Nancy Gladstone
Lauderhill,FL
Overview
1
1
Language
1
1
Certification
16
16
years of professional experience
Work History
Provider Services Representative
HCSC Healthcare Bought From Cigna
Lauderhill, FL
03.2025 - 10.2026
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Acted as a liaison between providers and company leadership, effectively communicating concerns and feedback to facilitate continuous improvement initiatives.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
- Improved communication between providers and insurance companies, leading to better understanding of policy coverage and claim status.
Provider Services Representative
Cigna
Lauderhill, FL
10.2022 - 10.2025
- Resolved provider inquiries regarding eligibility, benefits, claims status, and reimbursement policies.
- Interpreted policy documentation to explain network participation and administrative requirements accurately.
- Processed incoming calls and correspondence while maintaining service quality and timely case resolution.
- Documented provider interactions in CRM systems to support accurate follow-up and audit readiness.
- Investigated claim issues, identified discrepancies, and coordinated corrective actions with internal teams.
- Communicated prior authorization and referral requirements to support compliant provider transactions.
- Applied healthcare terminology and system navigation skills to resolve complex service questions.
- Collaborated with cross-functional teams to improve provider support workflows and reduce repeated contacts.
Apple Products – Tech Support, IOS, Billing, Media Services and Apple Pay.
Conduent
01.2021 - 10.2022
- My responsibilities were to give customers exceptional support on all Apple products. I assisted people with billing issues, technical support, agreement administration and accounting, including data entry
- Excellent communication skills, both verbal and written.
- Skilled at working independently and collaboratively in a team environment.
- Worked well in a team setting, providing support and guidance.
- Responsibilities included providing customers exceptional support on all Apple products. I assisted people with billing issues, technical support, agreement administration and accounting, including data entry
Substitute Teacher
Broward County School Board
Fort Lauderdale, FL
06.2013 - 08.2019
- Early Childhood - Head Start
- K - 6 - All Subjects
- 7 - 9 - All Subjects
- 9 - 12 - All Subjects
Technical Support
Frontier
08.2013 - 04.2018
Music and Hebrew Teacher
Plantation, FL
08.2010 - 06.2011
- Early Childhood - Head Start
- K - 6 - All Subjects
- 7 - 9 - All Subjects
- 9 - 12 - All Subjects
Education
ESL Credential - Education
International Open Academy
RemoteMasters - Education
Ashford University
Clinton, Iowa01-2011
B.A. Degree - Social Science with Education
Ashford University
Clinton, Iowa05-2009
A.S. Degree - Early Childhood Education
Broward College
Davie, FL08-2007
Skills
- Leadership & Israel Experience –
- Lived in Israel for six years after a one-year program FNYT – Leadership Machon
- Spent five years as camper and then worked at NFTY UAHC Kutz Camp
- Have travelled all over Israel and am fluent in Hebrew
- Was the Music Teacher at several schools – teaching Hebrew music and Hebrew basic language
- Have spent summers working at several different camps including the Y camps and camp Tevya
- I also worked as a youth advisor for two years for a synagogue on Long Island
- I also taught Israel and Family Education at Suburban Temple of Wantagh, NY
- Microsoft Word, Excel and Power Point
- Mas 90 Accounting Program
- Collections of all types
- Accounts Payable and Accounts Receivable
- Title Insurance
- Operating Systems - Windows 95, Windows 98, Windows 2000 Professional, Windows XP, Vista and Windows 7, Windows 8, Windows 10
- Typing Skill - 65 wpm
- Senior Moderator Teen Community MSN
- Senior Moderator & Assistant Community Leader, MSN
- Sysop - Assistant Team Leader for Helpdesk Community - providing leadership and support for system operators
Affiliations
Jewish Council of Early Childhood Educators of South Florida. Affiliated with The Helene & A.B. Wiener Early Childhood Department of the Central Agency for Jewish Education.
Certification
National CDA + All Necessary Hours. Directors Credential.
LANGUAGE SKILLS
Speak, read and write fluent English and Hebrew. Can speak some Spanish but not fluent.
Personal Information
Title: Educator/Trainer/Tech Support Agent
Timeline
Provider Services Representative
HCSC Healthcare Bought From Cigna
03.2025 - 10.2026
Provider Services Representative
Cigna
10.2022 - 10.2025
Apple Products – Tech Support, IOS, Billing, Media Services and Apple Pay.
Conduent
01.2021 - 10.2022
Technical Support
Frontier
08.2013 - 04.2018
Substitute Teacher
Broward County School Board
06.2013 - 08.2019
Music and Hebrew Teacher
08.2010 - 06.2011
A.S. Degree - Early Childhood Education
Broward College
B.A. Degree - Social Science with Education
Ashford University
Masters - Education
Ashford University
ESL Credential - Education
International Open Academy