Ta'Myah Malick
El Paso
Summary
A highly motivated and detail-oriented customer service professional with a proven track record of delivering exceptional solutions to customer inquiries. Skilled in collaborating effectively within a team environment and consistently exceeding productivity benchmarks.
Overview
7
7
years of professional experience
Work History
Customer Service Representative
Delta Dental
10.2024 - 01.2025
- Managed a high volume of inbound calls, providing accurate information on dental insurance benefits and claims
- Actively listened to subscribers and dental offices to identify needs, requests, and concerns
- Documented call details, including contact information, nature of the call, and resolution provided
- Researched and resolved inquiries using multiple resources, ensuring timely follow-up responses
- Assisted with claims processing, including claim entry, customer communication, and refund requests
- Maintained a professional and positive demeanor during all interactions
- Consistently met customer service performance metrics, including call documentation, accuracy, and quality of information
Member Support Specialist
Florida Blue (Blue Cross and Blue Shield of Florida)
04.2024 - 07.2024
- Performed accurate and efficient data entry across multiple systems simultaneously
- Assisted members with account setup, troubleshooting technical issues, and navigating websites/apps
- Collaborated with internal teams to resolve escalated customer concerns in a timely manner
- Maintained detailed records of customer interactions using tracking software for future reference
- Delivered professional, courteous customer service to members at all times
- Handled sensitive and confidential information with discretion, ensuring department security
- Managed a high volume of incoming calls, efficiently addressing member needs
- Provided accurate information to answer questions, troubleshoot issues, and resolve complaints
- Navigated multiple systems and search tools to find information quickly and accurately
- Reviewed customer-submitted documents related to insurance claims for accuracy and completeness
- Delivered timely and effective support to customers regarding their claims inquiries
Front Office Assistant
Piedmont Healthcare
Atlanta
09.2021 - 02.2024
- Greeted visitors and verified reasons for visit, ensuring HIPAA compliance
- Processed payments and addressed inquiries related to appointments and billing
- Managed customer complaints and feedback, resolving issues to complete satisfaction
- Provided administrative support, taking on additional tasks during peak work periods
- Answered office phone and emails to schedule appointments, document information, and respond to inquiries
- Maintained front office cleanliness and organized supplies to boost productivity
- Completed pre-verifications to ensure smooth patient appointments
- Stayed up-to-date with policies and procedures to ensure quality care for all individuals
- Trained new hires on daily tasks, system use, and coordinating with back-office staff to maintain efficient workflow
- Verified and updated patient/guarantor insurance and demographic information to ensure accurate billing
- Interpreted coverage limitations and communicated details to patients and providers
- Documented financial and pre-certification/authorization information accurately and promptly
- Completed insurance verifications and followed up with patients if verification could not be obtained
Patient Registration Representative
Northeast Georgia Health System
Braselton
08.2020 - 08.2021
- Captured and documented patient demographics, subscriber, and insurance information
- Verified insurance eligibility and benefits by contacting patients, physician offices, and insurance providers
- Ensured accuracy in patient, visit type, code identification, and insurance details to minimize errors and delays
- Assessed and collected financial liabilities prior to service; educated patients on billing processes and referred for financial counseling when needed
- Scanned data into Document Management System and updated EHR with pre-certification information for scheduled and non-scheduled accounts
- Completed MSP forms and registration-related consents; prepared patient packets for upcoming procedures
- Identified and avoided duplicate medical records across Patient Access Systems
- Worked efficiently during system downtimes, following standard operating procedures
- Collaborated with physician offices and other departments to ensure patient satisfaction
- Met department goals for productivity, accuracy, collections, and customer satisfaction
Customer Care Specialist
Assurant
Duluth
03.2019 - 06.2020
- Maintained accurate and up-to-date customer and system account information to ensure timely issue resolution
- Documented customer interactions to track requests, problems, and solutions
- Researched solutions, collaborated with relevant departments, and followed up with customers via phone, mail, or fax
- Managed inbound calls, addressing and resolving loan-level inquiries related to hazard insurance
Cashier
Walmart
Lawrenceville
04.2018 - 02.2019
- Greeted customers professionally, ensuring a positive first impression
- Processed payments through cash, check, credit card, vouchers, or automatic debits
- Maintained an accurate cash register and balanced till
- Organized assigned areas and ensured a clean, orderly workspace
- Recommended products and addressed customer inquiries and concerns
- Bagged products appropriately to ensure safe and efficient handling
Education
High School Diploma -
Norcross High School
Norcross, GA05-2017
Skills
- Call Center
- Customer Service
- Written & Oral Communication
- Electronic Medical Records
- Epic
- Microsoft Office
- Clerical Experience
- Document Management Systems
- Computer Skills
- Insurance Verification
- Organizational Skills
- Medical Office Experience
- HIPAA
- Data Entry
Timeline
Customer Service Representative
Delta Dental
10.2024 - 01.2025
Member Support Specialist
Florida Blue (Blue Cross and Blue Shield of Florida)
04.2024 - 07.2024
Front Office Assistant
Piedmont Healthcare
09.2021 - 02.2024
Patient Registration Representative
Northeast Georgia Health System
08.2020 - 08.2021
Customer Care Specialist
Assurant
03.2019 - 06.2020
Cashier
Walmart
04.2018 - 02.2019
High School Diploma -
Norcross High School
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