Porshce Pratt
Chattanooga,TN
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Claims Associate who is knowledgeable in insurance coverage, policy terms, and conditions.
Overview
9
9
years of professional experience
Work History
RTI Teacher
Hamilton County Schools
08.2022 - Current
- Supports classroom teachers, coordinates with other staff, and provides direct intervention services to students below grade level to ensure students can achieve at grade level through identified Tier 2 and Tier 3 academic interventions.
- Managed classroom behavior effectively by establishing clear expectations, modeling appropriate conduct, and consistently enforcing established rules and consequences.
- Differentiated instruction to accommodate diverse learning needs, ensuring each student had equal opportunity for success.
Provider Service Representative
BlueCross BlueShield of Tennessee
03.2019 - 08.2022
- Answered phone calls for health care providers, assisted with health benefits, plans, pre-certifications of treatment, and verified health eligibility.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Enhanced customer satisfaction by efficiently resolving provider inquiries and concerns.
Permanent Substitute Teacher
Hamilton County Schools
08.2019 - 03.2020
- Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
- Upheld classroom routines to support student environments and maintain consistent schedules.
- Repeatedly requested as substitute teacher by teachers based on excellent past referrals and trusted performance.
Accounts Payable Specialist (Temp)
Aerotex Staffing/Therapy Direct
01.2019 - 08.2019
- Assist with worker compensation claims and payments
- Receive and make outbound calls to providers to collect payment and claim status
- Enter payments into collection system and make daily deposits into bank to satisfy claims.
- Ensured timely payments for all invoices, maintaining strong relationships with vendors and suppliers.
- Reached out to vendors and customers to verify information and follow up on client issues.
- Facilitated dispute resolution between company departments and vendors regarding payment issues or discrepancies in invoicing.
Customer Service Advocate
Cigna Insurance Companies
07.2016 - 12.2018
- Answering phone calls and chat requests to help Cigna members and providers with benefits, plans, pre-certifications of treatment, and verifying health benefits.
- Managed high call volume during peak hours, prioritizing urgent cases while maintaining attention to detail.
- Participated in regular performance evaluations, consistently exceeding expectations in key metrics such as first-call resolution rate.
Customer Service Representative
T-Mobile
05.2015 - 07.2017
- Answered calls routed from thousands of T-Mobile post paid and pre-paid accounts, going over billing and account summary as well as usage.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Responded to customer requests for products, services, and company information.
Education
Bachelor of Science - Social Work
King University
Bristol, TN12.2025
Associate's degree in Social Work -
Chattanooga State College
Chattanooga, TN12.2023
Skills
- Customer service
- Medical terminology
- Data entry
- Insurance verification
- CPT coding
- Medical billing
- Case Evaluation
- Medical Documentation
- Claims Investigation
- Claims analysis
- Attention to Detail
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
RTI Teacher
Hamilton County Schools
08.2022 - Current
Permanent Substitute Teacher
Hamilton County Schools
08.2019 - 03.2020
Provider Service Representative
BlueCross BlueShield of Tennessee
03.2019 - 08.2022
Accounts Payable Specialist (Temp)
Aerotex Staffing/Therapy Direct
01.2019 - 08.2019
Customer Service Advocate
Cigna Insurance Companies
07.2016 - 12.2018
Customer Service Representative
T-Mobile
05.2015 - 07.2017
Bachelor of Science - Social Work
King University
Associate's degree in Social Work -
Chattanooga State College
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