Raven Disante
Lewis Center,OH
Summary
Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Provider Services Representative
United Healthcare
05.2022 - Current
- Respond proactively and positively to rapid change.
- Educate providers about billing, payment processing and support policies and procedures.
- Meet provider call guidelines for service levels, handle time and productivity.
- Researched and analyzed complex claims to determine next steps and possible outcomes.
- Processed claims using Facets.
Customer Service Representative
United Healthcare
05.2019 - 05.2022
- Answered constant flow of customer calls with minimal wait times.
- Trained new personnel regarding company operations, policies and services.
- Sought ways to improve processes and services provided.
- Cross-trained and provided backup support for organizational leadership.
- Processed and mailed specialty medications to members in reasonable timeframes.
Sr. Service Advocate
Aetna
04.2018 - 04.2019
- Conducted in-depth research on complex problems to bring about satisfactory resolutions.
- Processed payments, updated accounts and submitted paperwork on behalf of members.
- Applied advanced computer and customer service skills to develop successful solutions to concerns.
- Coordinated with clinical professionals to evaluate concerns and resolve problems.
- Educated members on plan specific benefits and submitted authorization requests on members behalf.
Certified Home Hospice Aide
Mount Carmel Health System Inc.
06.2017 - 01.2018
- Worked independently and met all day to day quotas.
- Used EMR to store and protect patient data.
- Positioned patients to provide comfort and promote better body alignment.
- Assisted patients with bathing, grooming, dressing, and oral hygiene care both in private residences and facilities.
- Documented detail notes and observations, and communicated changes and concerns with assigned RN.
Education
High School Diploma -
Eastmoor Academy
Columbus, OHSkills
- Administrative and Office Support
- Invoice Preparation and Processing
- Provider Relations
- Livechat Messaging
- Analytical and Critical Thinking
- Data Entry
- MS Office
Certification
- CPC - Certified Professional Coder
- CMC - Certified Medical Coder
Timeline
Provider Services Representative
United Healthcare
05.2022 - Current
Customer Service Representative
United Healthcare
05.2019 - 05.2022
Sr. Service Advocate
Aetna
04.2018 - 04.2019
Certified Home Hospice Aide
Mount Carmel Health System Inc.
06.2017 - 01.2018
High School Diploma -
Eastmoor Academy