Summary
Overview
Work History
Education
Skills
References
Work Preference
Work Availability
Timeline
OperationsManager

Rayshuna Stafford

Quality
Roseville,CA

Summary

Rayshuna is dedicated and customer service-oriented individual with defined skills in providing exceptional services in healthcare settings. A pleasant person who has an inherent ability to get along with people owing to a helpful attitude.

Overview

18
18
years of professional experience

Work History

Customer Service Representative

DXC Technology / BC Forward, Health First Colorado Project
01.2018 - 07.2018
  • Asist Providers with Medicaid/Medicare Enrollment
  • Verification of provider’s registration and NPI
  • Provider Claim process resolution, prior authorization, and readmittance
  • Communicate and assist Providers in understanding Medicaid/Medicare regulation and procedure changes
  • Sent proper Forms to Providers and explained implementation of the correct Forms
  • Instructed Providers on the use of Health First Colorado website
  • Address Provider’s concerns and questions

Receptionist

All Medical
11.2016 - 05.2017
  • Answering inbound calls for a mail-order US specialty pharmacy
  • Accompany patients into the office to direct them
  • Send and receive medical bills both to insurance companies and patients themselves
  • Perform clerical work such as copying faxing emailing etc
  • Responsible for placing orders for members and checking insurance benefit
  • Handling calls and routing calls to the appropriate departments, answering questions and concerns and checking the status of placed orders.

Gallegos Health Care- Advanced Caregiver
02.2016 - 01.2018
  • Providing home health care services to clients in their homes and healthcare facilities
  • Assisting with meals, errands, assistance with bathing, feeding, respite care in hospital
  • Responsible for memory care and hospice care.

Customer Service Representative

Optum Rx
07.2016 - 12.2016
  • Handling answering phones calls and helping to resolve customer questions and problems
  • Responsible for placing orders processing prescription orders for the mail order service.

Personal Care Provider

Allegiance Home Health Agency, Caregiver
03.2016 - 04.2016
  • Assisting with the bathing, Meal Preparation, Medications, Errands
  • Responsible for caring for MS clients and Cardiac clients in facility’s/ hospital acute long term and short-term facility’s

s Senior

Tammy, Home Health Care
08.2000 - 07.2006

Assistant

02.2007 - 11.2010
  • To an 24/7 ALS Client, Shopping, Personal Care, Medication, Transfers, Preparation
  • Feeding, Companionship
  • Private Live in Care Provider-, Cardiac Care, Dressing, Medication
  • Meal preparations, Transportation, Stand by Assistant, Hospice Care.

Education

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Hogan High School
1998

Skills

  • Qualified to accurately obtain and process patient demographic, medical and insurance information
  • First-hand experience in communicating with patients, hospital staff and visitors in a polite and
  • Helpful manner, as reflected in the facility’s policies and practices
  • Especially talented in independently prioritizing healthcare customer service work flow including
  • Work queue management and insurance verifications
  • Track record of effectively monitoring department work queues and providing correlating
  • Feedback
  • Proficient regarding HIPAA and Protected Health Information requirements and procedures
  • Skills:
  • Receptionist
  • Customer Service Representative
  • Proficient with Microsoft Office and Window 8
  • Experienced in an office setting performing administrative support functions, such as faxing
  • Scanning, processing mail, emailing, and ordering supplies
  • Communication and customer service experience
  • Multi-task and work independently
  • Strong organizational communication
  • Experienced in Medicaid, Medicare Projects Healthcare experienced
  • Conflict resolution, Self-motivated, Compassionate and Reliable
  • Order Fulfillment
  • Microsoft Word
  • Active Listening
  • Report Preparation
  • Senior Leadership Support
  • Staff Training
  • Credit Card Payment Processing
  • Customer Relations
  • Stocking and Replenishing
  • Managing Multiple Tasks
  • Materials Transport
  • Administrative Support
  • Brand Representation
  • Executive Management Support
  • Service Standard Compliance
  • Money Handling Abilities
  • Promotional Support
  • Transportation Solution Development
  • Shipping Procedures Understanding
  • Report Transcription
  • Account Management
  • Business Development Understanding
  • Microsoft PowerPoint
  • Sales Expertise
  • Route Dispatch
  • Conflict Resolution
  • Retail Sales Customer Service
  • Microsoft Excel
  • Report Creation
  • Problem-Solving Ability
  • Conflict Mediation
  • Delivery Scheduling
  • System Implementation
  • Lead Generation
  • Receiving Support
  • Quality Assurance Controls
  • Quality Control
  • Computer Proficiency
  • Customer Relationship Management

References

References: Kenneth Walton Marriott Hotels Maintenance Manager (707) 712-1141 Samuel Chaffin Graham Group US Project Manager (720) 456-5205 Carol Miller North Metro Services Case Coordinator (303) 875-5827 Pavla Pribylova pavla.pribylova@nmetro.org] Zulema Garza Well dyne RX (720) 240-3220

Work Preference

Work Type

Full TimeContract WorkPart Time

Work Location

RemoteOn-SiteHybrid

Important To Me

Company CultureCareer advancementHealthcare benefits

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Customer Service Representative

DXC Technology / BC Forward, Health First Colorado Project
01.2018 - 07.2018

Receptionist

All Medical
11.2016 - 05.2017

Customer Service Representative

Optum Rx
07.2016 - 12.2016

Personal Care Provider

Allegiance Home Health Agency, Caregiver
03.2016 - 04.2016

Gallegos Health Care- Advanced Caregiver
02.2016 - 01.2018

Assistant

02.2007 - 11.2010

s Senior

Tammy, Home Health Care
08.2000 - 07.2006

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Hogan High School

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Rayshuna StaffordQuality