Summary
Overview
Work History
Education
Skills
Timeline
Generic

Takeysha Sparks

Houston

Summary


As customer service professional, brings valuable experience in addressing and resolving customer issues effectively. Known for strong focus on team collaboration and achieving positive outcomes. Reliable and adaptable with excellent communication and problem-solving skills.

Overview

3
3
years of professional experience

Work History

Remote Medicaid Customer Service Representative

Concentrix
09.2024 - Current
  • Handle high-volume inbound calls from Medicaid providers, assisting with eligibility, claims processing, and provider enrollment inquiries
  • Utilize CRM and Medicaid database systems to document provider interactions, research claim statuses, and ensure resolution of inquiries
  • Educate providers on Medicaid policies, procedures, and billing requirements, ensuring compliance with state and federal regulations
  • Follow standardized call scripts, troubleshoot provider issues, and escalate complex cases to appropriate departments when necessary
  • Track and maintain detailed records of all interactions for quality assurance and audit purposes
  • Participate in staff meetings and training sessions to stay updated on policy changes and system updates

Healthcare Customer Service Representative

Senture
07.2022 - 09.2024
  • Assisted patients and healthcare providers with insurance verification, claim status updates, and benefit inquiries in a fast-paced call center environment
  • Processed Medicaid and commercial insurance claims, ensuring accuracy and compliance with HIPAA regulations
  • Maintained 100% call documentation accuracy, tracking provider requests and updating patient information in the system
  • Resolved escalated inquiries professionally, improving customer satisfaction ratings by X%
  • Conducted daily quality checks on provider documentation to ensure compliance with Medicaid policies

Education

Associate of Science -

Ultimate Medical Academy
Clearwater, FL
02.2025

Skills

  • Medicaid Policy & Eligibility Verification
  • Provider Enrollment & Claims Processing
  • Customer Service & Call Center Support
  • CRM & Data Entry
  • Problem-Solving & Conflict Resolution
  • Strong Verbal & Written Communication
  • Multi-tasking & Time Management
  • HIPAA Compliance & Confidentiality
  • Microsoft Office
  • Empathy
  • Typing Speed 55 WPM
  • Data entry
  • Active listening

Timeline

Remote Medicaid Customer Service Representative

Concentrix
09.2024 - Current

Healthcare Customer Service Representative

Senture
07.2022 - 09.2024

Associate of Science -

Ultimate Medical Academy

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