TAKEEVIA GARRETT
Arlington,TX
Summary
Resourceful Insurance Specialist known for high productivity and efficient task completion. Specialized skills include risk assessment, policy analysis, and claim processing, ensuring comprehensive coverage tailored to client needs. Excel in communication, problem-solving, and adaptability, leveraging these soft skills to navigate complex insurance landscapes and deliver optimal solutions for both clients and employers.
Overview
10
10
years of professional experience
Work History
Members Advocate
BCBS Massachusetts
Remote
08.2023 - Current
- Conduct research into medical terminology related to healthcare claims processing activities.
- Provide clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Respond promptly to emails, voicemails, and faxes from customers seeking assistance or advice.
- Handle referrals and pre-certifications documentation
- Coordinate effectively with billing, coding, and clinical documentation improvement teams when necessary.
Scheduling Trainer
RH
11.2021 - 11.2022
- Analyzed and tracked project progress, identified risks and developed mitigation strategies.
- Collaborated with cross-functional teams including engineering, finance, HR.
- Managed a team of delivery personnel to ensure timely and efficient deliveries.
- Organized and assigned work schedules for drivers, ensuring the most cost-effective routes were taken.
- Tracked daily performance metrics such as on-time deliveries, order accuracy and customer satisfaction ratings.
Licensed Massage Therapist
Self-Employed Services
Dallas, TX
09.2018 - 11.2021
- Increased sales by providing exceptional service and maintaining positive and energetic attitude.
- Assisted with basic bookkeeping, filing and maintaining clients' records.
- Maintained accurate records of all treatments provided to clients in compliance with company policies and procedures.
- Managed front desk operations such as scheduling appointments, checking out patients or answering phone calls.
Provider Services Specialist
Molina Healthcare
01.2020 - 10.2021
- Provided customer service to clients, including answering phone calls and emails in a timely manner.
- Processed provider claims, verifying billing information for accuracy.
- Resolved discrepancies between patient records and insurance information.
- Reviewed medical records for coding accuracy according to established guidelines.
Eligibility Specialist
UHG
01.2015 - 10.2017
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Awarded Employee of the month 4x for quality, adherence, and my ability to train others on policies and guidelines.
- Developed fact-checking and research skills, increasing productivity, while expressing empathy to members requesting assistance.
- Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
Education
Massage Therapy -
Cortiva Institute
Richardson, TX08-2018
Some College (No Degree) - Psychology
Southern New Hampshire University
Hooksett, NHSkills
- Pharmacy
- Data Entry
- Claims
- Insurance Verification
- Multitasking and Organization
- Team Leadership
- Insurance Billing
- Medical Terminology
References
References available upon request.
Timeline
Members Advocate
BCBS Massachusetts
08.2023 - Current
Scheduling Trainer
RH
11.2021 - 11.2022
Provider Services Specialist
Molina Healthcare
01.2020 - 10.2021
Licensed Massage Therapist
Self-Employed Services
09.2018 - 11.2021
Eligibility Specialist
UHG
01.2015 - 10.2017
Massage Therapy -
Cortiva Institute
Some College (No Degree) - Psychology
Southern New Hampshire University
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