QUANISHA ERVIN
1114 Kellum St. ,Texas
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
17
17
years of professional experience
Work History
Veterans Service Representative
US Department of Veterans Affairs
07.2021 - 10.2024
- Assisted in a variety of administrative matters, verified medical claims and vouchers for accuracy and completeness in accordance with VA policy.
- Maintained a wide variety of medical or other records and resolved medical claim inquires.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
Customer Service Advocate
Blue Cross Blue Shield
06.2020 - 06.2021
- Assist customers with their insurance concerns and medical insurance coverage’s.
- Assist with the out of pocket expenses, percentage of coverage and help with finding physicians within their network and closest to them.
- Handling calls with high call volume.
- Managed high call volume during peak hours, prioritizing urgent cases while maintaining attention to detail.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
Customer Service Representative
Meduit
06.2018 - 05.2020
- Assisted customers with scheduling and making medical appointments.
- Also assisted customers with understanding details of their medical bills as well as making payments on balances owed.
Contact Representative
US Department of Veterans Affairs
02.2016 - 06.2018
- Assisted veterans with making payments on their accounts and answered billing questions.
- Managed a high volume of inbound calls daily, maintaining composure under pressure while providing top-notch service to clients.
- Increased customer retention by expertly handling escalated issues in a timely manner.
Customer Care Advocate
General Dynamics Information Technology
01.2014 - 02.2016
- Assisted consumers with applying for health coverage, reviewed eligibility results, reported life-changes to consumer’s application.
- Verified authorization to release information to consumer, provide peace of mind to irate consumers by using problem solving skills and being knowledgeable of coverage’s offered.
Caseworker/Customer Service Rep
EMSI
08.2012 - 01.2014
- Assisted consumers with questions and concerns regarding insurance policies and health coverage. Maintain a wide variety of medical or other records.
- Resolved medical claim inquiries, and use alternate methods or refer problems not solvable by interpreting guides, or procedures.
- Used subject matter expert knowledge and judgment to process medical claims, and complete assignments consisting of numerous steps that vary in nature and sequence.
- Monitored case progress for timely completion and compliance with applicable regulations.
Teen Counselor
Bledsoe Miller Recreation Center
06.2007 - 06.2008
- Assisted with The City of Waco’s Summer Camp program by supervising youth ages 5-13.
Education
High School Diploma -
LaVega High School
Waco, TX06.2013
Skills
- Customer services skills
- Data entry skills
- Claims processing
- Inbound call management
- Healthcare assistance
- Benefits determination
- Billing and payments
- Task scheduling
- Customer relations
- Teamwork and collaboration
- Goal setting
Timeline
Veterans Service Representative
US Department of Veterans Affairs
07.2021 - 10.2024
Customer Service Advocate
Blue Cross Blue Shield
06.2020 - 06.2021
Customer Service Representative
Meduit
06.2018 - 05.2020
Contact Representative
US Department of Veterans Affairs
02.2016 - 06.2018
Customer Care Advocate
General Dynamics Information Technology
01.2014 - 02.2016
Caseworker/Customer Service Rep
EMSI
08.2012 - 01.2014
Teen Counselor
Bledsoe Miller Recreation Center
06.2007 - 06.2008
High School Diploma -
LaVega High School
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