Amber Morris
Jacksonville,FL
Summary
Highly motivated and results-driven professional with a strong background in project management. Proven track record of successfully leading cross-functional teams and delivering projects on time and within budget. Adept at driving operational efficiency and achieving organizational goals. Exceptional communication and problem-solving skills combined with ability to adapt to changing environments. Valuable asset to any organization. Seeking new opportunities to leverage expertise in driving business growth and contributing to the success of a dynamic team.
Overview
8
8
years of professional experience
1
1
Certification
Work History
MSD Help Desk
Senture
05.2023 - Current
- Experienced representative responsible for answering Tier 1 and escalated customer inquiries
- Provide Tier 1 service desk support for insurance issuers, Agents and Web brokers, CMS/CCIIO application users, Health Insurance Exchanges and state agencies based on Inquiries are received via phone, and email
- Log user inquiries in Service Now and assign to the right groups internally before assigning to Tier 2 support
- Assist with Remote/Manual Identification for Tier 2 Escalations
- Triage inquiries by marketplace functions and assign to the right marketplace systems/CCIIO business groups as applicable - skills and knowledge provided by training via our training instructors
- Provide general policy information supplied by the business owners and Tier 2 systems
- Verifying credentialing that is required by the Centers of Medicare and Medicaid Services
- Provide assistance in training skills, tactics and quality assurance goals
- Participated in Weekly Refresher Trainings
- Creating Power Point Presentations for team members to provide clarity of knowledge articles
- Assisting with shadowing and one on one training sessions to improve quality scores
- Participating in coaching sessions to share quality updates to up keep KPI's
- Assisting Tier 2 with email support and solutions for technical related issues
Provider Service Representative
Centene
07.2021 - 10.2022
- Assisting Healthcare Providers with Medical Claims, Member Benefits and Medical Authorization for Magnolia Health Plan
- Providing assistance with contracting and credentialing for providers with in the network of the health plan
- Verifying Medicare and Medicaid status and creating ticket in systems such as Portico, Omni, and Avaya
- Assisting with troubleshooting for Magnolia Health Plans website
- Overviewing medical claims and following guidelines in accordance of the ICD-10 and Medicaid requirements
- Reporting Claim Disputes based on deadline requirements
- Assisting with submitting authorizations for medical procedures and prescriptions
Customer Service Representative
CASH IN A FLASH
09.2019 - 04.2020
- Evaluate, authorize, or recommend approval for pay day advances
- Advise borrowers on financial status and methods of payments
- Processing Loan applications for customers who faced financial hardship
- Completing verification to identity the client
- Yearly audits for home office reports
Assistant Manager
Wilsons Leather
10.2017 - 02.2019
- Assisting customers with product knowledge
- Supervising employees
- Processing Shipment weekly based on home office seasonal request
- Recording Hourly, Daily, and Yearly sales
- Participating in store evaluations with District Manager and surrounding stores in District
- Participating in District wide sales competition
- Assisting with interview/hiring process
- Proceeding payroll for retail associates
Call Center Account Specialist
LiveOps
12.2016 - 01.2019
- Assisting customers with new and current insurance plans
- Assisting customers with escalated calls concerning changes in accounts
- Training with newly remote employees on Policy and Procedures
Education
High school diploma -
The Piney Woods School
Piney Woods, MS05.2008
Skills
- Microsoft Products
- Accounts Receivable
- Powerpoint
- Salesforce
- SNOW
- OMNI
- Portico
- Retention Services
- Loss Prevention
- Financial Report Writing
- 10 Key Data Entry
- Bank Reconciliation
- Accounts Payable
- Account Reconciliation
- Credit Analysis
- Financial Analysis
- Customer service
- Call center
- Medical billing
- Loss prevention
- SharePoint
- Medical Claims
- ICD-10
- Data entry
Certification
Driver's License
Assessments
- Data entry: Attention to detail, Proficient, 11/01/22
- Administrative assistant/receptionist, Proficient, 04/01/23
- Management & leadership skills: Impact & influence, Proficient, 03/01/23
- Scheduling, Proficient, 09/01/23
- Customer service, Proficient, 04/01/23
- Teamwork: Interpersonal skills, Proficient, 10/01/23
- Attention to detail, Proficient, 10/01/23
- Call center customer service, Proficient, 04/01/23
- Medical billing, Proficient, 11/01/23
- Customer service, Proficient, 03/01/20
- Customer focus & orientation, Proficient, 06/01/21
- Scheduling, Proficient, 06/01/18
Groups
- AmeriCorps, 08/01/06, 05/01/08, Volunteering at multiple events at homeless shelters, donations centers, and surrounding schools
- Thurgood Marshall Society for Scholars, 07/01/00, Present
Additional Information - Skills And Abilities
Proficient or familiar with a vast array of programming concepts and technologies, including: Microsoft, 10 Key Calculator, 45 WPM, Financial Accounting, Computing, and 1040 EZ Excel, Power Point, Spread Sheet, Database and Word.
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Timeline
MSD Help Desk
Senture
05.2023 - Current
Provider Service Representative
Centene
07.2021 - 10.2022
Customer Service Representative
CASH IN A FLASH
09.2019 - 04.2020
Assistant Manager
Wilsons Leather
10.2017 - 02.2019
Call Center Account Specialist
LiveOps
12.2016 - 01.2019
High school diploma -
The Piney Woods School