Summary
Overview
Work History
Education
Skills
Timeline
Generic
LeEtta Chambers

LeEtta Chambers

Columbus,OH

Summary

Client- Focused Representative with 10(+) years of providing solutions to customers. Proficient at building and maintaining professional relationships. Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.

Overview

18
18
years of professional experience

Work History

Benefits Payment Control/Fraud Unit(Remote)

Adecco/Accenture
San Andreas, CA
09.2021 - 03.2022
  • Managed research on current benefit trends and regulatory and legislative requirements and presented findings and recommendations to leadership.
  • Conducted thorough review of benefit election complaints and appeals submitted to benefits division.
  • Evaluated and modified existing compensation and benefits programs, policies and procedures in coordination with human resources department.
  • Partnered with benefits analyst and resolved data and system issues pertaining to claimant benefits.
  • Analyzed large amounts of data to find patterns of fraud and anomalies.
  • Collaborated with team members to discuss fraud trends and brainstorm methods to combat this type of crime.
  • Gathered evidence, which included recorded and written statements, financial documentation and audio materials for examination.

Administrative Assistant/Outbound Service/Lab Testing

Laboratory Corporations of America
Dublin, OH
01.2019 - 03.2020
  • Front desk clerical with assisting incoming clients across LabCorp corporations
  • Handle incoming calls with state pickups and Routine pickups of specimens across states
  • Outbound calls to hospitals and doctor offices reporting specimens that were insufficient
  • Handling ICD9 codes
  • Test codes, cost and lab results
  • Worked closely with doctor office and clients about patients with critical lab results if there was a spike in patients glucose, potassium and etc.
  • Transplant screening and testing
  • Transplant monitoring and disease association
  • Offer variety of drug testing services and web-based application for employers, third-party administration, and Medicare review offices
  • Detailed attention with reading lab results
  • Making clear judgment of resulting lab results by state regulatory
  • Deliver high quality diagnostic’s insights, bringing innovative medicines to patient faster, and developing technology-enable solution to change how care is provided
  • Monitoring Leads in patients’ blood then reporting to required states by end of each business day
  • Weekly and monthly reporting
  • Medicare medical necessity
  • Offer local coverage
  • Determination (LCD’s) issued by insured centers for Medicare administrative contractors(MAC) and national coverage determination
  • Patient Care Advocate/Patient Service Client/340B program/ Concierge/ Liaison

Patient Care Advocate/Concierge/Liaison/Team Lead

Express Scripts
Dublin, OH
07.2013 - 01.2019
  • (remote home) - Drug manufacturing to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices
  • Specialty Liaison and concierge for escalated patients accounts, Conflict resolution specialist
  • Maintain client relationships; submit weekly end reports to Account Sales Directors within the company and outside clients
  • Worked directly with account sales directors to build relationships with hospitals account director and directly with patient and insured clients
  • Team lead-level staff for escalations and resolution.
  • Identified issues, analyzed information and provided solutions to problems
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
  • Developed team communications and information for meetings
  • Prepared variety of different written communications, reports and documents
  • Created plans and communicated deadlines to complete projects on time

Deb Collector

GCS
Columbus, OH
09.2010 - 07.2013
  • Negotiated with account holders to devise repayment plans and minimize collection receivables
  • Persistently reached out to customers with extremely past due account to recover lost revenue
  • Investigated account with balance errors using account software
  • Managed delinquency cycle, including past due collections calls, skip tracing, outside agency coordination and litigation activities
  • Online Banking/Internet support
  • Collaborated with team members to achieve target results
  • Resolved problems, improved operations and provided exceptional service
  • Proved successful working within tight deadlines and fast-paced atmosphere
  • Offered friendly and efficient service to customers, handled challenging situations with ease

Online Banking Support/Customer Service

National City/ PNC Bank
Whitehall, OH
07.2006 - 07.2010
  • Upheld stringent bank standards for loans, money handling, and legal considerations
  • Provided base level IT support to non-personnel within the business
  • Represented bank at community events to establish strong ties and promote business
  • Resolved customer issues in a clear, courteous and straightforward manner.
  • Carried out day-to-day duties accurately and efficiently
  • Identified issues, analyzed information and provided solutions to problems
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
  • Exceeded goals through effective task prioritization and great work ethic
  • Prepared variety of different written communications, reports and documents
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs

Medical Office Receptionist

Dayton Job Corps
Dayton, OH
07.2004 - 06.2006
  • Responsible for timely submission of medical claims for healthcare providers including hospitals, physician's office, clinics, laboratories
  • Obtain referrals and pre-authorizations as required procedures
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
  • Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details
  • Used computer programs and registration systems to schedule patients for routine and complex procedures
  • Used computerized data management systems to organize immense datasets and coordinate care details for large patient bases
  • Assessed and forwarded procedure and service details to correct coding staff to best categorize for insurance purposes
  • Checked patient insurance, demographic and health history to keep information current
  • Completed and filed financial documentation for accounting purposes
  • Adhered to strict HIPAA guidelines to protect patient privacy

Cashier/Customer Service

Dairy Queen
Westerville, OH
10.2001 - 11.2003
  • Demonstrated integrity and honesty while interacting with customers, team members and managers
  • Maintained high standards of customer service during high-volume, fast-paced operation
  • Prepared quality with maintaining proper food safety practices, portion control and presentation within service goal times
  • Prepared a variety of foods according to customer's orders and supervisors instructions, following approved procedures.
  • Restocked and organized merchandise in front lanes.
  • Worked closely with shift manager to solve problems and handle customer concerns.
  • Promoted customer loyalty and consistent sales by delivering friendly service and knowledgeable assistance.
  • Collected and authorized payments of guests.
  • Mentored new team members on POS system operation, customer service strategies and sales goals.
  • Completed inventory counts and ordered merchandise.
  • Worked flexible schedule and extra shifts to meet business needs.

Education

High School Diploma -

Miami Valley Academy
Dayton, OH
07.2006

Skills

  • Project management
  • Quality control
  • Complaint resolution
  • Fraud detection
  • Efficient and Detail-Oriented
  • Customer Account Management
  • Strong Organizational Skills
  • Staff Development and Training
  • Team lead
  • Team Management and Supervision

Timeline

Benefits Payment Control/Fraud Unit(Remote)

Adecco/Accenture
09.2021 - 03.2022

Administrative Assistant/Outbound Service/Lab Testing

Laboratory Corporations of America
01.2019 - 03.2020

Patient Care Advocate/Concierge/Liaison/Team Lead

Express Scripts
07.2013 - 01.2019

Deb Collector

GCS
09.2010 - 07.2013

Online Banking Support/Customer Service

National City/ PNC Bank
07.2006 - 07.2010

Medical Office Receptionist

Dayton Job Corps
07.2004 - 06.2006

Cashier/Customer Service

Dairy Queen
10.2001 - 11.2003

High School Diploma -

Miami Valley Academy
LeEtta Chambers