Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shatawn Hayes-Lewis

Columbus,OH

Summary

20 years+ insurance customer service, trained new employees, highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

24
24
years of professional experience

Work History

Housekeeper & Guest Service

Extended Stay America
Dublin, OH
11.2021 - Current
  • Vacuumed floors and dusted furniture to maintain organized, professional appearance.
  • Moved beds, sofas and small furniture to wipe down baseboards and remove dust and dirt from hard-to-reach areas.
  • Emptied wastebaskets and disposed of soiled linens in guest rooms to reduce spread of germs and enhance freshness.
  • Requested maintenance orders to fix non-working equipment and address room damage.
  • Removed finger marks and smudges from doors, frames and glass partitions to enhance shine.
  • Interacted pleasantly with clients and guests when performing daily duties.
  • Returned rooms to occupant-ready status to satisfy future guests.
  • Replaced sheets and pillowcases daily and used hospitality corners on beds to provide comfort for guests.
  • Rendered detailed and timely cleaning services while working in fast-paced environment with multiple interruptions.
  • Reported damage or theft of hotel property to management.

Virtual Customer Service Representative

Allied Benefit Systems Inc.
Chicago, IL
08.2017 - 11.2021
  • Effectively managed high-volume of inbound and outbound calls within an virtual environment.
  • Verified medical, dental, and vision insurance coverage by telephone to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
  • Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
  • Analyzed and escalated complaints, issues and grievances to designated departments for investigation and response including access to appeals RIMS system for status and outcome.
  • Updated information and details of calls and inquiries in customer service database for future reference.
  • Handled multiple tasks simultaneously, including talking with and listening to customers while accessing, reading and inputting information into numerous applications.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Verified policy holder data, including age, contact number and physical address.
  • Responded to assistance requests from users and directed individuals through basic troubleshooting tasks via web support
  • Verify benefits, denials, and approval for specialty pharmacy or retail drug benefit
  • Worked within a CRT system for archives

Senior Provider Service

Buckeye Healthcare, Centene Corporation
Columbus, OH
04.2017 - 08.2017
  • Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner.
  • Answer inquiries from providers regarding claims, eligibility, covered benefits, authorizations and pharmacy related matters.
  • Provide assistance to providers regarding website registration and navigation.
  • Work with appropriate internal/external resources, completing necessary follow-up, and ensuring closure of the inquiry.
  • Handle claim adjustments, and work with other departments on cross functional tasks and projects.

Senior Patient Experience Specialist

Intermedix
Columbus, Ohio
09.2014 - 04.2017
  • Respond to incoming/outbound calls from representatives, and supervisor calls in a ambulance billing call center environment.
  • Update appropriate demographics, insurance coverage, and details within the account for accurate understanding of information obtained.
  • Address questions and problems using a computer system, resolve/follow up on caller’s discrepancies outbound for updates , adjust accounts per contract , prepare requested correspondence statements, hardships, payment plan, and HCFA/EOBS to insurance carriers.
  • Performance of any other special projects or assignments in a timely and accurate manner, as assigned.
  • Trained new candidates.
  • Volunteered to assist with special office projects, successfully completing all tasks prior to deadlines including data entry

Health Advisor-Virtual

UnitedHealthcare
Dayton, OH
09.2000 - 06.2011
  • Answered inbound calls from physicians, brokers, benefit representatives, and health insurance members regarding medical claim status ,verified and quoted medical benefits.
  • Researched and investigated medical claim payment process and requested member materials , handled and reviewed appeal requests , updated dependent pharmacy coverage.
  • Made outbound contacts to health care providers as a liason on behalf of members for follow-up and review.
  • Forward request for flexible spending accounts.
  • Contact appropriate departments for member requests, adjustments, refunds, and prepared clerical requests for members.
  • Worked within a CRT systems for archives

Education

Medical Billing and Coding -

Anthem College
2011

Skills

  • Microsoft Office (Sharepoint, Excel, Word, Powepoint, and Outlook) Coding/Billing knowledge
  • Data entry
  • Health products knowledge
  • EMR software(Medisoft)
  • Document workflow
  • Account reconciliation
  • Adjustment posting
  • Clerical
  • Organizational skills
  • Client Care Access(CVS Caremark)
  • DocuVantage and ChartSwap
  • Trizetto QicLink
  • Alchemy
  • Encoder Pro

Timeline

Housekeeper & Guest Service

Extended Stay America
11.2021 - Current

Virtual Customer Service Representative

Allied Benefit Systems Inc.
08.2017 - 11.2021

Senior Provider Service

Buckeye Healthcare, Centene Corporation
04.2017 - 08.2017

Senior Patient Experience Specialist

Intermedix
09.2014 - 04.2017

Health Advisor-Virtual

UnitedHealthcare
09.2000 - 06.2011

Medical Billing and Coding -

Anthem College

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Shatawn Hayes-Lewis