Answer 50-70 calls from patients resolving moderate to complex issues
Schedule and verify appointments
Send and receive tasks to provider office to assist patient to access with medical care
Contact patients with appointment and referral information
Process and resolve expedited patient complaints
Review medical claim status
Case Manager/ Customer Service / Fax Processor (Rx) /Trainer/ Billing Keyer/ Auditor
Canyon Healthcare/Atlantic Medical/ A-1 Diabetes
Memphis, TN
07.2013 - 10.2022
Work with patients and physicians' offices to follow up on accounts for durable medical equipment; faxing, mailing, typing, emailing, conference and transfer calls, scheduling appointments, and use Microsoft programs
Taking inbound calls, making outbound calls, and pulling faxes along with saving prescriptions and office note documentation
Contacting physician offices to have prescriptions corrected
Supervisor training received
Processing packer
Kelly Services/Nike
Memphis, TN
04.2012 - 07.2013
Pack and unpack items to be stocked on shelves in stockrooms, warehouses, or storage yards
Receive and count stock items, and record data manually or using computer
Clean and maintain supplies, tools, equipment, and storage areas in order to ensure compliance with safety regulations
Telephone interviewer
Braun Research Interviewing
Memphis, TN
10.2009 - 01.2012
Contact individuals to be interviewed at home, place of business, or field location, by telephone, mail, or in person
Obtain and examine all relevant information to assess validity of complaints and to determine possible causes, such as extreme weather conditions that could increase utility bills
Meet with supervisor daily to submit completed assignments and discuss progress
Compile, record and code results and data from interview or survey, using computer or specified form
Review data obtained from interview for completeness and accuracy
Confer with customers by telephone or in person to provide information about products and services, to take or enter orders, cancel accounts, or to obtain details of complaints
Identify and report problems in obtaining valid data
Ask questions in accordance with instructions to obtain various specified information such as person's name, address, age, religious preference, and state of residency
Perform patient services, such as answering the telephone and assisting patients with financial and medical questions
Daycare teacher
First Choice Kids Academy
Memphis, TN
11.2005 - 10.2009
Observe students to determine qualifications, limitations, abilities, interests, and other individual characteristics
Prepare materials and classrooms for class activities
Attend professional meetings, conferences, and workshops to maintain and improve professional competence
Prepare instructional program objectives, outlines, and lesson plans
Education
No degree - Pharmacy technician program
Ashworth University
Norcross, GA
10.2024
Criminal Justice
Strayer University
Memphis, TN
11.2013
Natural Science
Southwest Tennessee Community College
Memphis, TN, United States
12.2010
Diploma -
Melrose High School
Memphis, TN, United States
05.2005
Skills
Typing, customer service, handling conference calls, faxing, emailing, copying, printing, answering phones, transferring calls, Microsoft Excel, Microsoft Office, and mailing
Experienced in Microsoft word, office, excel, and Google Documents
Skilled in over the phone and face to face customer service interaction
10 years of keyboarding experience
Conducting training sessions of new employees
Policy Knowledge
Data entry proficiency
Cross-selling abilities
Complaint Handling
Strong interpersonal skills
Member retention
Issue Resolution
Product Sales
Database Maintenance
Healthcare knowledge
Product Recommendations
Customer Support
Policy understanding
Dispute Resolution
Call center experience
Customer Service
Member account management
Affiliations
NSBE
Who's Who Among American High
School Students
National Honor Roll Society
Languages
English
Professional
Spanish
Elementary
References
References available upon request.
Timeline
Member Service Advocate
United Healthcare
10.2022 - Current
Case Manager/ Customer Service / Fax Processor (Rx) /Trainer/ Billing Keyer/ Auditor