Tanesia Capps
Huntsville
Summary
Detail-oriented Health Benefits Specialist with extensive experience in remote communication and policy implementation. Expertise in analyzing customer feedback to drive improvements and ensure adherence to HIPAA regulations while maintaining service excellence.
Overview
12
12
years of professional experience
Work History
Health Benefits Specialist
Selecthealth
Salt Lake City
11.2022 - Current
- Deliver high-quality remote service to members and providers, handling healthcare inquiries and claim resolution.
- Assist with funding processes, benefits explanation, and prior authorization for procedures and medications.
- Navigate multiple systems to process claims, verify coverage, and maintain service accuracy.
- Uphold HIPAA regulations while managing sensitive member health information.
- Work independently in a fast-paced virtual environment, achieving service goals and resolution metrics.
- Developed and implemented new health benefits policies and procedures for clients.
- Analyzed customer feedback related to health benefits services to identify areas needing improvement.
- Coordinated communication between members and healthcare providers for issue resolution.
- Processed claims and managed documentation for prompt resolutions.
Logistics Coordinator/Administrative Assistant
Grain Craft
Ogden
05.2014 - 11.2022
- Collaborated with production teams to align supply with demand forecasts.
- Coordinated daily transportation activities including scheduling, routing, tracking and documentation.
- Responded quickly to customer inquiries about order status or changes in schedules.
- Developed and maintained relationships with vendors, carriers and customers to ensure efficient shipping of goods.
- Resolved any issues or discrepancies related to product delivery or receipt in a timely manner.
- Explained proposed solutions to customers and management through oral presentations and written proposals.
- Utilized Microsoft Office Suite to create spreadsheets, documents, and presentations efficiently.
Executive Assistant
Skyline LLC
Eden
03.2013 - 02.2014
- Managed travel arrangements and itineraries for executives and staff.
- Assisted in project planning by organizing tasks and deadlines consistently.
- Maintained confidential records and files related to executive operations.
Education
Some College (No Degree) -
Weber State University
Ogden, UTSome College (No Degree) -
Salt Lake Community College
Salt Lake City, UTSkills
- Claim resolution
- Benefits explanation
- HIPAA compliance
- Policy development
- Data analysis
- Remote and effective communication
- Claims processing
- Attention to detail
- Time management
- System navigation
- Customer relationship management
- Vendor relations
- Problem solving
- Account managing
- Tracking inventory levels and orders
Timeline
Health Benefits Specialist
Selecthealth
11.2022 - Current
Logistics Coordinator/Administrative Assistant
Grain Craft
05.2014 - 11.2022
Executive Assistant
Skyline LLC
03.2013 - 02.2014
Some College (No Degree) -
Weber State University
Some College (No Degree) -
Salt Lake Community College
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