Lashauna Hardy
Indianapolis,IN
Summary
Hardworking candidate skilled in providing excellent customer service with a proven track record of resolving customer issues in a timely manner while upholding the highest standards of customer satisfaction. Extensive experience in using multiple communication channels, including phone, email, and web chat. Strong interpersonal skills for effectively leading and motivating a team to success.
Overview
14
14
years of professional experience
Work History
Medicaid Eligibility Specialist
United Healthcare
05.2024 - Current
- Trained new Member Service Advocates on company policies and procedures, leading to consistent service delivery across the team.
- Utilized data analysis to identify trends in customer feedback, driving continuous improvement efforts within the team.
- Streamlined service processes for quicker response times and increased efficiency.
- Bolstered membership renewal rates through proactive outreach campaigns highlighting benefits of continued membership.
- Improved member satisfaction by promptly addressing inquiries and providing accurate information.
Provider Data Specialist
Cigna Dental
08.2023 - 06.2024
- Reviewed and completed provider application processes accurately.
- Gathered necessary documentation and additional information through outreach efforts.
- Successfully negotiated reduced rates for services, leading to budgetary efficiency.
- Track and manage daily contracts and contacts.
- Ensured timely processing of provider enrollment paperwork for network inclusion.
Sr. Claims Specialist
Delta Dental
Alpharetta, GA, USA
02.2011 - 07.2023
- Oversees claims form review to guarantee proper adjudication.
- Provides explanation of status and reason of denial claims to members and providers
- Assist in special projects such as assisting claims department in processing claims and working reports
- Responsible for answering incoming calls or correspondence from our subscribers, providers, and others who have
- Questions about insurance coverage, benefits, claims etc
- Documents each customer encounter and resolution in appropriate computer tracking system
- Basic knowledge of dental terminology, procedures, and x-rays
- Ability to use several computer programs at once, while assisting a customer on the phone
- Interacts with systems to ensure claims are paid or denied based on terms of contract
- Initiates interaction with other areas to ensure claims are handled properly and thoroughly
Education
Strayer University
Atlanta, GASkills
- Live chat
- CPT coding
- Organizational skills
- Medical imaging
- Insurance verification
- HIPAA
- Data entry
- Customer service
- Clerical experience
- Computer operation
- Quality Assurance Evaluation
- Communication skills
Timeline
Medicaid Eligibility Specialist
United Healthcare
05.2024 - Current
Provider Data Specialist
Cigna Dental
08.2023 - 06.2024
Sr. Claims Specialist
Delta Dental
02.2011 - 07.2023
Strayer University