mills,MD
Summary
Highly motivated and dedicated candidate with strong administrative and clinical skills specializing in the financial, health care, and networking field. Seeking a position to display strong communication and analytical skills.
Overview
13
13
years of professional experience
Work History
PROVIDER SELF SERVICE ASSOCIATE
Florida BCBS Federal
Jacksonville, FL
04.2023 - Current
- Delivered exceptional customer service, addressing inquiries and resolving issues promptly.
- Managed daily transactions, ensuring accuracy in billing and account management.
- Collaborated with cross-functional teams to enhance service delivery processes.
- Trained new associates on operational procedures and customer engagement strategies.
Provider Self Service Associate
CareFirst Columbia, MD
Columbia, MD
01.2018 - 04.2023
- Assisted providers with portal navigation to enhance user experience. Responded to inquiries via e-mail and phone from professional providers, facilitating navigation and data entry in Portico, Pics, CAQH systems. Maintained up-to-date and accurate information for professional providers and their vendors/offices to ensure compliance with regulations. Maintain confidentiality with HIPAA guidelines.
- (Contractor- Adecco)
- Delivered exceptional customer support, resolving inquiries and enhancing member satisfaction.
- Processed claims efficiently, ensuring compliance with regulatory standards and company policies.
- Assisted in training new associates on operational procedures and customer service techniques.
HEDIS Auditor Contracting Ass.t
CareFirst Canton, MD
Canton, MD
01.2017 - 12.2017
- Reviewed HEDIS medical records from providers to ensure compliance with quality standards. Assisted with the collection of medical records and reports from provider offices. Ensured proper data entry on all information received to determine preventive and diagnostic services have been correctly performed. Performed technical maintenance and updates in Provider database to enhance data integrity and accessibility. Maintained accurate provider credentials, addresses, and contracting status to support seamless access to data across CareFirst. Maintain confidentiality with HIPPA guidelines.
- (Contractor- Adecco)
- Led audits to ensure compliance with regulatory standards and internal policies.
- Developed and implemented risk assessment procedures to identify operational weaknesses.
- Mentored junior auditors, enhancing their skills in financial analysis and reporting.
Enrollment & Billing Tech
CareFirst Owings Mills, MD & Washington DC
Owings Mills, MD
08.2016 - 12.2016
- Enrolled members in health benefits, maintaining up-to-date medical records and verifying policy information using FEP, FACETS, and Operational Data Support (ODS). Assisted members through phone and email inquiries to enhance member satisfaction.
- (Contractor- Adecco)
- Processed and reviewed billing claims for accuracy and compliance with established guidelines.
- Collaborated with cross-functional teams to resolve billing discrepancies efficiently.
- Implemented improvements in billing workflows, enhancing processing speed and reducing errors.
Bank Teller
Bank of America, Baltimore MD
Baltimore, MD
06.2013 - 08.2014
- Counted and organized working cash at shift start, verified customer identities, and processed transactions accurately. Executed transactions including ordering checks and processing withdrawals and deposits, ensuring compliance with bank policies. Recorded all transactions meticulously to maintain accurate financial records.
- Processed customer transactions accurately and efficiently, ensuring adherence to bank policies.
- Assisted clients with account inquiries, resolving issues effectively and enhancing customer satisfaction.
- Maintained cash drawer accuracy through diligent balancing procedures and regular audits.
Education
Associate of Arts - Culinary Arts
Allegany College of Maryland
Cumberland, MD10-2012
High School Diploma - undefined
Oakland Mills High School
05-2008
Skills
- Customer service
- Customer assistance
- Complaint handling
- Quality assurance
- Attention to detail
- Data entry
- Administrative support
- Multitasking
- Team collaboration
- Excellent communication
- Strong work ethic
- Patience and tolerance
Timeline
PROVIDER SELF SERVICE ASSOCIATE
Florida BCBS Federal
04.2023 - Current
Provider Self Service Associate
CareFirst Columbia, MD
01.2018 - 04.2023
HEDIS Auditor Contracting Ass.t
CareFirst Canton, MD
01.2017 - 12.2017
Enrollment & Billing Tech
CareFirst Owings Mills, MD & Washington DC
08.2016 - 12.2016
Bank Teller
Bank of America, Baltimore MD
06.2013 - 08.2014
High School Diploma - undefined
Oakland Mills High School
Associate of Arts - Culinary Arts
Allegany College of Maryland