Seasoned healthcare professional with proven track record of effectively managing claims from initiation to resolution. Highly skilled in assessing coverage, coordinating with clients, and ensuring compliance with industry standards. Valued for strong team collaboration and adaptability in dynamic environments.
Professional with strong background in claims management, prepared to make significant impact. Skilled in assessing and processing claims accurately, resolving complex issues, and ensuring customer satisfaction. Effective team collaborator with focus on achieving results and adapting to changing needs. Known for analytical thinking, communication skills, and attention to detail.
Overview
8
8
years of professional experience
Work History
Human Resources
Vision Beyond Behaviors
06.2022 - Current
Assisted CEO with staffing, recruiting and retention of employees.
Coordinated with CEO and supervisor team members to develop comprehensive wellness initiatives, promoting employee well-being both physically and mentally.
Collaborated closely with management staff to ensure seamless alignment between talent acquisition strategies and ongoing employee development initiatives.
Facilitated regular performance reviews for staff members, ensuring continuous growth and professional development opportunities.
Led the development of clear policies and procedures, improving consistency in Vision Beyond Behaviors.
Completed forms, reports, logs, and records to quickly handle all documentation for Vision Beyond Behaviors.
Collaborated with CEO to help with onboarding new employees.
CSAC-Supervise
Crossroads Treatment Centers
08.2020 - 07.2022
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Excellent communication skills, both verbal and written.
Completing assessments, ITP's, progress notes and other necessary paperwork associated with managing a caseload with a minimum of 50 patients
Verification of Healthcare benefits
Assisting patients with defining and achieving realistic goals
Conducting monthly urinalysis screenings
Ensures patient confidentiality and Healthcare insurance
Providing supportive counseling in conjunction with Medical and Nursing Services
Proficient in Microsoft Office and Microsoft Teams.
Organized and detail-oriented with a strong work ethic.
Paid attention to detail while completing assignments.
Cart2Curb/Instacart Shopper
Wegmans
03.2019 - 10.2021
Selected and packed grocery orders for efficient delivery and customer satisfaction.
Improved order accuracy by carefully reviewing customer requests and product availability.
Managed shopping lists with efficiency, ensuring all items were gathered promptly.
Enhanced customer happiness with reliable and timely delivery of orders.
Provide excellent experiences for customers
Provide assistance for point of sale and information inquiries.
Communicated effectively with customers to clarify order preferences for personalized service.
Navigated store aisles to quickly locate and select requested items.
Organized shopping tasks for optimal route planning and timely delivery.
Client Service Representative I
CIOX HEALTH, Health Information Management
04.2017 - 06.2020
Handled sensitive client information with discretion, ensuring confidentiality at all times.
Delivered outstanding customer service by maintaining a professional demeanor during high-pressure situations.
Managed incoming calls, providing prompt and accurate information to clients about products and services.
Maintained accurate record-keeping with proactive attention to client information updates.
Maintained detailed records of client interactions, allowing for better understanding of needs and preferences for future engagements.
Developed strong relationships with clients through proactive outreach and regular check-ins on progress and satisfaction.
Participated in regular meetings with management to discuss performance goals, strategies for improvement, and ongoing challenges faced by the team.
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Enhanced client satisfaction by addressing inquiries and resolving issues promptly.
Utilized active listening skills to identify customer needs and provide appropriate solutions.
Adapted quickly to changes in company policy or procedures while maintaining excellent service standards for existing clients.
Consistently met or exceeded performance metrics while juggling multiple tasks effectively under tight deadlines.
Collaborated with other departments to develop ways to increase customer satisfaction.
Organized relevant documentation for each client interaction, ensuring a thorough understanding of client needs and facilitating seamless handoffs between team members.
Participated in ongoing training sessions to stay current on industry trends and best practices.
Education
Masters in Health Administration - Health Administration
Stratford University
07-2018
Bachelor of Science - Psychology
Virginia State University
Petersburg, VA
12-2012
Associate of Science - Science
Richard Bland College
05-2011
Advanced High School Diploma -
Prince George High School
06-2009
Skills
Microsoft office
Insurance claims review
Claims investigation
Time management
Team collaboration
Data analysis
Decision-making
Accident investigations
Documentation review
Workers compensation
Database management
File management
Timeline
Human Resources
Vision Beyond Behaviors
06.2022 - Current
CSAC-Supervise
Crossroads Treatment Centers
08.2020 - 07.2022
Cart2Curb/Instacart Shopper
Wegmans
03.2019 - 10.2021
Client Service Representative I
CIOX HEALTH, Health Information Management
04.2017 - 06.2020
Masters in Health Administration - Health Administration
Stratford University
Bachelor of Science - Psychology
Virginia State University
Associate of Science - Science
Richard Bland College
Advanced High School Diploma -
Prince George High School
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