Summary
Overview
Work History
Education
Skills
Certification
Technical Skills
Timeline
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De’Ondria Bovain

Orangeburg,USA

Summary

Personable and dedicated customer service representative with extensive experience in various fast-paced industries.

Solid team player with an upbeat, positive attitude, and proven skill in establishing rapport with clients.

Facilitating programs with research, analyzing client concerns, while strategically providing resolutions.

Motivated to maintain customer satisfaction, and contribute to company success.

Validate member eligibility using multiple software systems. Possesses advanced communication skills, and a supportive approach to foster successful client relations.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Client Health Coach Advisor (Remote)

BlueCross BlueShield of South Carolina
02.2024 - Current
  • Educating clients on a healthy, active program to improve activities of daily living, triaging health issues, and personalizing plans that offer programs for patient success.
  • Conduct detailed assessments of clients' needs and financial situations, presenting customized health programs.
  • Identify and proactively engage potential clients through phone outreach, cultivating long-lasting client support.
  • Conducted and coordinated health needs assessments, and other public health surveys.
  • Collaborated with healthcare providers to ensure alignment between nutrition recommendations and medical protocols.
  • Developed action plans tailored to each client’s needs, including specific steps to improve dietary quality and increase physical activity levels.
  • Provided emotional support throughout the coaching process by listening attentively, without judgment or criticism.

Client Health Insurance Program Advisor (Remote)

Easy Med E-Telequote Insurance
01.2022 - 02.2024
  • Developed and nurtured trusted client relationships by delivering outstanding customer service, enhancing client retention, and loyalty.
  • Ensure high levels of customer satisfaction by swiftly resolving queries and issues, and providing clear and concise information in response to diverse inquiries.
  • Conduct detailed assessments of clients' needs and financial situations, presenting customized health programs.
  • Identify and proactively engage potential clients through phone outreach, cultivating long-lasting client support.
  • Creatively connect with clients, providing lasting friendships, and provide clients with a provider referral to a mental health specialist close to the patient's location for convenience.

Medical Office Technician

Lexington Urology
01.2018 - 01.2022
  • Offered support across multiple medical offices, demonstrating versatility in clinical care areas, and enhancing patient service efficiency.
  • Streamlined the pharmacy prior authorization process, expediting insurance approvals, and ensuring timely medication access for patients.
  • Verified member and provider eligibility using the company’s database system, facilitating efficient interactions with commercial insurance providers, and ensuring timely submission of clinical documentation for patient approvals and appeals.
  • Documented patient inquiries and conducted timely follow-ups on outstanding appeals, demonstrating strong organizational and communication skills.
  • Researched critical patient information using various technology systems, underscoring the ability to manage and analyze data effectively.
  • Collaborated with insurance departments to gather information, resolving client issues proficiently.

Medical Assistant

St. Joseph
01.2015 - 01.2018
  • Assisted two physicians in procedure setup and examinations, managed schedules, and maintained appointments, ensuring operational efficiency.
  • Delivered patient-centered care by preparing patient charts, conducting thorough consultations, and addressing patient queries, highlighting patient care, and communication skills.
  • Conducted preliminary evaluations, administered injections, performed routine screening tests, and processed prescription refill requests.
  • Enhanced the operations of a fast-paced oncology office through effective communication and the optimization of check-in processes using EMR software.
  • Onboarded and trained new staff in EMR systems, increasing team productivity and adaptability.
  • Managed a high-volume, multi-phone system, medical record organization, appointment coordination, and diagnostic procedure arrangements.

Medical Assistant

Atrium Health
01.2012 - 07.2015
  • Provided essential support in a busy oncology office, enhancing patient understanding and comfort through a clear explanation of procedures.
  • Conducted vital sign checks, blood draws, and updated patient demographics, emphasizing my clinical skills and attention to detail.
  • Improved the accuracy of electronic medical records, contributing to patient data management.
  • Served as the lead office coordinator, facilitating effective communication and optimizing office flow, particularly in the check-in process for scheduling diagnostic procedures using EMR software.

Education

Associate of Applied Science - Health Sciences

ECPI, Medical Career Institute
Virginia Beach, VA
09.2012

Skills

  • Telephone etiquette, data output, claims management, administrative support, customer support, complaint handling, grievance management, data entry, digital literacy, Stress reduction, sales, customer relations management (CRM), empathy, active listening, conflict resolution, sales experience, underwriting basics, dispute resolution, policy renewals, technical savvy, initiative, policy analysis, risk assessment, team player, financial acumen, insurance regulations, policy recommendations, confidentiality, analytical skills, process improvement, customer advocacy, adaptability, communication, client program services

Certification

  • 2023 Life Accident & Health Sickness NPI:20100032
  • 2022 Producer SC Life & Health Insurance NPI:20100032
  • 2012 Registered Medical Assistant, American Medical Technologist (AMT) 2763779

Technical Skills

  • CMS Enterprise Portal, Cigna Broker Support, Microsoft Office Suite, EMR Software, Blue Cross Blue Shield Agent Portal
  • Ability to work independently, prioritize effectively, and make sound decisions.
  • Good judgement skills.
  • Demonstrated customer service and organizational skills.
  • Demonstrated proficiency in spelling, punctuation, and grammar skills.
  • Ability to persuade, negotiate, or influence others, analytical or critical thinking skills.
  • Ability to handle confidential or sensitive information with discretion, HIPAA

Timeline

Client Health Coach Advisor (Remote)

BlueCross BlueShield of South Carolina
02.2024 - Current

Client Health Insurance Program Advisor (Remote)

Easy Med E-Telequote Insurance
01.2022 - 02.2024

Medical Office Technician

Lexington Urology
01.2018 - 01.2022

Medical Assistant

St. Joseph
01.2015 - 01.2018

Medical Assistant

Atrium Health
01.2012 - 07.2015

Associate of Applied Science - Health Sciences

ECPI, Medical Career Institute

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