Resourceful and personable Service Coordinator with ten plus years of healthcare and customer service experiences. Knowledgeable in facilitating communication and providing appropriate solutions. Offering strong organizational, problem-solving, and communication skills. Collaborative and determined to meet deadlines in fast-paced environment.
Overview
12
12
years of professional experience
Work History
Service Coordinator I
Guidehouse
08.2022 - Current
Reviewing insurance eligibility and verifying coverage details to minimize claim denials and delays in payment.
Managing up to 50 patient accounts with contact information, insurance and Financial information in a confidential manner.
Ensuring that the medical records are organized, accurate and complete.
Merging up to 50 medical duplicate records for patients account
Create and maintain licensing, credentials and insurance records for physicians.
Collect, arrange , and input information into database system.
Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
Received and evaluated applications to look for missing and inaccurate information.
Customer Service Associate
Blue Cross and Blue Shield of Alabama
04.2017 - 04.2022
Provide excellent customer service and answers to member's questions within set standards and criteria
Take initiative for members by reaching out to providers, pharmacies, groups, etc to resolve problems
Managed approximately up to 70 daily incoming calls from members assisting with billing, processing of payments, and reinstatement
Achieve and exceed performance targets monthly for quality assurance, efficiency, and meeting customer satisfaction
Works cross functionally with multiple departments (Provider, large group, small group, individual products, and lead specialist team)
Interpreting and checking status of prior authorizations for medications and procedures.
Personal Banker/On The Job Training Coach (OJT)
Regions Bank
03.2015 - 04.2017
Mentored and conducted observations with various individuals on the team to provide verbal and written feedback for performance improvement
Attained aggressive sale goals by turning phone inquiries into sales opportunities by making an active attempt to cross sell the full range of bank products and services to meet client's needs
Used effective sales and telephone techniques to solidify and build client relationships
Working with up to 15 new hires each class to apply on the job training established from training.
Assistant Manager
Traffic Shoes
10.2012 - 04.2015
Review staff performance and offer constructive feedback
Collaborate with Store Manager on setting and achieving team specific goals
Interact with customers and resolve complaints and grievances
Train new hires while supervising existing staff
Review up to 30 applications for prospect candidates for interviews daily.