Porsha Hinton
Chester ,VA
Summary
Ardent professional with extensive experience in customer service and insurance coordination within the healthcare sector. Proven ability to analyze complex data, manage multiple priorities, and deliver actionable insights to enhance client satisfaction and operational efficiency. Skilled in building strong relationships with stakeholders, demonstrating consultative communication, and presenting data-driven findings to diverse audiences. Recognized for a meticulous attention to detail and a collaborative approach, fostering teamwork to achieve organizational goals. Adept at leveraging technical proficiency in data management tools to support strategic decision-making and improve healthcare outcomes.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Customer Care Coordinator
Magellan Helath/ Evolent Health
10.2021 - Current
- Contact members and healthcare providers to initiate authorizations or provide authorization details.
- Consistently exceed daily call target of 119 calls by completing an average of 150 calls per day, with a goal of 17 calls per hour.
- Maintain a perfect 100% quality adherence, ensuring compliance with company protocols and delivering accurate and efficient service.
- Handle fax requests between calls, promptly attaching and organizing documents in member files
- Excel in both independent work and team collaboration in a fast-paced environment, demonstrating strong time management and attention to detail
Rural Mail Carrier
United States Postal Service
11.2018 - 08.2020
- Safely and efficiently deliver and collect mail and parcels across designated rural routes, ensuring timely and accurate service.
- Provide part-time coverage for regular carriers on their off days, ensuring consistent delivery operations without disruption
- Assist with additional portions of other carriers' routes in the event of call-outs, demonstrating flexibility and strong problem-solving skills.
- Effectively manage time to meet delivery deadlines in varied weather and terrain conditions.
Insurance Coordinator
Ivy Rehab Service
08.2015 - 08.2018
- Process insurance claims, verify coverage, and coordinate with providers for approvals
- Resolve insurance issues with patients and clinical staff, ensuring clear communication.
- Maintain accurate patient insurance records while adhering to privacy regulations.
- Help streamline billing processes and reduce claim denials, improving efficiency.
Education
High School Diploma -
Highland Springs High School
Highland Springs, VA06.2007
Certificate - Pharmacy Technician
Highland Springs Technical Center
Highland Springs, VA06.2007
Certificate - Computer Science
J. Sergeant Reynolds Community College
Richmond, VA09.2006
Certificate - Digital Marketing Science
University of Virginia
Charlottesville, VA07.2023
Skills
- Customer Service Excellence
- Consultative Communication
- Analytical Thinking
- Data Management
- Problem-Solving Skills
- Team Collaboration
- Detail Oriented
- Project Management
- Adaptability
- Technical Proficiency
- Client Relationship Management
- Presentation Skills
Certification
- Google Analytics
- Email marketing
- HubSpot
- Pharmacy Technician
Work Preference
Work Location
RemoteImportant To Me
Work-life balanceCompany CultureHealthcare benefitsPaid time offStock Options / Equity / Profit SharingPersonal development programsCareer advancementTimeline
Customer Care Coordinator
Magellan Helath/ Evolent Health
10.2021 - Current
Rural Mail Carrier
United States Postal Service
11.2018 - 08.2020
Insurance Coordinator
Ivy Rehab Service
08.2015 - 08.2018
High School Diploma -
Highland Springs High School
Certificate - Pharmacy Technician
Highland Springs Technical Center
Certificate - Computer Science
J. Sergeant Reynolds Community College
Certificate - Digital Marketing Science
University of Virginia
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