- Photography
- Music
- Exploring famous landmarks, historical sites, and cultural attractions in a new destination
- Historical Exploration
- Road Trips
LaQuita Hill
N Chesterfield,VA
Summary
I have a vast work history with different backgrounds of employment and career paths that I'm very proud of. I've never wanted to stick with just one thing and I love the resume that I've built for myself over the years. I've worked in multiple fields such as, Physical Therapy Office, Nursing Homes, Hospitals, Assisted Living Facilities, Residential Services, Day Support, and Call Centers. I've also worked remote from home, which is my favorite. No matter the job or career I've had, I've always succeeded with working to help and assist others.
Overview
20
20
years of professional experience
Work History
Customer Service Representative
Anthem Blue Cross Blue Shield
Richmond, VA
02.2021 - Current
- ASSIST MEMBERS WITH ACCESSING AND MANEUVERING THROUGH THE ANTHEM APP, "SYDNEY" AND WEBSITE "ANTHEM.COM".
- ASSIST MEMBERS WITH FINDING MEDICAL PROVIDERS AND FACILITIES THAT ARE IN THE ANTHEM NETWORK.
- EDUCATE MEMBERS ABOUT THEIR DEDUCTIBLE AND OUT OF POCKET BALANCES AND HOW THEY BOTH WORK TOWARDS MEMBERS BENEFITS.
- INFORM MEMBERS ABOUT THEIR INSURANCE POLICIES ELIGIBILITY INFORMATION AS IT PERTAINS TO ACTIVE OR TERMINATED ACCOUNTS.
- CREATE CORRESPONDENCE AND SEND TO MEMBERS VIA EMAIL AND POSTAL MAIL ABOUT THEIR COVERAGE, TERMINATIO, BENEFITS AND POLICY.
- SUBMIT AND EDUCATE MEMBERS ABOUT THEIR CLAIMS AS IT PERTAINS TO BILLING, CODING, REIMBURSMENTS, PROCESSING, ETC..
- SET UP COORDINATION OF BENEFITS AND LIMITED LIABILITY FOR MEMBERS WHO HAVE OTHER INSURANCE INCLUDING MEDICARE.
- I STARTED OUT AS A CSR 1 AND HAVE BEEN PROMOTED TWICE. I AM NOW A CSR 3 WHICH HAPPENED WITHIN MY FIRST 3 YEARS OF EMPLOYMENT.
- REVIEW AND MANAGE AUTHORIZATIONS AND PRECERTIFICATIONS FOR MEMBERS FOR UPCOMING SURGERIES AND OTHER MEDICAL PROCEDURES.
- FILE AND REVIEW STATUS OF COMPLAINTS, GRIEVANCES AND APPEALS FOR MEMBERS.
- ASSIST MEMBERS WITH BALANCES, AND GETTING NEW DEBIT CARDS AND OTHER INFORMATION AS IT PERTAINS TO THEIR SPENDING ACCOUNTS, i. e. HSA, FSA, AND HRA.
- EDUCATE MEMBERS ABOUT THEIR BENEFITS AND THE COST OF OFFICE AND VIRTUAL VISITS, PREVENTIVE CARE, SURGERIES, HOSPITAL AND OUTPATIENT SERVICES, HOME CARE, THERAPIES, ETC..
- PARTICIPATE IN TRAININGS, MEETINGS, 1-ON-1'S WITH MANAGERS AND OTHER ADMINISTRATION AS IT PERTAINS TO MY JOB RESPONSIBILITIES.
- ANSWER CALL FLOW OF ABOUT 30 INBOUND CALLS PER DAY WITH MINIMAL WAIT TIME.
Shopper
Maplebear Instacart
San Francisco, CA
05.2020 - Current
- Shop for customers for groceries, medication, and other retail items from grocery and retail merchants.
- Communicate with customers while shopping to ensure accurate merchandise is selected and provided.
- Deliver items safely and within a time set by employer and customer, to their homes/business.
Customer Service Representative
Mindlance Employment Agency
Union, NJ
09.2020 - 02.2021
- COMPLETE ALL NECESSARY TRAININGS FOR THE CALL CENTER.
- ATTEND TEAM AND MANAGER MEETINGS.
- ANSWER CALL FLOW OF ABOUT 21 INBOUND CALLS PER DAY WITH MINIMAL WAIT TIME.
- ASSIST CALLERS WITH ISSUING OF ID CARDS
- ASSIST CALLERS WITH BENEFIT AND COVERAGE INFORMATION ABOUT THEIR HEALTH INSURANCE.
- FILL OUT TIMESHEETS WEEKLY
- MAINTAIN UP-TO-DATE KNOWLEDGE OF REGULATIONS AND POLICIES AS THEY APPLY TO THE JOB
Customer Service Representative
Maximus Federal
Chester, VA
09.2018 - 01.2020
- COMPLETE DAILY ELECTRONIC CALL LOGS
- USE STANDARD TECHNOLOGY: TELEPHONES, EMAILS, WEB BROWSERS, ETC..
- ASSIST CALLERS WITH FINISHING ONLINE APPLICATIONS
- ANSWER AN AVERAGE OF 60 INBOUND CALLS PER DAY
- COMPLETE ASSIGNED TRAINING AS NEEDED
- ASSIST AND ISSUE MEDICARE ID CARDS TO CALLERS
- ASSIST CALLERS WITH MEDICARE BENEFIT AND COVERAGE INFORMATION
- CONNECT CALLERS WITH MANAGERS AND OTHER LEADERSHIP AS NEEDED
Day Support Counselor
Life Touch Services, LLC
Bon Air, VA
08.2016 - 08.2018
- Assist individuals with mental disabilities to obtain suitable employment.
- Provide transportation to individuals with mental disabilities to and from work and day programs.
- Oversee day-to-day activities for individuals with mental disabilities
- Worked 1-on-1 with individuals with mental disabilities through therapeutic measures to deescalate conflict.
- Supervise and design programs to support social interaction with individuals with mental disabilities.
- Monitor the attitude and mental behavior of each individual.
- Help individuals process their problems and plan goals and actions for their future.
- Administer prescribed medications to each individual
Residential Supervisor
Riggins Residential
Mechanicsville, Virginia
07.2005 - 08.2016
- Recognized changes in behavior indicating potential crisis situations and took immediate and appropriate action.
- Maintained caring, supportive and safe environment for residents through careful monitoring and continuous oversight.
- Observed strict safety guidelines and regularly inspected bedrooms and common areas for any issues that posed danger to residents and staff members.
- Establish consistent and healthy relationships with residents and staff to maintain professional boundaries.
- Coordinate staff schedules to ensure each shift has adequate coverage.
- Document and report house and transportation problems to maintenance department for quick resolution.
- Assist staff in handling escalated situations to resolve conflict with each resident.
- Maintain individual records of emergency contacts and administrative support documentation for residents
- Attend quarterly meetings with each resident's case manager to check goal progress and work on new ones.
- Attend and participate in the "SUPPORT INTENSITY SCALE" every three years for each resident.
- Conduct tours of residential house, lead orientation and meet-and-greet sessions for each potential resident and their families.
- Support residents with integrating into social communities.
- Support personal needs of residents dealing with diverse conditions.
- Strategize to improve resident care and satisfaction
- Participate in weekly meetings with director and leadership to advocate for resident needs.
- Perform annual evaluations for each staff.
- Hire and train new employees.
Physical Therapy Assistant
Rehab Plus
Midlothian, VA
08.2005 - 03.2006
- ASSIST PATIENTS WITH THERAPEUTIC EXERCISES
- DOCUMENT AND COMMUNICATE WITH THERAPIST REGARDING PATIENT PROGRESS
- LOCATE TOOLS AND EQUIPMENT NEEDED FOR PHYSICAL THERAPIST AND THEIR PATIENTS
- VERIFY PATIENT INFORMATION
- PROVIDE PATIENT EDUCATION
- FIRST AID SKILLS
Education
Medical Assistant -
Medical Careers Institute
Chesterfield, Virginia10.2002
General Studies - undefined
Franklin Military Academy
Richmond, VA06.1997
Skills
- Customer service
- Computer literacy
- Communication skills
- Time management
- Documentation review
- English
- Microsoft word
- Leadership
- CPR
- FIRST AIDE
- TOVA
- MEDICATION MANAGEMENT
- Leadership Experience
- Supervisor
Interests
Timeline
Customer Service Representative
Anthem Blue Cross Blue Shield
02.2021 - Current
Customer Service Representative
Mindlance Employment Agency
09.2020 - 02.2021
Shopper
Maplebear Instacart
05.2020 - Current
Customer Service Representative
Maximus Federal
09.2018 - 01.2020
Day Support Counselor
Life Touch Services, LLC
08.2016 - 08.2018
Physical Therapy Assistant
Rehab Plus
08.2005 - 03.2006
Residential Supervisor
Riggins Residential
07.2005 - 08.2016
General Studies - undefined
Franklin Military Academy
Medical Assistant -
Medical Careers Institute