Tamoi Holness
Richmond,Virginia
Summary
Dynamic health advocate at Anthem Blue Cross Blue Shield with expertise in personal health mentoring and conflict resolution. Demonstrated success in enhancing customer satisfaction while ensuring compliance management. Proficient in claims evaluation and quality assurance, contributing to operational improvements and exceptional service delivery. Committed to empowering clients and cultivating a supportive healthcare experience.
Overview
11
11
years of professional experience
Work History
Consumer Service Associate (Health Advocate)
Anthem blue cross blue shield
Richmond, VA
07.2021 - Current
- Delivered personalized health education tailored to individual needs.
- Delivered training and coaching to colleagues.
- Handles and evaluates grievances and appeals as needed.
- Collaborates with Talent Acquisition and Learning & Development leads to maintain alignment.
- Executed call/chat evaluations to provide constructive feedback for agents and managers utilizing Carelon systems.
- Analyzes obstacles to customer satisfaction and proposes solutions.
- Resolved customer service inquiries efficiently via chat.
- Managed claims and identified billing discrepancies.
- Maintained adherence to financial reporting standards and accounting protocols.
- Researched using internal and partner resources to find requested services.
- Provided second-level chat support for issue resolution team.
Preschool Director
Childtime learning center
Richmond, VA
06.2017 - 07.2021
- Planned and implemented effective teaching strategies for early childhood education.
- Facilitated clear communication with children, parents, and staff.
- Directed management of day-to-day preschool activities.
- Hired, mentored and monitored qualified childcare staff.
Manager- Home Health Agency
Five Star Medical
Brooklyn, NY
06.2015 - 03.2017
- Evaluated and monitored team performance.
- Processed insurance claims.
- Maintained electronic health records to adhere to healthcare regulations.
- Recruited, trained, and managed administrative staff comprising front desk personnel, medical assistants, and billing specialists.
- Delivered top-tier customer service to every patient.
- Assisted customer service with inbound and outbound calls regarding HR inquiries.
Supervisor - Medical Practice
Star medical
Brooklyn, NY
04.2015 - 06.2016
- Validated patient insurance coverage for accuracy.
- Managed patient scheduling through phone communication.
- Resolved patient grievances promptly.
Customer Service Rep
access a ride
Brooklyn, NY
02.2014 - 04.2015
- Addressed and managed concerns to improve customer satisfaction with transportation services.
- Coordinated transportation services for customers.
- Handled incoming customer calls promptly and effectively.
Education
High School Diploma -
brownsville academy high school
Brooklyn, NY01.2014
Associate degree - Bachelors in progress
John Tyler Community College
Richmond, VASkills
- Personal Health Mentoring
- Claims Evaluation
- Customer Service Expertise
- Compliance Management
- Quality Assurance Auditing
- Financial Reporting Analysis
- Conflict Resolution
- Effective communication
- Problem solving
- Exceptional Customer Service
- Data entry
- Quality Assurance
- Payment processing
- Handling customer complaints
References
Available upon request
Timeline
Consumer Service Associate (Health Advocate)
Anthem blue cross blue shield
07.2021 - Current
Preschool Director
Childtime learning center
06.2017 - 07.2021
Manager- Home Health Agency
Five Star Medical
06.2015 - 03.2017
Supervisor - Medical Practice
Star medical
04.2015 - 06.2016
Customer Service Rep
access a ride
02.2014 - 04.2015
High School Diploma -
brownsville academy high school
Associate degree - Bachelors in progress
John Tyler Community College
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