Tanya Mozee
Chico's FAS
HOUSTON,TX
10
years of professional experience
Dedicated Eligibility Specialist with over twenty years of experience in processing eligibility determinations and ensuring compliance with regulations. Strong communicator, adept at problem-solving, and committed to fostering a collaborative team environment to enhance patient satisfaction.
Work History
Eligibility Specialist
5 Years 1 Month- Processed eligibility determinations for patients, ensuring compliance with regulations and company policies.
- Reviewed and analyzed patient data to identify discrepancies and resolve issues efficiently.
- Reviewed and interpreted insurance eligibility, coverage details, and benefit limitations to determine clearance requirements.
- Initiate outbound communication with insurance plans and third‑party payers to obtain benefit details, resolve coverage questions, and confirm authorization requirements.
- Navigate prior authorization processes by gathering required information and ensuring payer criteria are met accurately.
- Document benefit findings, authorization outcomes, and clearance decisions thoroughly and consistently within internal systems.
- Apply feedback and payer knowledge to continuously improve accuracy, efficiency, and overall clearance quality.
- Resolved complex eligibility issues by conducting thorough investigations and coordinating with multiple stakeholders.
Part-time Sales Associate
10 Years 3 Months- Delivered exceptional customer service to enhance client satisfaction and loyalty.
- Executed visual merchandising standards to create appealing product displays that increased sales visibility.
- Assisted in inventory management, ensuring accurate stock levels and timely replenishment.
- Trained new associates on store Sales Associate at Chico's is responsible for supporting management in fostering a customer-focused sales culture, ensuring a positive shopping experience, and maximizing profitability. This role involves engaging with customers, promoting products, and maintaining store operations effectively
- Implemented company policies to ensure compliance and consistency in operations., sales techniques, and product knowledge for improved team performance.
- Developed strong relationships with repeat customers through personalized shopping experiences.
Cashier Team Lead
1 Year 4 Months- Supervised cashier team, ensuring adherence to company policies and efficient operations.
- Trained new cashiers on customer service best practices and point-of-sale systems.
- Implemented process improvements that enhanced checkout speed and accuracy, boosting customer satisfaction.
- Fostered a positive team environment through effective communication and conflict resolution strategies.
- Processed both cash and card purchases and returns.
- Assisted customers by answering questions and fulfilling requests.
- Communicated with customers and team members to solve problems.
- Worked extra shifts during busy periods and covered for call-in employees to maintain service levels.
Skills
Data analysis
Clear communication
Benefits management
Call coordination
Case documentation
Insurance verification
Patient resource management
Problem-solving
Critical thinking
Data privacy compliance
Timeline
Cashier Team Lead
Burlington
10.2024 - 02.2026Read More
Eligibility Specialist
Accredo Health Group Pharmacy - Cigna
07.2021 - CurrentRead More
Part-time Sales Associate
Chico's FAS
05.2016 - CurrentRead More