Taneisha DeGraft-Eshun
Bremerton,WA
Summary
I pride myself in being dependable, highly-motivated with a desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
19
19
years of professional experience
Work History
Diplomatic Foreign Service
The United States of America-Diplomatic Foreign Service
Doha , Qatar
2018.01 - 2024.01
- Under Chief of Mission Authority, I served as a diplomat to the U.S Embassy Doha, Qatar.
- Completed a CODEL(congressional delegation) for Congresswoman Maxine Waters in Doha, Qatar.
Executive Assistant
Copper & Rose
2022.07 - 2023.07
- Executive assistant to the company CEO
- Perfected day-to-day operations
- Utilized scheduling software
- Customer correspondence, order tracking, problem solving, and online chat resolution.
- Organized and managed complex calendar of appointments, meetings, and travel arrangements for executive team.
- Provided administrative support in preparing contracts, invoices, purchase orders, and other documentation required for daily business activities.
- Developed effective filing systems for easy retrieval of information when needed.
- Monitored incoming emails and responded accordingly in a timely manner.
- Responded promptly to inquiries from customers or clients regarding products or services offered by the company.
- Performed data entry tasks into various software programs including MS Excel spreadsheets.
- Opened, read and replied to e-mails, letters and correspondence on behalf of executives.
- Entered customer information and updates in database system to track leads, interactions, relationships and propel sales opportunities.
- Facilitated communications by forwarding emails, transferring calls and filing documents.
Housing Assistant
The Embassy of the United States of America-Doha, Qatar
Doha , Qatar
2018.11 - 2020.12
- Coordinated overseas housing preparations for approximately 88 properties for all incoming/departing U.S Diplomats, military personnel and their families.
- Handled several housing projects at the ambassador's mansion.
- Performed routine inspections of apartments for quality assurance, and maintenance needs.
- Coordinated repairs with outside contractors when necessary.
- Answered incoming calls and responded to emails from tenants regarding questions or concerns.
- Social sponsor for select families.
Prior Authorization Representative
Olympic Medical Center-Port Angeles, WA.
Port Angeles , WA
2016.04 - 2017.11
- Obtained pre-authorizations for 7 specialty clinics
- Direct interaction with Physicians and their patients
- Experience with Veterans Affairs, Medicaid, Medicare, Indian(tribal) Health Insurance, Inmate Health plans, and Workman’s Compensation
- Knowledge of CPT/HCPCS codes
- Broad understanding of the split billing process
- Experience with Epic medical software
- HIPAA compliant.
- Reviewed prior authorization requests for completeness and accuracy.
- Researched medical policies to ensure appropriate coverage of services.
- Assessed insurance benefits and determined eligibility criteria.
- Submitted prior authorization requests electronically or by phone to payers.
- Maintained accurate records on all prior authorizations requested, received, and denied.
- Processed appeals for denials in accordance with established procedures.
- Provided timely feedback to physicians regarding authorization status.
- Responded promptly to inquiries from providers, members, and other departments within the organization.
- Communicated with internal teams regarding changes in policy or procedure related to prior authorization process.
- Facilitated communication between health plan representatives, providers, and members when needed.
Claims
United Health Care-Hartford, CT
Hartford , CT
2004.10 - 2013.11
- Processed claims, EOB’s, Railroad accounts, year-end renewals, and new customer accounts
- Answering large volume phone calls from customers, contractors, and outside vendors.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Identified needs of customers promptly and efficiently.
- Planned and completed group projects, working smoothly with others.
- Assisted with customer requests and answered questions to improve satisfaction.
- Maintained updated knowledge through continuing education and advanced training.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Displayed strong telephone etiquette, effectively handling difficult calls.
Education
Certified Medical Billing and Coding Program -
Penn Foster
04.2021
Computer Science -
University of Phoenix
09.2014
Trade-Graphic Communications/Information Technology -
Roger L. Putnam Vocational Technical High School
01.1996
Skills
- Epic Medical Software
- Microsoft Office
- Share point
- Medical Records Management
- Scheduling
- Excellent Customer Service
- International relations
- Communication Planning
- Reliability
- Effective Communication
- Task Prioritization
- Professionalism
- Relationship Building
- Active Listening
- Adaptability
- Problem-Solving
- Interpersonal Skills
- Organizational Skills
- Team Collaboration
- Professional Demeanor
- Goal Setting
- Problem-solving abilities
- Problem-solving aptitude
- Written Communication
- Attention to Detail
Volunteer Experience
- U.S. Embassy- Doha, Qatar, Social Sponsor, 05/2018, 12/2023
- Red Cross Hartford, CT, 12/2006, 2015
- South Park Inn Hartford, 05/2005, 2015
- Optum Health Days of Caring w/ the Boston Celtics Cambridge, MA, 10/2013
References
- Benjamin Bandoh, Bandohbg2@state.gov
- Lauraine Maddox, 360-417-7000
- Jody-Ann Gooden, 860-702-5729
- LaTonya Buchanan, 860-727-4195
- Cecelia Carelock, 413-537-4829
Timeline
Executive Assistant
Copper & Rose
2022.07 - 2023.07
Housing Assistant
The Embassy of the United States of America-Doha, Qatar
2018.11 - 2020.12
Diplomatic Foreign Service
The United States of America-Diplomatic Foreign Service
2018.01 - 2024.01
Prior Authorization Representative
Olympic Medical Center-Port Angeles, WA.
2016.04 - 2017.11
Claims
United Health Care-Hartford, CT
2004.10 - 2013.11
Certified Medical Billing and Coding Program -
Penn Foster
Computer Science -
University of Phoenix
Trade-Graphic Communications/Information Technology -
Roger L. Putnam Vocational Technical High School
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