Cassandra Davies
McDonough,GA
Summary
Results-focused Supervisor offering successful background leading talented sales personnel. Successful at engaging with staff by discussing sales performance, maintaining accountability and acknowledging excellent performance. Driven to maintain service standards by supporting staff in handling service issues, hands on job duties, and effective customer communications.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Lead Front Office/Site Biller
Southeast Orthopedic Specialists
Jacksonville , FL
09.2021 - 02.2022
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process through the Athena Health System.
- Answered multi-line phone system to respond to inquiries for billing and services.
- Calculated billings and posted charges to patients accounts, reviewing charges at checkout.
Store Manager
A Taste of Miami, LLC
Jacksonville, FL
02.2018 - 08.2021
- Professionally managed restaurant cleanings, and maintains a high expected level of professional food safety according to State regulations and city compliance.
- Managed inventory control, cash control and store opening and closing procedures.
- Managed 10+ store employees successfully in fast-paced environment through proactive communication and positive feedback.
- Maximized sales and minimized shrinkage through excellent customer service and adherence to standard practices.
Provider Service Call Representative/Intake Specialist
UnitedHealth Group
Miami, FL
02.2016 - 04.2018
- Resolved provider issues through inquiries with efficiency, urgency, and compassion.
- Quickly responded to calls from health care providers to help answer questions, issued prior authorizations with referrals made to the clinical team as needed, and resolve issues regarding health care claims and payment status.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Investigated and resolved customer inquiries and complaints quickly.
Enrollment Agent
Convey Health Solutions
Deerfield Beach, FL
08.2015 - 12.2015
- Assisted beneficiaries with updating account information, providing plan information, and resolving issues with the utilization of the desired Medicare plan.
- Educated beneficiaries on how Part D plans work, including benefits, cost sharing, and different levels of coverage.
- Maintained detailed and accurate records between multiple databases and programs.
- Investigated issues and created solutions for new customers.
Reconsideration Analyst
I C2C Solutions
Jacksonville, FL
02.2015 - 08.2015
- Accurately prepared Medicare Appeals for dissatisfied beneficiaries and/or providers through independent second level determination based on documentation, facts, laws, and governmental regulations providing validated results.
- Competently wrote reconsideration decisions that were precise and supported issues as described by the appellant process.
- Identified and resolved problems through root cause analysis and research.
Loan Closer/Compliance Analyst
Cassandra A. Davies, Digital Risk LLC
Jacksonville, FL
02.2013 - 05.2014
- My main task was to validate and execute closing documents prior to closing.
- Reviewed audit and monitoring reports related to consumer and client activities.
- Stayed current with latest changes to applicable regulatory standards, company procedures and governmental loan guidelines.
Post-Closing Auditor/Validation Specialist
I Florida Capital Bank Mortgage
Jacksonville, FL
11.2011 - 02.2013
- Set up, stored, updated loan audit reports, and sent notifications to Mortgage Lenders for the completion of a delegated loan post-closing package.
- Research and investigate potential red flags and concerns prior to funding
- Collected and compiled paperwork such as title abstracts, insurance paperwork, loan files and tax histories.
Boutique Manager
Expressions Fine Women Apparel, LLC
Stockbridge, GA
11.2006 - 12.2009
- Responsibilities included overseeing and supervising day to day store operations, while supervising a team of six employees.
- Administered effective inventory control, business reports, and marketing analysis.
- Prepared yearly and quarterly budgets as well as effective strategies to consistently meet financial targets.
Chief Financial Officer/Project Manager
Morgan, Rogers, LLC
Jackson, McDonough, GA
08.2001 - 11.2006
- Accurately reviewed all construction ideas for new home plans submitted by the architects to ensure accuracy, while managing a more cost efficient way of building new construction.
- Oversaw budgets, payroll and accounts payable and receivable.
- Directed budget development, creation of budgetary controls and recordkeeping systems and investment management.
Provider Maintenance/Provider, Rep
I Humana Insurance Group
Jacksonville, FL
10.1993 - 07.2001
- Negotiated standard contracts with providers and act, as a single point of contact for all ongoing physicians' needs.
- Carefully researched credential aspects such as DEA certificates, licenses, and proof of malpractice insurance.
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
Education
AS - Business Administration And Management
Florida State College At Jacksonville
Jacksonville, FL05.2023
High School Diploma - undefined
William Marion Raines High School
06.1991
Skills
- Courteous and Professional
- Team Collaboration
- Project Management
- Leadership and People Development
- Profit and Loss Management
- Change and Growth Management
- Multitasking and Prioritization
- Efficient and Detail-Oriented
- Scheduling
Certification
2-40 Health Insurance Promoters Certification
Timeline
Lead Front Office/Site Biller
Southeast Orthopedic Specialists
09.2021 - 02.2022
Store Manager
A Taste of Miami, LLC
02.2018 - 08.2021
Provider Service Call Representative/Intake Specialist
UnitedHealth Group
02.2016 - 04.2018
Enrollment Agent
Convey Health Solutions
08.2015 - 12.2015
Reconsideration Analyst
I C2C Solutions
02.2015 - 08.2015
Loan Closer/Compliance Analyst
Cassandra A. Davies, Digital Risk LLC
02.2013 - 05.2014
Post-Closing Auditor/Validation Specialist
I Florida Capital Bank Mortgage
11.2011 - 02.2013
Boutique Manager
Expressions Fine Women Apparel, LLC
11.2006 - 12.2009
Chief Financial Officer/Project Manager
Morgan, Rogers, LLC
08.2001 - 11.2006
Provider Maintenance/Provider, Rep
I Humana Insurance Group
10.1993 - 07.2001
AS - Business Administration And Management
Florida State College At Jacksonville
High School Diploma - undefined
William Marion Raines High School
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