Sebryna Randall

Provide accurate and timely support to members regarding healthcare benefits, health plans, services, and account-related questions.

Research and resolve billing discrepancies while providing clear explanations and appropriate solutions to members.

Coordinate with care management teams to address member needs, including appointments, transportation, and interpreter/translation services.

Document member interactions, inquiries, and resolutions accurately in electronic systems to support continuity of care and service.

Process intake for prior authorizations, appeals, and grievances while following established procedures and regulatory requirements.

Protect confidential member information and follow HIPAA and organizational privacy standards.

Use active listening and problem-solving skills to de-escalate concerns and deliver professional, member-focused service

Managed inventory through scanning, stocking, and system updates while maintaining accuracy and an organized work environment.

Consistently met productivity, quality, and operational performance expectations in a fast-paced environment.

Processed customer returns by inspecting merchandise, determining resale condition, repackaging products, and updating inventory records.

Trained new associates on operational procedures, safety expectations, and performance standards.

Partnered with Operations leadership to identify training needs and improve onboarding effectiveness.

Adapted quickly to changing priorities while maintaining accuracy and meeting established deadlines.

Reviewed client information and applied complex program regulations to determine eligibility and ensure timely delivery of services.

Calculated and verified financial information while maintaining accurate case records and documentation.

Managed confidential client information and maintained organized electronic files for case review and ongoing updates.

Researched discrepancies and reviewed supporting documentation to ensure case accuracy.

Identified and reported suspected fraud in accordance with established procedures.

Communicated requirements and case information clearly to clients while maintaining professionalism and confidentiality.

Conducted passenger, baggage, and cargo screening in accordance with federal security regulations and established procedures.

Operated security screening equipment, including X-ray systems and hand-held detection devices.

Maintained attention to detail while processing high volumes of passengers in a fast-paced environment.

Communicated professionally with passengers while addressing questions and maintaining security protocols.

Followed strict procedures involving safety, security, confidentiality, and regulatory compliance.