Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shaniecia Holland

Atlanta,GA

Summary

Experienced customer service representative with 18 years of diverse roles, including direct customer service, insurance verification, and critical issue investigation. Proficient in claims adjustment, data entry, benefits verification, chat support, and consistently delivering high-quality service. Ready to apply expertise and contribute to a new customer service representative position.

Overview

18
18
years of professional experience

Work History

Escalation Response Specialist III

Centene
06.2018 - Current
  • Validate member benefits and eligibility for healthcare coverage under Medicaid and Medicare plans, ensuring accurate information dissemination
  • Communicate claim statuses to healthcare providers, via inbound calls and chat facilitating transparency and operational efficiency
  • Adjust medical claims in compliance with established procedures to maintain accuracy in billing and record-keeping
  • Data entry authorizations requests in required systems
  • Respond to escalation tickets

Crew Trainer

McDonald's Corporation
06.2006 - 04.2020
  • Delivered high-quality customer service by efficiently handling inquiries and resolving conflicts, ensuring customer satisfaction
  • Collaborated effectively with team members to maintain a cooperative and productive work environment
  • Ensured accuracy in order taking, preparation, and delivery of meals through meticulous communication and attention to detail

Insurance Verification Specialist

Bay Area Credit
10.2017 - 06.2018
  • Verified customer insurance coverage and processed payments accurately, ensuring timely updating of account information in the Overby system
  • Managed outbound communication with insurance agencies to confirm policy details and maintain accurate client records

ROI Specialist

Iron Mountain
04.2017 - 10.2017
  • Ensured compliance with HIPAA regulations during the retrieval and dissemination of electronic medical records
  • Managed the release of medical documentation, maintaining patient confidentiality and data integrity
  • Data entered medical requests

Education

Diploma -

Frederick Douglas High School
Atlanta, GA

Skills

  • Data Entry
  • Icd-9
  • Icd-10
  • CPT Coding
  • EMR Systems
  • Customer Service
  • Medical Records
  • HIPPA
  • Communication Skills
  • Insurance Verification
  • Zendesk
  • Chat

Timeline

Escalation Response Specialist III

Centene
06.2018 - Current

Insurance Verification Specialist

Bay Area Credit
10.2017 - 06.2018

ROI Specialist

Iron Mountain
04.2017 - 10.2017

Crew Trainer

McDonald's Corporation
06.2006 - 04.2020

Diploma -

Frederick Douglas High School
Shaniecia Holland