To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
Work History
Associate Services Consultant
Progressive Insurance
08.2022 - 02.2023
Maintained high customer satisfaction standards to meet or exceed targets.
Pleasantly greeted customers and asked open-ended questions to better determine needs with a positive, upbeat attitude.
Suggested add-on services that would be helpful to customers and improve bottom line.
Navigated through multiple systems on dual monitors to gather information while on calls.
Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
Answered an average of calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
Conducted outbound phone calls daily to reach potential clients and market products and services.
Developed and implemented procedures to detect and prevent fraud.
Established and maintained positive working relationships with external law enforcement agencies to support fraud investigations.
Provided assistance with inbound and outbound document processes, document sorting, logging and work order creation.
Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
Verified insurance eligibility and coverage for patients.
Regulatory Consultant
FL Department Of Consumer Services
08.2021 - 08.2022
Assisted the Regulatory Program Administrator with all aspects of effective and efficient operation of the unit, to include training, assisting bureau staff, and testing of process changes to the License Operations Unit.
Utilized Microsoft Suite, including Microsoft Excel, Microsoft Outlook, Microsoft SharePoint, and Microsoft Teams to maintain reports for tracking cancellation and withdrawal requests.
Provided exemplary customer service to both internal and external customers when giving directions on application processing requirements
Reports events, errors or trends to supervisor.
Received, researched and resolved consumer inquiries.
Calculated and processed adjustments, credits and refunds.
Navigated through multiple systems on dual monitors to gather information while on calls.
Improved office operations by automating client correspondence, record tracking and data communications.
Planned, coordinated and conducted investigations involving broad scope of fraud and related offenses to detect and verify suspected criminal violations.
Coordinated fraud investigations with law enforcement agencies, regulatory agencies and other relevant entities.
Evaluated customer data to identify and prevent fraudulent activities.
Accomplished multiple tasks within established timeframes.
Maintained positive relationships with businesses and clients.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Scheduled introductions and meetings for sales and assigned leads to encourage timely follow-up.
Manipulated and converted documents to meet needs of individual personnel or projects.
Regulatory Specialist III
FL Department Of Consumer Services
12.2016 - 08.2021
Evaluated compliance reports, investigations, and potential compliance violations
Developed compliance culture and foster good working relationships with regulatory offices
Worked with legal team to address existing compliance cases and form corrective action plans to eliminate similar incidents
Reviewed data to find patterns of discrimination or misconduct based on Florida statutes and regulations for the department
Navigated through multiple systems on dual monitors to gather information while on calls.
Delivered an exceptional level of service to each customer by listening to concerns and answering questions.
Processed referrals.
Performed administrative tasks such as copying, faxing and reception work with accuracy and efficiency.
Carefully reviewed all documents and reports for completeness and accuracy.
Personnel Technician III
Florida Department Of Corrections
04.2016 - 12.2016
Assisted with the processing of recruitment/selection packages and auditing FDLE Certifications
Provided excellent customer service and assistance to the Department’s employees and applicants via telephone and through electronic correspondence
Utilized various computer programs used by the Department, including, but not limited to People First, Corrections Data Center (CDC), SharePoint, Excel, Word, internet and word processing, data bases, spreadsheet applications, reports, logs, and documents
Brainstormed with other human resource personnel to determine ways to recruit top talent.
Regularly updated HR databases to reflect employee information, changes in benefits and other details
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers
Maintained database for storage and retrieval of medical records.
Uploaded physician progress notes, history and physicals into electronic medical records.
Navigated through multiple systems on dual monitors to gather information while on calls.
Reviewed medical records for completeness and filed records in alphabetic and numeric order while using basic medical terminology.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Scheduled and confirmed appointments and meetings for senior management team.
Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
Filed and maintained patient records in accordance with HIPAA regulations.
Revenue Specialist I
Florida Department Of Revenue
09.2015 - 04.2016
Provided quality customer service and maintained confidentiality while processing sensitive information
Utilized modern computer systems to research, evaluate, and update case information for Child Support Division
Navigated through multiple systems on dual monitors to gather information while on calls.
Knowledge and use of Microsoft Office applications, including Outlook, Excel.
Sleep Supply Specialist
Apria Healthcare
01.2024 - Current
Assist patients and referrals by accepting and coordinating resupply orders, identifying patients’ needs, clarifying information, arranging for patients to receive supplies on an ongoing basis, and providing solutions and/or alternatives.
Enters and processes supply orders received via phone calls from patients, referral sources, and payors.
Confirm accuracy of patient’s eligibility and medical information to effectively facilitate order fulfillment.
Communicate patient and insurance billing process to ensure that patient understands his/her financial responsibility.
Collect payment or make payment arrangements.
Verify order status and correctly relay tracking information.
Expedite patient problems, complaints with possible resolutions to maximize satisfaction.
Accurately document patient account to ensure comments, discussions and concerns are captured correctly.
Frequently attend training to improve knowledge and performance levels.
Offer ideas, suggest changes, and identify opportunities that enhance business growth in a positive and constructive manner.
Education
Echocardiography
Southern Regional Technical College
Bainbridge, GA
Master of Science - Criminal Justice
Walden University
Baltimore, MD
08.2016
Related Courses: - Technology Solutions & 21st Century Crime Course
Walden University
Minneapolis, MN
Bachelor of Arts - Criminal Justice
Valdosta State University
Bainbridge, GA
12.2014
Related Courses: - Criminal Justice Data Analysis Course
Valdosta State University
Valdosta, GA
12.2014
Related Courses: - Cybercrime Course
Valdosta State University
Valdosta, GA
06.2014
Associate of Arts - Criminal Justice
Bainbridge State College
Bainbridge, GA
06.2013
Skills
Quality Assurance
Proficient in Microsoft Office/Windows
Great sense of judgment
Ability to navigate through change/flexible
Data Verification
Attention to detail
Technical skills
Ability to multitask
Regulatory Compliance
Time Management
Corporate Policies
Active Listening
Consumer Inquiry Management
Excellent organization skills
Critical Thinking
Regulatory Monitoring
Effective oral and written communication skills
Medical Records and Documentation
Legal Requirements
Payment Collection
Records Management
Data Entry
Case Management
Clerical Support
Document Creation
Document Control
Reminder Calls
Health Education
Medical Insurance
Healthcare Industry Knowledge
Patient Registration
Patient Engagement
Timeline
Sleep Supply Specialist
Apria Healthcare
01.2024 - Current
Associate Services Consultant
Progressive Insurance
08.2022 - 02.2023
Regulatory Consultant
FL Department Of Consumer Services
08.2021 - 08.2022
Regulatory Specialist III
FL Department Of Consumer Services
12.2016 - 08.2021
Personnel Technician III
Florida Department Of Corrections
04.2016 - 12.2016
Revenue Specialist I
Florida Department Of Revenue
09.2015 - 04.2016
Echocardiography
Southern Regional Technical College
Master of Science - Criminal Justice
Walden University
Related Courses: - Technology Solutions & 21st Century Crime Course
Walden University
Bachelor of Arts - Criminal Justice
Valdosta State University
Related Courses: - Criminal Justice Data Analysis Course