Devona Fair
Billings,MT
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
Work History
Captive Operations Assistant
Ebms Re
Billings, MT
10.2020 - Current
- Utilized software programs such as Excel, Word, Access, for data entry, analysis and reporting purposes.
- Assisted with new business processing, renewals.
- Reviewed applications and policies for completeness and accuracy of information.
- Collaborated with other departments such as Claims or Accounting when necessary.
- Conducted comprehensive analysis and evaluated risk to control underwriting loss.
- Performed data entry functions to track information such as payments, account updates and customer interactions.
- Gathered claims information and data to share with underwriters and clinical staff.
- Prepared routine correspondence related to underwriting activities.
- Responded promptly to inquiries from internal departments regarding underwriting matters.
Healthcare Navigator
EBMS
Billings, MT
05.2023 - 10.2024
- Actively listened to members in order to identify their needs and provide effective solutions.
- Maintained high level of professionalism and calmness with members.
- Provided information and guidance to Members on Balance Bills and how to resolve them.
- Participated in team meetings to discuss complex cases.
- Maintained accurate records of Member interactions in accordance with policies and procedures.
- Maintained current knowledge of relevant laws, regulations.
- Collaborated with other professionals such as Account Managers, Brokers, and Groups HR.
- Trained new team members on navigational duties, provided ongoing support and mentoring.
- Did outreach to members who may experience Balance Billing and how to resolve any issues.
- Contacting Providers when there was an access to care issue.
- Worked with Providers Billing Department when there was an issue.
CSR
EBMS
Billings, MT
05.2017 - 05.2018
- Managed multiple tasks simultaneously while providing excellent customer service experience.
- Identified Member/Provider needs and provided appropriate solutions.
- Provided customer service support to customers over the phone and by email.
- Followed up with customers to ensure their satisfaction.
- Participated in team meetings or training sessions when necessary.
- Maintained records of customer interactions, transactions, comments, and complaints.
- Adhered to company's established protocols for handling confidential data.
- Documented all conversations with customers in GBAS/Javelina software according to company standards.
- Met and exceeded productivity targets by handling every interaction with top-notch customer service.
- Collaborated with other teams within the organization to resolve complex issues related to Members' accounts.
- Provided guidance on product features and benefits as well as troubleshooting techniques.
Education
Associate of Applied Science - A&P
Somerset Community College
Somerset, KY05-2010
Skills
- Policy and Procedure Adherence
- Meeting planning
- Positive Attitude
- Attention to Detail
- Document Management
- Work Planning and Prioritization
- Customer Support
- Medical Billing
- Confidentiality
- Resolving Problems
- Calm and Effective Under Pressure
- Communicating to Members and Providers
- Building Rapport and Credibility
Timeline
Healthcare Navigator
EBMS
05.2023 - 10.2024
Captive Operations Assistant
Ebms Re
10.2020 - Current
CSR
EBMS
05.2017 - 05.2018
Associate of Applied Science - A&P
Somerset Community College
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