Keshia Bailum

• Streamlined provider enrollment processes by implementing efficient data management systems.
• Facilitated seamless transitions between different stages of the enrollment process by maintaining open lines of communication among various departments involved in provider services operations.
• Assisted providers with navigating online portal systems, enhancing user experience and expediting application submissions.
• Reviewed contracts thoroughly to ensure adherence to organizational policies and guidelines before finalizing provider agreements.
• Prepared and processed provider enrollments with Medicaid.
• Established strong relationships with providers through clear communication and prompt assistance during the enrollment process.
• Communicated effectively via telephone, email, fax with providers.

• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
• Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
• Maintained high-quality service by adhering to company policies and standards in all member interactions.
• Handled complaints with prompt, courteous service to uphold professional reputation.

Cutting hair and making clients look great!

• Maintained a clean and hygienic work environment by following strict sanitation guidelines and procedures.
• Booked appointments, answered phones, greeted clients, handled payments, and created client service tickets.
• Enhanced client satisfaction by providing personalized cosmetology services based on individual needs and preferences.
• Educated clients on proper hair care techniques to promote healthier hair between appointments.
• Stayed current with industry trends and techniques by attending workshops, trade shows, and continuing education courses.

• Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing. Provider data validation (Phone) .Desktop computer

• Provide front-line customer support to address all aspects of a policy, including premium changes, policy purchases and new customer follow-up.

• Responsible for the installation and administration of assigned contracts, including, but not limited to: structure and billing set up, eligibility collection, database loading, and preparation of plan materials such as administrative documents and provider education materials. Also responsible for overall provider contract and amendment loading and processing using various databases. Responsibilities may also include auditing contract loads for adherence to quality measurements and reporting standards.

• Fully engages Cardholder, resolves questions and complaints.
• Responds to inquiries concerning credit card transactions, products, services, fees, Billing errors, payments, or any other Cardholder related request.
• Utilizes branded sales, listening and negotiation techniques when responding to Cardholder requests and actively working to identify opportunities to provide services, offer fee products and balance transfers as well as card related offers/benefits, resulting in added value to the Cardholder.
• Has authority to fully satisfy the cardholder in a respectful manner, using a sound and reasonable decision making process.

• Handle inbound calls and facilitate outbound calls from/to Patients inquiring about their Home Delivery benefit.
• Explain the advantages of Home Delivery prescription services (mail order).
• Identify patient needs and present savings and convenience of receiving medications via Home Delivery.
• Accurately complete and document patient interactions and transactions in company databases.
• Have the ability under general direction to answer questions related to pharmacy Home Delivery benefits, while maintaining productivity standards and quality metrics.
• Work independently to resolve patient or physician inquiries in a timely and efficient manner.
• Demonstrate ability to manage difficult customer situations and escalate when necessary.
• Have the ability to determine next steps to escalate issues.
• Meet the changing demands of a dynamic work environment.

• Runs high volume copy machines and performs binding and finishing work.
• Ensures convenience copiers are working properly, checking for quality via daily inspections.
• Clears paper jams and informs technicians of specific problems.
• Performs all repair service on customer copier equipment.
• Maintains records for management reports and inventories of supplies needed.
• Distributes office supplies, fax transmissions and mail to company personnel and/or designated drop-off points as required.
• Calculates charges for jobs performed and maintains some billing logs. Responds to and coordinates all service calls required by customer.
• May perform filing duties in conjunction with specific customer requests.