Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Patient Transporter
Centennial Medical Center
Nashville, TN
11.2023 - Current
Warmly greeted patients and visitors and made each feel welcome.
Assisted in training new Patient Transporters on proper techniques, protocols, and company policies, ensuring consistent high-quality care throughout the team.
Transported patients to testing and treatment units, operating rooms and other areas using moveable beds, wheelchairs, and stretchers.
Wiped down equipment with proper cleaning products after each patient transport to reduce instances of infection.
Reduced patient anxiety during transport by maintaining open communication and answering questions.
Ensured patient safety by properly positioning patients on stretchers, wheelchairs, and other transport equipment.
Appeals Specialist
CGS
Nashville, TN
10.2022 - 11.2023
Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
Monitored reports to identify claims issues and worked with adjusters to resolve problems.
Examined claims, records and procedures to grant approval of coverage.
Checked documentation for appropriate coding, catching errors and making revisions.
Collaborated with fellow team members to manage large volume of claims.
Tech Expert
T-Mobile
Nashville, TN
07.2017 - 08.2022
Handled customer service issues by providing guidance or escalating for advanced support.
Assisted customers with various types of technical issues via email, live chat and telephone.
Walked customers through common phone hardware and software configurations to maximize service functionality.
Demonstrated advanced product knowledge to solve customer issues.
Customer Service
Permanent The General
Nashville, TN
10.2016 - 07.2017
Making plan changes educating insured on coverage specifics collection payment creating documents for Lean Holders, Courts, and Law Enforcement
Fostered relationships with customers to expand customer base and retain business.
Resolved routine and complex issues by performing detailed research.
Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
Closed sales on new policies by presenting insurance options to customers accurately and efficiently.
Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
Client Services
AmeriaGroup
Nashville, TN
12.2015 - 08.2016
Verifying plan details locating qualified medical facilities and physicians
Verified policy holder data, including age, contact number and physical address.
Complied with confidentiality regulations in handling customer information.
Checked documentation for appropriate coding, catching errors and making revisions.
Customer Service/Appeals Analyst
CVS Caremark
Nashville, TN
09.2013 - 11.2016
Prescription drug coverage for Med
D processing coverage determinations plan design refill mail order prescriptions
Reviewed customer requests, resolved questions and defined specifications before completing orders.
Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
Assisted patients with insurance questions by studying benefits.
Education
Certification - Phlebotomy
Allied Health Careers Institute
Murfreesboro, TN
05.2017
Timeline
Patient Transporter
Centennial Medical Center
11.2023 - Current
Appeals Specialist
CGS
10.2022 - 11.2023
Tech Expert
T-Mobile
07.2017 - 08.2022
Customer Service
Permanent The General
10.2016 - 07.2017
Client Services
AmeriaGroup
12.2015 - 08.2016
Customer Service/Appeals Analyst
CVS Caremark
09.2013 - 11.2016
Certification - Phlebotomy
Allied Health Careers Institute
Similar Profiles
Kathryn DelaneyKathryn Delaney
Sepsis Coordinator - Registered Nurse at Centennial Medical CenterSepsis Coordinator - Registered Nurse at Centennial Medical Center