Jabar Gaddie
Detroit,MI
Summary
Knowledgeable and dedicated customer service professional with extensive experience in the healthcare industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
22
22
years of professional experience
Work History
Home Healthcare Provider
MDHHS- Wayne County
02.2019 - Current
- Provide daily assistance with patient mobility
- Prepare and cook daily meals for patient
- Assist patient with daily hygiene and cleaning
- Clean and sanitize home on daily basis
- Provide laundry services (washing, drying, folding)
- Assist patient with taking daily prescription and OTC medication
- Run errands for patient such as grocery shopping and pharmacy.
Member Services Representative (remote)
BROADPATH HEALTHCARE SOLUTIONS
11.2018 - 05.2020
- Responded to high volume of incoming calls from members and providers from 26 states
- Verified patient eligibility and maintained confidentiality per HIPPA compliance
- Assisted members with question and concerns regarding insurance policies
- Assisted providers with claim status questions and concerns
- Provided and researched information utilizing Omni, Sharepoint, Skype, Outlook and various other software resources to assist callers.
Provider Services Representative (remote)
BroadPath Healthcare Solutions
11.2018 - 05.2020
- Researched CPT and HCPCS codes to establish valid and billable status
- Investigated and researched medical claims to assist providers with payments on claims
- Answered incoming calls from BCBS providers to assist with claims processing and code validation
- Utilized medical software programs such as Image Retriever, Foresight 5.1, CSS and Metavance to aid in addressing provider concerns
- Advised providers when CPT codes were valid and billable and when codes would pend for medical review
- Assisted providers with understanding member's benefits per plan policy, such as: deductibles, out of pocket cost and co-insurance cost share
- Assisted provider in obtaining pre-authorization for various medications and medical procedures.
Member Service Representative (remote)
TTEC
08.2019 - 01.2020
- Responded to high volume of incoming calls from members and providers from 26 states
- Verified patient eligibility and maintained confidentiality per HIPPA compliance
- Assisted members with question and concerns regarding insurance policies
- Assisted providers with claim status questions and concerns
- Provided and researched information utilizing Sharepoint, Zoom, Outlook and various other software resources to assist callers.
Receptionist
YMCA
01.2016 - 05.2016
- Greeted and welcomed guests in person and on phone; answered and directed inquiries to designated department
- Maintained log books, including sign-in/out logs, front desk expenditures, and calls received
- Managed front office reception area by cleaning and organizing desk and visitor lobby
- Assisted clients with enrollment into gym and physical therapy programs.
Customer Retention Specialist
Dialog Direct
09.2014 - 03.2015
- Provided information on HIPPA laws and regulations while enrolling consumers in health care program
- Received inbound calls from customers inquiring about health care coverage
- Interviewed customers in order to determine eligibility status
- Enrolled Medicare and Medicaid recipients into health care insurance policies
- Executed outbound calls to existing customer base to insure customer satisfaction.
New Business Professional
Otter base
09.2010 - 01.2011
- Input and activated new annuities and life insurance policies
- Researched and located missing funds and client information
- Processed credit card and EFT bank transactions
- Assisted management with special projects
- Provided overall administrative support to management.
Coach/Trainer
Enjoi Transportation (DDOT)
03.2006 - 12.2009
- Provided coaching to staff on proper telephone etiquette
- Provided training to employees on computer software applications
- Monitored employee reservations and trip information
- Resolved and/or escalated client concern(s) to management for assistance in customer resolution
- Communicated information between client and dispatchers to achieve resolution status
- Monitored and updated trip data within paratransit management database.
Accounts Receivable and Payable Rep
Kelly Services/Hertz Rental HQ
01.2002 - 11.2005
- Reviewed customer billing statements
- Updated customer contracts to reflect current billing statements
- Contacted customers regarding outstanding balances
- Researched customer billing statements for overages
- Applied due credits to customer accounts
- Interacted with customers regarding balances until point of resolution.
Education
Graduation in QA Software Tester - Information Technology
Test Pro - Junior Software Tester Course
Online08.2021
Completed Coursework in Information Technology -
University of Phoenix
Detroit, MI06.2015
Diploma -
General Studies Finney High School
Detroit, MI01.1993
Skills
- Call Center (10 years)
- Customer Service (10 years)
- CSR (10 years)
- Customer Care (10 years)
- Medicaid/Medicare (4 years)
- Time Management (10 years)
- Financial Services (3 years)
- Phone Etiquette (10 years)
- Paratransit (4 years)
- Database Administration (4 years)
- Office Administration (10 years)
- Microsoft SharePoint (2 years)
- Office Management (2 years)
- Personal Assistant Experience (2 years)
- Accounting (5 years)
- Accounts Receivable
- CPT Coding
- ICD-10
- Medical billing
- ICD-9
- Insurance Verification
- Microsoft Outlook
- Microsoft Excel
- Microsoft Office
- Medical Terminology
- Medical Coding
Assessments
- Verbal Communication, Proficient, 02/01/19
- Written Communication, Proficient, 02/01/19
- Accounting Skills: Bookkeeping, Proficient, 02/01/19
- Attention to Detail Skills, Proficient, 02/01/19
- Retail Skills: Shelf Stocking, Completed, 02/01/19
- Merchandise & Supply Storage Skills, Expert, 02/01/19
Personal Information
Title: Member Services Representative
Timeline
Member Service Representative (remote)
TTEC
08.2019 - 01.2020
Home Healthcare Provider
MDHHS- Wayne County
02.2019 - Current
Member Services Representative (remote)
BROADPATH HEALTHCARE SOLUTIONS
11.2018 - 05.2020
Provider Services Representative (remote)
BroadPath Healthcare Solutions
11.2018 - 05.2020
Receptionist
YMCA
01.2016 - 05.2016
Customer Retention Specialist
Dialog Direct
09.2014 - 03.2015
New Business Professional
Otter base
09.2010 - 01.2011
Coach/Trainer
Enjoi Transportation (DDOT)
03.2006 - 12.2009
Accounts Receivable and Payable Rep
Kelly Services/Hertz Rental HQ
01.2002 - 11.2005
Graduation in QA Software Tester - Information Technology
Test Pro - Junior Software Tester Course
Completed Coursework in Information Technology -
University of Phoenix
Diploma -
General Studies Finney High School
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