Sharita Watson
Livonia
Summary
Experienced and detail-oriented professional with a strong background in administrative support, and customer service; demonstrated ability to learn and implement internal systems efficiently. Skilled at multitasking, working quickly and accurately in fast paced environments.
Overview
24
24
years of professional experience
Work History
Member Services Representative
Delta Dental Insurance Plan
12.2014 - 07.2025
- Answered incoming calls from members, providers, and third-party administrators in a professional courteous manner, providing optimal customer service.
- Quoted dental benefits and verified member eligibility for employer, retiree, state funded and COBRA insurance plans in compliance with HIPPA.
- Provided clear, accurate explanations of EOBs for processed claims and pre-determinations; verifying copayments, deductibles, and out-of-pocket costs.
- Assisted providers and members with the appeals and grievance process by guiding them through documentation requirements and submission procedures for denied claims.
- Reviewed and applied CDT coding guidelines to verify dental procedure codes and ensure proper claim processing, and adjustments.
- Entered insurance claims data with accuracy and attention to detail, supporting efficient claim processing.
- Utilized NPF (National Provider Finder) to verify provider status, network participation and fee scheduling; assisted with credentialing procedures.
- Provided technical support to members, providers, and benefit mangers by troubleshooting issues with company's website; assisted with password resets, locked out accounts, site navigation and screen sharing.
- Provided advocacy and support for members, to ensure their needs and concerns were addressed by contacting delta offices, other carriers, and third-party administrators.
- Reviewed radiographic images to ensure clarity, accuracy, and diagnostic quality.
Information Specialist
The Senior Alliance (Area on Aging1C) Non Profit
11.2012 - 08.2014
- Responded to all incoming calls of the agency and connected callers to appropriate departments
- Worked in a team environment to assist the agency in delivering various forms of information and assistance, to seniors, caregivers and individuals with disabilities
- Interacted with clients via telephone and in-person in a respectful and compassionate manner
- Responded effectively to individuals utilizing active listening skills, assessment, and problem solving techniques, in order to quickly understand and grasp complex issues
- Screened clients for Care Management programs
- Served as an advocate for individuals as appropriate
- Ensured data was accurately and completely documented into database in a timely manner for all information and assistance called
- Attended Community Outreaches to provide information about TSA’s services
- Made house calls for individuals who were unable to communicate effectively via telephone
- Provided information and referrals, established empathetic contact and built rapport, with each individual caller, assessed their short and long term needs; identified resources to meet caller needs, provided referrals to community resources, and followed up to ensure that the individual’s needs had been met
- Researched transportation resources, updated database with new resources, searched and scheduled transportation for callers
Clerical Assistant
Molina Healthcare
09.2010 - 05.2012
- Contacted all Molina Medicare members via telephone, mail, and email
- Scheduled telephone appointments for Medicare member health assessments
- Entered all Medicare member’s health information into internal database
- Generated and mailed unable to contact letters
- Verified insurance and demographic information for member eligibility
- Checked internal database to insure all members were up to date on health assessments
Intake Specialist
Team Mental Health Clinic
12.2006 - 08.2010
- Verified eligibility of each consumer
- Scheduled all intake appointments
- Entered demographic information for each consumer, into internal database
- Assisted consumers with accessing services by facilitating the completion of the Intake screening process
- Completed all necessary paperwork and enrolled consumers into Gateway Insurance
- Verified consumer insurance
Administrative Assistant
Team Mental Health
09.2005 - 12.2006
- Greeted and assisted consumers
- Scheduled appointments for therapists, nurses, and psychiatrists
- Ordered supplies
- Kept Inventory
- Faxed documents
- Answered multi-lined telephones, and took messaged for entire facility
- Data entry of all consumer information
- Typed and created various letters, memos, and presentations
Office Assistant
Oakland Community College
09.2001 - 10.2004
- Greeted and assisted college staff and students in a professional manner
- Answered phones, and took messages for (P.A.S.S.) office
- Scheduled appointments
- Kept Inventory of all supplies
- Typed and created various memos, letters, presentations, and forms by using Microsoft Word, Excel, Publisher, and Power Point
Education
High School Diploma -
Henry Ford High School
Detroit, MICompleted Related Coursework - undefined
Oakland Community College
Southfield, MICompleted Related Coursework - undefined
Eastern Michigan University
Ypsilanti, MINo Degree - Psychology
National University
San Francisco, CA05-2027
Skills
- Insurance Verification
- Provider Credentialing
- HIPPA Compliance
- Data Entry
- Microsoft Office
- X-ray review
- Insurance Coding
- Customer Service
- Problem Solving
Timeline
Member Services Representative
Delta Dental Insurance Plan
12.2014 - 07.2025
Information Specialist
The Senior Alliance (Area on Aging1C) Non Profit
11.2012 - 08.2014
Clerical Assistant
Molina Healthcare
09.2010 - 05.2012
Intake Specialist
Team Mental Health Clinic
12.2006 - 08.2010
Administrative Assistant
Team Mental Health
09.2005 - 12.2006
Office Assistant
Oakland Community College
09.2001 - 10.2004
Completed Related Coursework - undefined
Oakland Community College
Completed Related Coursework - undefined
Eastern Michigan University
High School Diploma -
Henry Ford High School
No Degree - Psychology
National University
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