Reshanda Miller
Coral Springs
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
Work History
Customer Service Representative
Imagenet LLC.
12.2023 - Current
- Assisted customers in navigating member website.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Increased first-call resolution rates by carefully listening to customers' needs and providing accurate information based on their inquiries.
- Delivered exceptional support during high call volume periods by maintaining composure and professionalism under pressure.
- Assisted members with benefits, claims, billing and etc.
- Cross-trained for Commercial members, medicare members, and medicare provider inquiries.
- Blue Cross of Idaho
Lead Patient Care Coordinator
Treasure Coast Healthcare Solutions
Coral Springs
07.2019 - 12.2023
- Maintained confidentiality of patient data and condition to safeguard health information.
- Communicated with patients, ensuring that medical information was kept private.
- Uphold confidentiality requirements and regulatory compliance guidelines.
- Monitored patient health records for accuracy to meet compliance with healthcare guidelines.
- Organized patient records and database to facilitate information storage and retrieval.
- Taught patients and families to apply diabetic supplies.
- Verified patient insurance eligibility and entered patient information into system.
- Answered incoming calls and filed medical records.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Resolved customer complaints using established follow-up procedures.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Ordered all diabetic supplies (Freestyle Libre, Freestyle Libre 2, and Dexcom) for patients as well as helped patients change their order if they were unsatisfied with product.
Customer Service Representative- BCBSM
Sutherland Healthcare Solutions
Coral Springs
03.2018 - 05.2019
- Answered constant flow of customer calls with minimal wait times.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Met customer call guidelines for service levels, handle time and productivity.
- Cross-trained and backed up other customer service managers.
- Provided excellent customer care by responding to requests, assisting customers with plan costs, covered medications, plan payments, and concerns.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Updated account information to maintain customer records.
- Offered advice and assistance to customers, paying attention to special needs or wants.
Insurance Verification Specialist
Medcare Choice Pharmacy
Sunrise
10.2015 - 02.2018
- Trained new staff on current, correct insurance verification procedures.
- Updated patient records with accurate, current insurance policy information.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Performed various administrative tasks by filing, copying and faxing documents.
- Maintained strong knowledge of basic medical terminology to better understand services.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Obtained payments from patients and scanned identification and insurance cards.
- Posted payments to accounts and maintained records.
Insurance Verifier
Cottage Pharmacy
Sunrise
09.2013 - 10.2015
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed office logistics by maintaining files and collecting payments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Performed various administrative tasks by filing, copying and faxing documents.
- Posted payments to accounts and maintained records.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Updated patient records with accurate, current insurance policy information.
- Obtained payments from patients and scanned identification and insurance cards.
Education
Licensed Pharmacy Technician - Health Science
William T. McFatter Technical College
Fort Lauderdale, FLHigh School Diploma -
Coral Glades High School
Coral Springs, FLSkills
- Time Management
- Active Listening
- Microsoft Word
- Microsoft Excel
- Typing Proficiency
- Quality Patient Care
- Verbal and Written Communication
- Insurance Practices
- Customer Service
- Healthcare Operations
- Patient Rapport
- Medical Terminology
- Quality Assurance
- Patient Records Management
- Multitasking Abilities
- Credit Card Payment Processing
Timeline
Customer Service Representative
Imagenet LLC.
12.2023 - Current
Lead Patient Care Coordinator
Treasure Coast Healthcare Solutions
07.2019 - 12.2023
Customer Service Representative- BCBSM
Sutherland Healthcare Solutions
03.2018 - 05.2019
Insurance Verification Specialist
Medcare Choice Pharmacy
10.2015 - 02.2018
Insurance Verifier
Cottage Pharmacy
09.2013 - 10.2015
Licensed Pharmacy Technician - Health Science
William T. McFatter Technical College
High School Diploma -
Coral Glades High School