Summary
Overview
Work History
Education
Skills
Candidates
Certification
Timeline
Generic

Mariama Kamara

Ellicott City,MD

Summary

Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Customer Service Rep

John Hopkins Healthcare
  • Assist Medicare Advantage (MA) members and providers by compassionately handling call types from benefit eligibility, claims prior authorizations, enrollment pharmacy, DME etc
  • Address healthcare gaps by contacting members to discuss gaps recommended care for A1C, Diabetic Eye Examination, Colon cancer, Mammogram screenings
  • Communicate with members as main point of contact and resolve 99% issues with services including billing, premiums, benefits
  • Achieve 96% quality score resulting in first call resolution and positive feedback.

Customer Care Advocate Sr

United Healthcare
04.2021 - 03.2022
  • Led concierge and white-glove level service to 600+ assigned members by removing burdens and delivering end-to-end resolution
  • Serve as a single point of contact for the customer and form a strong relationship to support them
  • Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member
  • Research complex issues across multiple databases and work with support resources to own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience
  • Utilize excellent organization skills to keep track of all follow-ups for my assigned member
  • Respond to and own consumer inquiries and issues
  • Conduct proactive research on assigned member accounts to identify service issues
  • Identify gaps in processes and work closely with other departments for process improvement
  • Educated members on previously submitted pre-authorizations or pre-determination requests
  • Meet the performance goals established for the position in the areas of efficiency, call quality, customer satisfaction, first call resolution, and attendance.

Patient Care Coordinator

United Healthcare
01.2019 - 03.2021
  • Connected patients with available community and charitable resources
  • Delivered excellent patient experiences and direct care
  • Upheld confidentiality requirements and regulatory compliance guidelines in all areas
  • Performed as subject matter expert for case management processes
  • Educated patients by explaining preparation instructions for upcoming procedures and tests
  • Encouraged patients to schedule recommended tests and procedures.

Clinical Care Coordinator

United Healthcare
09.2014 - 01.2019
  • Provided comprehensive administrative support to department staff
  • Assisted with patient scheduling and rescheduling, directing related billing issues to member services
  • Sustained high-level knowledge of federal and HIPPA regulations on patient privacy
  • Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.

Contact Center Representative

State Employee Credit Union
09.2012 - 11.2013
  • Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations
  • Controlled customer calls effectively and efficiently in complex, fast-paced, and challenging call center environment
  • Answered over 50 calls per day to meet fast-paced call center demands
  • Met 90% customer service satisfaction ratings through quality control and productivity
  • Effectively led high-volume of inbound and outbound customer calls using great customer services skills
  • Performed various clerical duties by filing and faxing documents and creating customer databases.

Education

Bachelor of Science - Social Sciences

University of Maryland - University College
Hyattsville, MD
01.2020

Skills

  • Excellent verbal and communication
  • Call Management
  • Data Entry
  • Scheduling
  • Complaint Resolution
  • Medical terminology
  • Relationship Building

Candidates

  • Mariama Kamara, Paralegal, Enthusiastic customer service specialist eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of resolving complex issues and winning customer loyalty. Motivated to learn, grow, and excel in the healthcare industry., 01/01/23, Current, Customer Service Rep, John Hopkins Healthcare, Assist Medicare Advantage (MA) members and providers by compassionately handling call types from benefit eligibility, claims prior authorizations, enrollment pharmacy, DME etc, Address healthcare gaps by contacting members to discuss gaps recommended care for A1C, Diabetic Eye Examination, Colon cancer, Mammogram screenings., Communicate with members as main point of contact and resolve 99% issues with services including billing, premiums, benefits., Achieve 96% quality score resulting in first call resolution and positive feedback., 04/01/21, 03/01/22, Customer Care Advocate Sr, United Healthcare, Led concierge and white-glove level service to 600+ assigned members by removing burdens and delivering end-to end resolution., Serve as a single point of contact for the customer and form a strong relationship to support them., Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member, Research complex issues across multiple databases and work with support resources to own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience., Utilize excellent organization skills to keep track of all follow ups for my assigned member., Respond to and own consumer inquiries and issues., Conduct proactive research on assigned member accounts to identify service issues., Identify gaps in processes and work closely with other departments for process improvement., Educated members on previously submitted pre-authorizations or pre-determination requests., Meet the performance goals established for the position in the areas of efficiency, call quality, customer satisfaction, first call resolution and attendance, 01/01/19, 03/01/21, Patient Care Coordinator, United Healthcare, Connected patients with available community and charitable resources., Delivered excellent patient experiences and direct care Upheld confidentiality requirements and regulatory compliance guidelines in all areas., Performed as subject matter expert for case management processes Educated patients by explaining preparation instructions for upcoming procedures and tests., Encouraged patients to schedule recommended tests and procedures., 09/01/14, 01/01/19, Clinical Care Coordinator, United Healthcare, Provided comprehensive administrative support to department staff., Assisted with patient scheduling and rescheduling, directing related billing issues to member services., Sustained high-level knowledge of federal and HIPPA regulations on patient privacy., Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills, 09/01/12, 11/01/13, Contact Center Representative, State Employee Credit Union, Enhanced productivity by staying on top of call scripts and maintaining control over direction of conversations., Controlled customer calls effectively and efficiently in complex, fast-paced and challenging call center environment, Answered over 50 calls per day to meet fast-paced call center demands., Met 90% customer service satisfaction ratings through quality control and productivity., Effectively led high-volume of inbound and outbound customer calls using great customer services skills, Performed various clerical duties by filing and faxing documents and creating customer databases, 2020, Bachelor of Science, University of Maryland at Global Campus, Excellent verbal and written communication, Problem Analysis and Issue Resolution, Leadership, Medical terminology, Medicare/Medicaid, Health Insurance Portability and Accountability Act (HIPPA), Research, Howard County Maryland, 443 668 6025, Mseray2015@gmail.com
  • Robin Zupanc, Paralegal, State your career goals and show how they align with the job description you’re targeting. Be brief and keep it from sounding generic. Be yourself., 20XX, Current, Paralegal, The Phone Company, Summarize your key responsibilities and accomplishments. Where appropriate, use the language and words you find in the specific job description. Be concise, targeting 3-5 key areas., 20XX, 20XX, Paralegal, Trey Research, Summarize your key responsibilities and accomplishments. Here again, take any opportunity to use words you find in the job description. Be brief., 20XX, 20XX, Paralegal, Adatum Corporation, Summarize your key responsibilities and accomplishments. Where appropriate, use the language and words you find in the job description. Be concise, targeting 3-5 key areas., 20XX, 20XX, A.A. Paralegal Studies, Jasper University, Creativity, Leadership, Organization, Problem solving, Teamwork, 4567 Main Street, City, State, 98052, (718) 555–0100, robin@example.com

Certification

Accident, Health, Life, Variable annuities 01/2022 National Insurance Producer Registry


Timeline

Customer Care Advocate Sr

United Healthcare
04.2021 - 03.2022

Patient Care Coordinator

United Healthcare
01.2019 - 03.2021

Clinical Care Coordinator

United Healthcare
09.2014 - 01.2019

Contact Center Representative

State Employee Credit Union
09.2012 - 11.2013

Customer Service Rep

John Hopkins Healthcare

Bachelor of Science - Social Sciences

University of Maryland - University College
Mariama Kamara