Summary
Overview
Work History
Education
Skills
Websites
Certification
Professional Development
Timeline
Generic

Rita Brown

Macon,GA

Summary

Over 15 years of experience dedicated to Human Services profession and quality of care in caregiving and five years in family advocacy. Highly effective in promoting punctual, responsible patient care with a recognized reputation for excellence and high-quality service to clients. Well-organized and motivated with proficient skills to set goals and accomplish patient priorities. Resourceful and self-confident providing exceptional service in Associate Enrollment - Eligibility Representative in a timely manner. Work well under demanding conditions, equally effective working independently and in cooperation with others. Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Dental Customer Service Representative

Cigna Healthcare
11.2022 - 01.2024
  • Determines covered insurance losses, establishes proof of loss, documents claims, analyzes insurance claims to prevent fraud, prepares reports, resolves claims, ensures legal compliance, maintains quality customer service, provides legal support, and protects operations by keeping claims information confidential.

Customer Service Representative

First Source Blue Cross Blue Shield
04.2022 - 12.2022
  • Works efficiently in a high-volume call center, assists callers with coverage-related questions, documents calls, conducts research for disputed claims, analyzes inquiries, and relays information to appropriate departments.

I - Worker Compensation

One Call Care Management
08.2021 - 04.2022
  • Provides customer support, processes high volume of inquiries, provides troubleshooting, tracks and documents support requests, and exceeds job standards.

Customer Service Representative

Alorica - Verizon Wireless and TurboTax
01.2021 - 07.2021
  • Identifies root causes of customer complaints, recommends products or services, maintains financial accounts, prepares reports, and manages incoming calls.

Administration Assistant

Central Health District, Hope Center
Macon, GA
03.2019 - 01.2020
  • Greets patients, updates files, requests patient records, verifies insurance information, and collects payments.

Clinical Technician

Navicent Health
Macon, GA
04.2018 - 12.2018
  • Assists patients with needs, keeps rooms tidy, monitors vital signs, and assists nursing staff.

Intake Coordinator

Courageous Home Health Care
Macon, GA
01.2018 - 12.2018
  • Responds to intake calls, schedules care, assists in recruiting and onboarding caregivers, maintains employee records, and provides after-hours service.

Family Advocate | Customer Service Agent | Shift Manager

Crisis Line & Safe House
Macon, GA
01.2010 - 01.2018
  • Serves as shift manager, answers crisis calls, collects data, screens clients for shelter, completes paperwork, and educates clients on communal living.

Education

Certified Microsoft Word Application Specialist -

Central Georgia Technical College
Macon, GA
01.2013

Skills

  • Eligibility Determination
  • Coverage Determination
  • Insurance Claim Form Review
  • Payment Investigation
  • Time Management
  • Customer Service Skills
  • Microsoft Office
  • Professionalism
  • Problem-solving
  • Reporting and documentation
  • Financial Transaction
  • Critical Thinking
  • Organization
  • Attention to detail
  • Chat/Email
  • Patient Privacy/ HIPAA
  • Microsoft Office Suite 2010
  • Word
  • Excel

Websites

Certification

  • Human Service Certificate: Child and Family Services
  • Certified Basic Life Support
  • Medical Terminology

Professional Development

  • Children's Healthcare of Atlanta: Best Practice in Documentation: Getting to the Bare Essentials
  • Heart Saver for HealthCare Providers | Cardiopulmonary Resuscitation (CPR)
  • Automated External Defibrillator (AED)
  • CPI training
  • HIPAA: Understanding and Complying
  • HIPAA Compliance
  • Basics of Medical Terminology
  • Introduction to Public Health
  • Record and Health Information Management
  • Fundamentals of Healthcare Communication
  • The US Healthcare Industry: Change and Opportunities

Timeline

Dental Customer Service Representative

Cigna Healthcare
11.2022 - 01.2024

Customer Service Representative

First Source Blue Cross Blue Shield
04.2022 - 12.2022

I - Worker Compensation

One Call Care Management
08.2021 - 04.2022

Customer Service Representative

Alorica - Verizon Wireless and TurboTax
01.2021 - 07.2021

Administration Assistant

Central Health District, Hope Center
03.2019 - 01.2020

Clinical Technician

Navicent Health
04.2018 - 12.2018

Intake Coordinator

Courageous Home Health Care
01.2018 - 12.2018

Family Advocate | Customer Service Agent | Shift Manager

Crisis Line & Safe House
01.2010 - 01.2018

Certified Microsoft Word Application Specialist -

Central Georgia Technical College
Rita Brown