I love serving the community and people in all aspects. I'm very goal oriented, disciplined, outgoing, respectful, and courteous to everyone needs and wants in life.
Overview
15
15
years of professional experience
Work History
Member Service Advocate
Highmark Blue Cross Blue Shield
10.2024 - Current
Facilitated member inquiries regarding benefits, claims, and coverage options.
Resolved complex issues through effective communication and problem-solving techniques.
Collaborated with cross-functional teams to enhance member experience and streamline processes.
Developed training materials for new staff to improve onboarding efficiency and knowledge retention.
Patient Service Representative Team Lead
UPMC
08.2021 - 10.2024
Contact patients to get them scheduled for their appointments. Clear out work queue for referrals, claim edit and charges. Check patients in and out. Answer phone calls for patients with any concerns that may have regarding their health. Reschedule appointments, check voicemails, direct calls to proper chain, scan documents/ upload them into patients chart. Collect co payments, maintain a safe environment in the facility. Enforce the no show policy to patients. Assist the providers with any needs they may have regarding a patient. Route any messages over to clinical staff regarding authorizations or medication concerns. De-escalate any issues in the workplace or over the phone with patients. Provide and prepare training materials for new hires to make sure they are well equipped. Train new hires with all materials, and shadow them for a short period of time to make sure they are ready to be on their own. Attend monthly meetings and provide any updates or changes to improve the day by day routine.
Call Center Customer Service Representative
Molina Healthcare/ Clark Resources
04.2021 - 08.2021
Assisted customers over the phone working from home. Provided options to place customers on Medicaid insurance for four different states. Completed Medicaid applications over the phone. Answered any questions or concerns the customer may have about their health insurance. Advised customers of their renewal date and to submit the proper documentation to avoid interruptions of health coverage.
Customer Service Representative
Hamilton Health Center
07.2020 - 04.2021
Operated Epic. Scheduled patients appointments for multiple providers. Answered the phones, submitted request for patients to providers. Check patients in and out of their appointments. Collected co-payments. Offered financial assistant programs to patients who didn't have insurance. Placed patients on a sliding scale based on their income to see if they qualify under the federal poverty guidelines. Made sure there was a safe environment, followed COVID guidelines. Trained co workers who were new employees to the company.
Holiday Clerk Assistant
United States Postal Service
12.2019 - 02.2020
Sorted mail, scanned packages, organized mail. Held city carrier keys and distributed them amongst the carriers. Moved packages, organize bins, mail slots. Unloaded trucks, pushed carts with mail and routed them to the correct zip code to go out for delivery.
Customer Service Professional
H&R Block
02.2017 - 05.2017
Smiled, Greeted , offered drinks while in the waiting room. Thank the customer for coming into the office, looked over the customers documents to see if they had all their tax forms ready to file. Scheduled them with a tax professional. Made sure the customers were aware of the products and services to get the taxes prepared. Reminded customers of their upcoming tax appointments with a tax professional.
Loan Counselor
PHEAA/AES
07.2015 - 09.2016
Answered calls that came through the CRM system in regards to the borrowers student loans. Assisted borrowers with any concerns about their students loan account. Took payments, ordered multiple repayment options, managed to lower their payments, placed deferments or forbearance on the account to bring current. Handled complex calls that have escalate and successful deescalated the call.
Customer Service Representative
Payless ShoeSource
06.2011 - 01.2015
Greeted each customer that walked into the store, explained the promotion to them, ask for their shoe size, directed them into the right shoe size, told them if they need any help to ask for assistance. Operated the register, handled cash, and put money in the safe for nightly deposit. Offered shoe care during checkout with the customers.
Education
Masters of Science - Taxation
Philadelphia University
Philadelphia, PA
09.2017
Bachelor of Science - Accounting
Cheyney University of Pennsylvania
Cheyney, PA
06.2015
Skills
Customer service
Time management
Microsoft excel
Microsoft word
Leadership
Computer literacy
Communication skills
Material Requirements Planning
English
Personal Assistant Experience
Languages
English
Awards
Most Helpful Team Member, Perfect Attendance, Excellent Customer Service