Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
19
19
years of professional experience
Work History
Claims analyst
Elevance
Remote, US
09.2023 - Current
Adjudicating Medicaid claim
Sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook
Microsoft Excel functions, such as filtering/sorting
Multiple computer applications through the use of shortcut keys and other techniques
Applying complex policy/procedure documents
Understanding medical and insurance terminology in a professional setting
Understanding CPT/ICD-10 codes
Independently analyzing health insurance claims
Data entry.
Benefits Administration Services Representative
Conduent
07.2022 - 12.2022
Research employee benefits plans identify those that present the best value
Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook
Knowledge of basic Microsoft Excel functions, such as filtering/sorting
Experience in navigating multiple computer applications through the use of shortcut keys and other techniques
Detail-oriented with experience in applying complex policy/procedure documents
Resolving Complex issue
Receiving incoming calls
Date entry.
Followed up with customers to offer additional support and check resolution satisfaction.
Maintained up-to-date knowledge of product and service changes.
Handled customer service inquiries in person, via telephone and through email.
Increased efficiency and team productivity by promoting operational best practices.
Account Executive
Portfolio Recovery Associates
Hampton, VA
12.2012 - 09.2021
Manage multiple delinquent accounts for debt collection efforts
Keep track of assigned accounts to identify outstanding debts
Plan a course of action to recover outstanding payments
Negotiate payoff deadlines or payment plans
Handle questions or complaints
Investigate and resolve discrepancies in payments or accounts
Reviewing billing statements.
Maintained current knowledge of evolving changes in marketplace.
Employed proactive and collaborative approaches to strengthen relationships and manage customer needs.
Resolved customer disputes and disagreements through professional, calm communication to find mutually beneficial solutions.
Collected on delinquent accounts to reduce overdue balances.
Achieved successful settlements by skillfully negotiating terms agreeable to both parties involved in disputes.
Adapted quickly to changes in industry regulations, incorporating new requirements into daily workflow without compromising productivity or results.
Processed debtor payments and updated accounts to reflect new balance.
Maintained high volume of calls and met demands of busy and productive group.
Educated debtors about repayment options, enabling them to make informed decisions while preserving positive business relationships.
Retention Customer Service Representative
Sprint
Hampton, VA
02.2009 - 06.2009
Optimized customer support by establishing collaborative service environments through targeted operational initiatives.
Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Developed rapport with customers by actively listening to their needs, resulting in strong relationships and positive feedback.
Reduced process inconsistencies and effectively trained team members on best practices and protocols.
Created and maintained detailed database to develop promotional sales.
Assisted customers with account updates and plan changes to optimize their satisfaction and loyalty.
Technical Support Representative
TeleTech Holdings
Hampton, VA
03.2005 - 12.2008
Contributed ideas during team meetings that led to process improvements and increased efficiencies within the department.
Responded to customer inquiries and provided technical assistance over phone and in person.
Developed and implemented preventive maintenance procedures.
Provided remote assistance to customers experiencing technical difficulties, guiding them through step-by-step resolutions with patience and professionalism.
Researched product and issue resolution tactics to address customer concerns.
Responded promptly to incoming sales leads and requests for technical support.
Resolved complex technical problems through effective troubleshooting techniques, enhancing the user experience.
Generated reports to track performance and analyze trends.
Education
High School Diploma -
Warwick High School
Newport News, VA
Skills
Critical Thinking
Claims analysis
Customer service and support
Microsoft Office Suite
Claims
Payment Processing
Decision-Making
Team Leadership
Investigation Management
Claims Processing
Healthcare Common Procedures Coding System (HCPCS)