Summary
Overview
Work History
Education
Skills
Roles And Responsibilities
Timeline
Generic

Nakia Knight

Canton,OH

Summary

Hard-working professional with 14.5+ years of experience and a proven knowledge of customer communications, relationship management, and customer satisfaction. Aiming to leverage my skills to successfully fill the Quality Coordinator role at your company.

Overview

18
18
years of professional experience

Work History

Outreach Coordinator

AultCare Corporation
06.2022 - Current



  • Maintained compliance with all HIPAA regulations when handling sensitive member information and documentation.
  • Educated members on plan benefits, leading to increased understanding and utilization of services.
  • Performed general clerical tasks such as photocopying, faxing, and data entry with high accuracy ensuring efficient office operations.
  • Prioritized daily tasks to satisfy workload demands and department's turnaround goals.
  • Utilized Microsoft Word, Excel, PowerPoint and Outlook.
  • Provided exceptional support to Medicare beneficiaries, guiding them through coverage options and plan details.
  • Maintained strong working knowledge of Medicare regulations, ensuring accurate information dissemination to clients.
  • Streamlined claim processing for quicker reimbursements, diligently reviewing submitted documentation.
  • Contributed to team success by sharing best practices and collaborating on process improvements for better service delivery.

Operations Legal Specialist

Aultcare Corporation
04.2015 - 06.2022
  • Performs Call Monitoring and provides a trend to Management
  • Uses Quality Monitoring Data System to compile and track the performance of Customer Service Representative and team
  • Prepare Team meeting notes for the monthly meeting Handles Pharmaceutical Questions and issues on the Customers behalf Performed Pharmacy Training on new software Responds to customer inquiries via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims
  • Answers incoming calls and emails in a courteous and professional manner, Analyzes problems and provides information/solutions
  • Places follow-up phone calls and emails to answer customer questions that are routine in nature
  • Based on department need, may be required to assist with walk-in clients Operates a PC or thin client to obtain and extract information
  • Documents inquiry outcomes for accurate tracking and analysis
  • Maintain up-to-date tools and resources and utilize in a manner which allows calls to stay within Customer Service department for resolution
  • Performs basic job functions with help from co-workers and higher level personnel on non-basic issues and complex inquiries
  • STARS- Medicare Advantage Plan Sets up the TTY
  • Machines when scheduled Mentored Customer Service Representative to help them meet their goals
  • Enhanced customer satisfaction by efficiently addressing and resolving Medicare-related inquiries.
  • Provided exceptional support to Medicare beneficiaries, guiding them through coverage options and plan details.
  • Managed a high volume of inbound calls, adeptly navigating multiple systems while maintaining focus on customer needs.

Customer Service Production Keyer

Suarez Corporation
06.2007 - 04.2015
  • Process Customer's Returns, Exchanges and Refunds
  • Mailed out letters to Customers
  • DHL/UPS Tracked packages returns & Reship orders.

Sales Associate

Macy's Corporate
08.2006 - 06.2007
  • Greet customers and ascertain what each customer wants or needs
  • Describe merchandise and explain use, operation, and care of merchandise to customers
  • Answer questions regarding the store and its merchandise
  • Watch for and recognize security risks and thefts, and know how to prevent or handle these situations
  • Inventory stock and requisition new stock
  • Open and close cash registers, performing tasks such as counting money, separating charge slips, coupons, and vouchers, balancing cash drawers, and making deposits.

Education

High School Diploma -

EAST HIGH SCHOOL
06.1994

Skills

  • Software -ENCORE, GNAV, KRONOS, ESI, OPTUM RX
  • Microsoft, Word & Excel
  • Active listening Methods
  • Attention to detail
  • Customer Service & Relations
  • Knowledgeable
  • Outreach initiatives
  • Written and verbal communication

  • Data entry proficiency
  • Call center experience
  • Medicare knowledge
  • Complaint Handling
  • Policy understanding

Roles And Responsibilities

  • Performs Call Monitoring and provides a trend to Management. Uses Quality Monitoring Data System to compile and track the performance of Customer Service Representative and team. Prepare Team meeting notes for the monthly meeting Handles Pharmaceutical Questions and issues on the Customers behalf Performed Pharmacy Training on new software Responds to customer inquiries via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
  • Answers incoming calls and emails in a courteous and professional manner, Analyzes problems and provides information/solutions. Places follow-up phone calls and emails to answer customer questions that are routine in nature. Based on department need, may be required to assist with walk-in clients Operates a PC or thin client to obtain and extract information. Documents inquiry outcomes for accurate tracking and analysis. Maintain up-to-date tools and resources and utilize in a manner which allows calls to stay within Customer Service department for resolution. Performs basic job functions with help from co-workers and higher level personnel on non-basic issues and complex inquiries. STARS- Medicare Advantage Plan Sets up the TTY. Machines when scheduled Mentored Customer Service Representative to help them meet their goals
  • Process Customer's Returns, Exchanges and Refunds. Mailed out letters to Customers. DHL/UPS Tracked packages returns & Reship orders.
  • Greet customers and ascertain what each customer wants or needs. Describe merchandise and explain use, operation, and care of merchandise to customers. Answer questions regarding the store and its merchandise. Watch for and recognize security risks and thefts, and know how to prevent or handle these situations. Inventory stock and requisition new stock. Open and close cash registers, performing tasks such as counting money, separating charge slips, coupons, and vouchers, balancing cash drawers, and making deposits.

Timeline

Outreach Coordinator

AultCare Corporation
06.2022 - Current

Operations Legal Specialist

Aultcare Corporation
04.2015 - 06.2022

Customer Service Production Keyer

Suarez Corporation
06.2007 - 04.2015

Sales Associate

Macy's Corporate
08.2006 - 06.2007

High School Diploma -

EAST HIGH SCHOOL
Nakia Knight