Khi B
McDonough,GA
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Reliable Customer Service Representative with extensive track record in demanding sales and account management environments. Strong presenter, communicator and problem solver working effectively and productively with diverse customers and individual needs.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Customer Care Consultant III
Conduent Business Services
Jersey City, NJ
09.2023 - 10.2024
- Streamlined the enrollment process for increased efficiency and enhanced user experience.
- Reviewed detail medical claims and Rx claim
- reached out to providers for pre- authorizations
- made outbound calls to members
- Processed insurance policy cancellations and renewals quickly to meet call time targets.
- Posted payments to accounts and maintained records.
- Processed and recorded new policies and claims.
Healthcare Consulting Associate
chime solutions
Morrow, GA
06.2020 - 08.2023
- Prepared activity reports to inform management of status and implementation plans of programs, services and quality initiatives.
- • Used medical or administrative knowledge to explain policies, procedures and services to participants .
- • Assisted patients in completing new Participant health history forms.(cms-L564 FORM , 40-B, ETC)
- Maintained compliance with HIPAA protocols to safeguard patient privacy.
- Built strong and trusting rapport with clients and loved ones.
- Developed and implemented process improvements to enhance efficiency and accuracy of prior authorization workflows.
- Followed up on pending prior authorization requests to ensure timely processing.
Telephone Research Interviewer
Dynata
GA
08.2021 - 08.2022
- monitored and evaluated survey progress and performance using sample disposition reports and response rate calculations.
- • Conducted surveys and collected data using interviews, questionnaires, focus groups, market analysis surveys, public opinion polls, literature reviews, and file reviews. •
- Directed updates and changes in survey implementation and methods
SALES ASSOCIATE
PARADIES LAGARDERE
Atlanta, Georgia
06.2018 - 08.2020
- benefits of store credit cards or customer loyalty programs to encourage repeat business.
- • Introduced promotions and sale opportunities, enticing customers.
- • Engaged with guests to understand and anticipate customer service needs.
- • Drove sales through customer relationship building and suggestive selling techniques.
Education
High School Diploma -
Montgomery Cyber Academy
Mount Vernon, GA04.2017
Medical Coding
Ultimate Medical Academy
Clearwater, FLSkills
- Explaining Policy and Procedures
- Quality Standards and Protocols
- Organized and Detail-Oriented
- Building Rapport and Credibility
- Verbal and Written Communication
- Administrative and Office Support
- Helpful and Service-Oriented
- Call center operations
- Quality assurance controls
- Prescription coordination
- ICD-10 coding
Certification
- property and casualty License - 2020
Contact
McDonough, GA 30253
Timeline
Customer Care Consultant III
Conduent Business Services
09.2023 - 10.2024
Telephone Research Interviewer
Dynata
08.2021 - 08.2022
Healthcare Consulting Associate
chime solutions
06.2020 - 08.2023
SALES ASSOCIATE
PARADIES LAGARDERE
06.2018 - 08.2020
High School Diploma -
Montgomery Cyber Academy
Medical Coding
Ultimate Medical Academy
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