Summary
Overview
Work History
Education
Skills
Timeline
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Krista Cummings

Shawnee,KS

Summary

I am seeking a career that will utilize my diverse knowledge and skillsets and I feel that I would be an asset to your team. I am best known for my passion and enthusiasm to succeed at every task I am given. Because of this determination to be successful, I have consistently been acknowledged for applying the utmost attention to detail, the ability to be organized and multi-tasked. In addition, some of the skills I have developed include empathy, team motivation and most importantly, exceptional customer service.

Overview

16
16
years of professional experience

Work History

Customer Service Representative

Magic Kitchen
Lenexa, KS
01.2025 - Current
  • Resolve customer complaints promptly and efficiently.
  • Maintain detailed records of customer interactions, transactions and comments for future reference.
  • Answer customer inquiries and provided accurate information regarding products and services.
  • Track orders from start to finish to ensure timely delivery of goods or services.
  • Coordinate communication between providers, patients, payers, and other departments as needed.
  • Ensure timely submission of accurate documentation to support payment of services rendered by providers.
  • Track authorization statuses using electronic databases or manual filing systems.
  • Maintain current knowledge of applicable regulations, laws, and standards.
  • Process prior authorization requests in accordance with departmental guidelines.
  • Monitor daily workflow queues within the department ensuring all tasks are completed accurately and timely.
  • Participate in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.

Marketing/Office Coordinator

Midwest Cuts
Shawnee, KS
02.2014 - Current
  • Coordinate events and ads for fundraising, customer appreciation, back-to-school drives, raffles
  • Manage online reviews, promotional pieces, business cards, social media
  • Manage quarterly business reports

Business Development Specialist

Audi Shawnee Mission
08.2023 - 02.2024
  • Customer first point of contact via phone and email
  • Scan and file contracts, repair orders, checks, night drops, titles
  • Processed payments
  • Scheduled client meetings
  • Met monthly sales goals

Patient Care Advocate

Carecentrix
06.2012 - 02.2017
  • Provided process and operational support via phone/online portal
  • Obtained prior authorizations
  • Served as a resource / subject matter expert for internal and external clients
  • Planned, prioritized, organized, and completed work to meet objectives in a timely manner
  • De-escalate and resolve issues with a high level of independence
  • Work cross-functionally to identify areas of opportunity/performance improvement and recommend solutions
  • Manage payer, provider and patient complaint resolution
  • Work with supervisors to create efficient work plans and trending root cause
  • Support cross-functional process improvement efforts and provide feedback to other business partners
  • Respond to calls/e-mails in a timely manner
  • Assisted/created projects/spreadsheets - across all operations when necessary

Patient Care Coordinator

Prescription Solutions
06.2009 - 05.2012
  • Answer incoming phone calls each day from customers and/or health care providers (i.e
  • Physicians' offices, clinics) and identify the type of assistance the customer needs
  • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
  • Contact care providers (doctor's offices) on behalf of the customer to assist with delivery of medication to that office, advising of authorizations that may be needed, or other information we may need from health care provider
  • Assist customers in navigating UnitedHealth Group websites while encouraging and reassuring them to become self-sufficient in using our tools
  • Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
  • Help guide and educate customers on their prescription benefits, use of plan, formulary, premiums and status of orders, and claims or inquiries

Education

A.A.S. - Graphic Design

Johnson County Community College
05-2023

H.S. Diploma -

Washington High School

Skills

  • Graphic Design
  • Adobe Acrobat
  • Above Creative Suite
  • Customer service
  • Data entry
  • Computer skills
  • Documentation review
  • Business development
  • Documentation
  • Policy compliance
  • Verbal and written communication
  • Microsoft Office
  • Administrative experience
  • Time management
  • Document Creation
  • Visual Design
  • Relationship building
  • Process improvements
  • Sales growth
  • Sales communications
  • Problem solving
  • Documentation management
  • Insurance terminology
  • Document control
  • Claims documentation
  • Insurance coverage verification
  • Prior authorization

Timeline

Customer Service Representative

Magic Kitchen
01.2025 - Current

Business Development Specialist

Audi Shawnee Mission
08.2023 - 02.2024

Marketing/Office Coordinator

Midwest Cuts
02.2014 - Current

Patient Care Advocate

Carecentrix
06.2012 - 02.2017

Patient Care Coordinator

Prescription Solutions
06.2009 - 05.2012

A.A.S. - Graphic Design

Johnson County Community College

H.S. Diploma -

Washington High School

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Krista Cummings