TAMMEY MERIX

• General bookkeeping including accounts payable and accounts receivable
• Maintain and processed invoices, deposits, and money logs.
• Prepare monthly bank reconciliations
• Established QuickBooks accounting system to reflect accurate financial records.
• Handle payroll processing for employees, ensuring timely payment and adherence to tax regulations.
• Handle day-to-day accounting processes to drive financial accuracy.

• Introduced loyalty programs to reward repeat customers and encourage brand loyalty.
• Maintained a clean, safe, and inviting atmosphere for customers to enjoy their Herbalife club experience.
• Maintained effective supply levels by monitoring and reordering food stock and dry goods.
• Developed unique events and special promotions to drive sales (weekly exercise events; plant/ paint nights).
• Reduced health risks and safety hazards by preparing beverage products consistently while creating cleaning schedules, restocking items and sanitizing equipment to adhere to health department standards.
• Reduced inaccuracies by carefully counting cash and keeping meticulous records of transactions.
• Regularly reviewed new Herbalife products and club trends to identify potential opportunities for growth.
• Increased customer satisfaction by implementing new menu items based on feedback and market trends.

• Designated contact for Highmark Delaware and affiliated BCBS plans.
• Analyze account history and use work lists to contact Highmark Delaware to ascertain the status of payments or provide additional information necessary to resolve accounts.
• Analyze accounts on a weekly denial report to identify denial trends.
• Participate in a bi-weekly call with Highmark to resolve outlier claim issues.
• Resolve obstacles preventing claims from timely resolution. This includes contacting third parties to obtain additional information (Patients; Providers).
• Contact patients by phone to inform of obstacles to claim resolution that require their intervention (COB; Pre-existing).
• Review and confirm that insurance information is accurate on accounts to enable timely billing.
• Analyze account history and use work lists to contact insurance companies to ascertain the status of payments or provide additional information necessary to resolve accounts.

• Review and confirm that insurance information is accurate on accounts to enable timely billing.
• Assist patients in ensuring they receive the maximum benefit available from their various insurances and establish a plan for payment of patient balances, including setting up payment plans.
• Handle inbound calls from patients; insurance companies and other healthcare providers.
• Analyze account history and use work lists to contact insurance companies to ascertain the status of payments or provide additional information necessary to resolve accounts.
• Responsible for resolution of deceased accounts, including filing estate claims with the local Register of Wills.
• Assist coworkers when having difficulty understanding or explaining how a claim may have been processed by Highmark Delaware.

Retail Sales

• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Handled cash transactions and maintained sales and payments records accurately.
• Assisted in managing inventory levels, accurately processing shipments, and restocking merchandise as needed.
• Assisted with onboarding new clients and securing paperwork completion.

• Supervised a customer service team consisting of phone representatives and clerical staff
• Administer health benefit plans for 14 national customers, insuring approximately 4 million lives.
• Perform monthly employee assessments regarding performance, objectives, training needs and ways Customer Service Representatives can become more effective and improve overall quality
• Collaborate with peers to formulate incentives to improve telephone service levels that also improve individual, unit, office and company performance
• Enforce Code of Conduct, Attendance and Performance Management policies
• Facilitate monthly unit meetings to train employees on new policies, provide refresher training and reinforce ways to become more efficient improving overall phone results
• Participate in interview and selection of new applicants for customer service positions
• Assist Marketing Representatives with customer meetings to discuss customer service levels, expectations, performance along with effectiveness and risk of current Summary of Coverage offered to their employee’s
• Also held position of Trainer, Customer Service Representative and Claims Examiner while at Aetna, Inc.