Maleaka Taylor
Crystal Springs ,MS
Summary
Professional customer service associate committed to providing high- quality service and superior guest experiences. Superior etiquette in oral communication, written communication, active listening, and analytical problem solving skills. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients.
Overview
10
10
years of professional experience
Work History
Medicare Enrollment Specialist
Tranzact Insurance Solutions
10.2023 - 04.2024
- Maintained a high level of accuracy by conducting thorough reviews of enrollment applications, ensuring compliance with CMS regulations.
- Delivered prompt resolution for member inquiries regarding their Medicare enrollment status, providing clear and concise information.
- Enhanced member satisfaction with accurate and timely processing of Medicare applications.
- Professionally provided exceptional customer service during application submissions.
- Maintained strict confidentiality of member information, adhering to HIPAA guidelines and company privacy policies.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Health Care Customer Service Rep.
BroadPath Healthcare
08.2022 - 09.2023
- Streamlined appointment scheduling process by utilizing advanced software tools, optimizing time management for both patients and medical professionals.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Increased first-call resolution rates by carefully listening to customers" needs and providing accurate information based on their inquiries.
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Handled customer issues such as complaints, appeals, prescriptions, PCP issues or concerns.
Customer Service Coordinator
Sitel (Foundever)
01.2017 - 12.2022
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Managed complex schedules for multiple healthcare providers, ensuring timely patient care and provider availability.
- Provided exceptional customer service to patients, addressing inquiries and resolving issues related to scheduling or billing concerns.
- Maintained accurate records of customer interactions, ensuring proper documentation within the company"s database.
- Expedited service times with effective triage of incoming calls, directing patients to the correct department or resource.
- Facilitated smooth communication between patients, insurance companies, and medical staff for seamless coordination of care.
Customer Care Specialist
Iqor
09.2021 - 08.2022
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Reduced customer complaints by efficiently resolving issues through effective communication and problem-solving skills.
- Leveraged strong listening skills to identify customer needs and recommend appropriate solutions or alternatives.
- Improved team performance by sharing knowledge and best practices with colleagues in regular training sessions.
- Streamlined processes for quicker response times, resulting in improved customer experiences.
Education
Associate Of Arts - Nursing
Hinds Community College
Raymond, MS05.2019
High School Diploma -
Terry High School
Terry, MS05.2015
Skills
- Complaint Resolution
- Attentiveness
- Problem Solving
- Account Management
- Data entry proficiency
- Appointment Scheduling
- Claims Processing
- HIPAA Compliance
- Multitasking and Organization
- Professional Phone and Email Etiquette
- Medical Terminology
- Medical Billing and Insurance
- Interactive Communication Skills
- Recordkeeping Strengths
- Microsoft Office
Timeline
Medicare Enrollment Specialist
Tranzact Insurance Solutions
10.2023 - 04.2024
Health Care Customer Service Rep.
BroadPath Healthcare
08.2022 - 09.2023
Customer Care Specialist
Iqor
09.2021 - 08.2022
Customer Service Coordinator
Sitel (Foundever)
01.2017 - 12.2022
Associate Of Arts - Nursing
Hinds Community College
High School Diploma -
Terry High School