Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Shakari Wynne

Birmingham,United States

Summary

Knowledgeable and dedicated customer service professional with extensive experience in the customer service industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

7
7
years of professional experience

Work History

Consumer Concierge Agent

Shaw Industries
02.2022 - Current


  • Pursue ongoing product knowledge acquisition, establishing expertise to better assist customers.
  • Efficiently prioritize tasks and activities, maintaining open communication with leadership regarding critical clients and essential information.
  • Manage sales and service interactions through Salesforce.com, diligently performing daily, weekly, and monthly tasks.
  • Cultivate brand loyalty for Shaw by delivering exceptional service, accurate information, and post-interaction follow-up to guarantee customer satisfaction..
  • Identify and comprehend problems and opportunities by gathering and analyzing information, sharing relevant insights with leadership.
  • Take responsibility for driving sales to customers by serving as their primary point of contact throughout their flooring purchasing journey.


Inquiry Analyst

Blue Cross Blue Shield Of Alabama
01.2021 - 02.2022
  • Conducted in-depth analysis of customer inquiries related to claims, billing, coverage, and eligibility, resulting in accurate and timely issue resolution.
  • Ensured timely compliance with coding updates, contributing to the accuracy of the facility's database and the success of cost recovery programs.
  • Assigned codes to comprehensive patient care encounters (both inpatient and outpatient) encompassing a wide spectrum of healthcare services
  • Demonstrated a commitment to ongoing learning and development, staying current on industry knowledge and company products.
  • Adhered to company policies, procedures, and regulatory requirements while handling inquiries, ensuring compliance at all times.
  • Reviewed member claim history to ensure precise tracking of benefit maximums and/or coinsurance/deductible for accuracy.

Patient Access Representative

Brookwood Baptist Health
11.2019 - 01.2021


  • Managed a high-volume appointment scheduling system, coordinating patient visits, consultations, and follow-up appointments while optimizing healthcare provider schedules for maximum efficiency.
  • Conducted meticulous insurance verification, confirming eligibility, benefits, and coverage to minimize billing discrepancies and ensure accurate claims processing.
  • Prepared data for and routinely facilitated daily meetings with supervisors to review the day's performance
  • Maintained comprehensive electronic and paper medical records, ensuring HIPAA compliance and facilitating swift access for healthcare providers.
  • Maintained strict compliance with HIPAA regulations, safeguarding patient privacy and confidential medical information at all times.
  • Demonstrated strong attention to detail in data entry, accurately inputting patient information and insurance data into the hospital's information system, reducing errors in billing processes.
  • Consistently and promptly updated schedules to accurately reflect real-time and future changes


Member Education Specialist

Blue Cross Blue Shield Of TN
05.2017 - 11.2019


  • Explained complex healthcare terms, procedures, and insurance plans in a clear and easily understandable manner, empowering members to make informed decisions.
  • Orchestrated the development, implementation, and assessment of contracts, programs, policies, and procedures.
  • Assisted members in optimizing their healthcare benefits by providing recommendations for appropriate services, providers, and facilities.
  • Directed members to appropriate healthcare resources, including in-network providers, wellness programs, and support services.
  • Maintained detailed and accurate records of member interactions and educational sessions, utilizing company systems and tools.
  • Thoroughly examined and assessed cost or pricing proposals, collecting data from accounting systems for comprehensive evaluation
  • Formulated acquisition strategies and oversaw the direction and management of procurement activities.



Education

Bachelor of Arts - Social Work

Indiana Wesleyan University
Marion, IN
08.2025

Associate of Arts - Social Work

Lawson State Community College
Birmingham, AL
08.2023

Skills

  • Attention to Details
  • Work Well Independently
  • Workflow Processes
  • Research and Analysis
  • Customer Relations
  • Problem-Solving Skills
  • Active Listening
  • SalesForce
  • Revenue Grid

Accomplishments


  • Collaborated with a cross-functional team of five members to successfully develop and execute the Green Belt Project.
  • Implemented innovative process improvement initiatives in the healthcare industry, resulting in the successful implementation and integration of new ideas that enhanced operational efficiency and quality of care.

Timeline

Consumer Concierge Agent

Shaw Industries
02.2022 - Current

Inquiry Analyst

Blue Cross Blue Shield Of Alabama
01.2021 - 02.2022

Patient Access Representative

Brookwood Baptist Health
11.2019 - 01.2021

Member Education Specialist

Blue Cross Blue Shield Of TN
05.2017 - 11.2019

Bachelor of Arts - Social Work

Indiana Wesleyan University

Associate of Arts - Social Work

Lawson State Community College

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Shakari Wynne