Sequoia Barthel
Albany,GA
Summary
Diligent Customer Service skilled at listening to customers, exceeding productivity targets, and maintaining current knowledge of company offerings. Solves problems quickly to retain customers and delivers high level of service in every interaction. Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims. Motivated employee learns quickly in fast-paced, high-volume environments. Consistently adheres to safety standards. Maintains open availability and flexibility to work various shifts.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Representative
Anthem
01.2021 - Current
- Reviewing client’s insurance coverage, investigating, determining if covered
- Ensure claims is processed correctly so clients receive correct financial payout.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Maintained confidentiality of patient finances, records and health statuses.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Calculated adjustments, premiums, and refunds.
- Review hundreds of patient cases per week and verified insurance coverage information
Economic Support Specialist
Division Of Family & Children Services
Albany, GA
04.2017 - Current
- Division of Family & children services, 2
- Helping GA families find and obtain and apply for state snap and MA benefits
- Process Snaps and MA cases
- Conduct interviews, and process changes.
- Determined correct services and program resources for individual needs.
- Researched and interpreted program regulations and applicable laws.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Demonstrated respect, friendliness and willingness to help wherever needed.
Sales Support Specialist
JCPenney
Albany, GA
10.2015 - 04.2017
- 2Coordinated responses and resources to handle special client requests.
- Helped cultivate and maintain business relationships by professionally handling partner and customer needs.
- Learned and frequently used multiple sales systems to investigate, track and correct customers' issues.
- Assisted customers with sales needs such as inventory and shipping questions.
- Checked pricing, scanned items, applied discounts and printed receipts to ring up customers.
- Listened to customer needs and desires to identify and recommend optimal products.
- Stocked merchandise, clearly labeling items, and arranging according to size or color.
- Offered each customer top-notch, personal service to boost sales and customer satisfaction.
- Maintained up-to-date knowledge of store sales, payment policies and security standards.
- Worked to meet or exceed special targets for credit card applications, special donations and specific product promotions.
- Completed physical inventory counts each month.
- Recorded information, shortages and discrepancies to keep records current and accurate.
- Processed accurate credit, debit, check and cash sales transactions for more than 2 years
- Developed working knowledge of CRM to effectively track sales leads and activities.
Staff Management
Mars
Albany, GA
10.2013 - 01.2015
- Packed, unpacked, load pallets
- Lift 25 plus pounds or more
- Met productivity.
- Carefully packaged finished products and prepared for shipment.
- Unloaded and loaded items from conveyors, machines, and conveyances.
- Maintained machinery to prevent overloads and avoid malfunctions.
- Monitored machinery in operation to identify concerns and make corrections or report complex problems.
Customer Service Representative
Teleperfromance
Albany, GA
05.2011 - 04.2013
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with minimal wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Answered average of 80 calls addressing customer inquiries, solving problems and providing product information
Education
High School Diploma -
Lee County High School
Leesburg, GA05.2008
Skills
- Leadership
- Problem solving
- Teamwork
- Understanding of medical terms
- Account management
Certification
- Certified SNAP & MA, DFCS - [5 Years]
- Gateway Training Completed - [5 Years]
Timeline
Claims Representative
Anthem
01.2021 - Current
Economic Support Specialist
Division Of Family & Children Services
04.2017 - Current
Sales Support Specialist
JCPenney
10.2015 - 04.2017
Staff Management
Mars
10.2013 - 01.2015
Customer Service Representative
Teleperfromance
05.2011 - 04.2013
High School Diploma -
Lee County High School