Drenishia Williams
Fort Worth,TX
Summary
Experienced healthcare and insurance professional specializing in eligibility services, provider relations, and claims support. Skilled in processing information, resolving account inquiries, and managing high-volume calls while maintaining confidentiality. Committed to delivering professional service that enhances customer satisfaction and supports positive outcomes.
Overview
4
4
years of professional experience
Work History
Eligibility Advisor
Health and Human Services Commission (HHSC)
, Texas
10.2025 - Current
- Determined client eligibility for health care programs and services.
- Assisted individuals with eligibility inquiries for health and human services programs, ensuring clear understanding of program requirements.
- Communicated with clients via phone and other channels to gather information, clarify requirements, and provide timely status updates on eligibility.
- Review and process client information while maintaining accuracy, confidentiality, and compliance with applicable policies and procedures.
- Reviewed applications and documentation for accuracy and completeness.
- Document case information and interactions accurately in agency systems and databases.
- Researched and resolved eligibility-related inquiries, delivering professional and timely customer service to enhance client satisfaction.
Customer Service Consultant
Progressive Casualty Insurance
Fort Worth, TX
03.2024 - 10.2025
- Delivered customer service and support to policyholders by phone, resolving questions and account concerns to enhance customer satisfaction.
- Guided customers through insurance-related information, effectively resolving service issues to improve overall service quality.
- Used active listening, problem-solving, and professional communication to help customers understand available options and next steps.
- Educated clients on coverage options and benefits of insurance products.
- Informed clients about coverage options and benefits of insurance products, ensuring they made well-informed decisions.
- Maintained up-to-date knowledge of insurance regulations and policies.
Provider Services Representative
Premera Blue Cross Blue Shield
Fort Worth, TX
01.2023 - 03.2024
- Streamlined operations by managing high volume of incoming calls from medical providers seeking assistance.
- Enhanced data accuracy by entering provider information into company systems and databases.
- Guided providers in understanding policy coverage and claim status.
- Educated providers about billing, payment processing, and support policies and procedures.
- Increased efficiency by accurately entering provider data into company systems and databases.
- Provided support to healthcare providers for claims and authorizations.
- Communicated with providers to research whether ICD-10 codes require prior authorization.
Education
High School Diploma -
Southwest High School
Fort Worth, TXSkills
- Eligibility & Benefits Assistance
- Insurance Verification
- Claims support
- Healthcare Customer Service
- Provider Relations
- Call Center Operations
- Records management
- Case Documentation
- Policy & Procedure Compliance
- HIPAA & Confidentiality
- Microsoft Office & Computer Systems
- Professional Communication
- Conflict resolution
- Client Relationship Management
Timeline
Eligibility Advisor
Health and Human Services Commission (HHSC)
10.2025 - Current
Customer Service Consultant
Progressive Casualty Insurance
03.2024 - 10.2025
Provider Services Representative
Premera Blue Cross Blue Shield
01.2023 - 03.2024
High School Diploma -
Southwest High School