Highly-motivated employee with 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
9
9
years of professional experience
Work History
Patient Assistant Coordinator
BroadPath Healthcare
Remote, AZ
03.2023 - Current
Answered patient inquiries regarding health care services.
Conducted pre-admission interviews with new patients to obtain relevant information for admission paperwork.
Educated patients on proper medication use and potential side effects of medications.
Facilitated communication between physicians and other healthcare personnel regarding patient care plans.
Gathered and analyzed patient information to determine special program eligibility.
Analyzed accuracy and completeness of patient documents such as insurance claims, medical bills and legal paperwork.
Worked with patients to appeal insurance decisions and coordinated with providers to resolve problems.
Claims Adjuster
Cigna
Remote, TN
03.2020 - 12.2023
Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
Determined reserves for each claim based on estimated costs of settlement or defense.
Maintained accurate documentation of all claim activity within designated system.
Provided training sessions for new adjusters on best practices for adjusting claims.
Organized files into logical categories; maintained complete records according to established procedures.
Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
Reviewed data to verify validity of claims and determine case management actions.
Obtained necessary information to complete proper evaluation of injury claims.
Coordinated benefits while applying applicable deductibles, co-insurance and out-of-pocket costs.
CUSTOMER SERVICE REPRESENTATIVE
J Crew
Lynchburg, Virginia
11.2017 - 03.2019
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
Answered customer telephone calls promptly to avoid on-hold wait times
Answered constant flow of customer calls with minimal wait times
Offered advice and assistance to customers, paying attention to special needs or wants
Provided primary customer support to internal and external customers
Recommended products to customers, thoroughly explaining details
Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
CUSTOMER SERVICE REPRESENTATIVE
Valtim Marketing Solutions
Forest, Virginia
10.2014 - 08.2016
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
Answered customer telephone calls promptly to avoid on-hold wait times
Answered constant flow of customer calls with minimal wait times
Offered advice and assistance to customers, paying attention to special needs or wants
Responded to customer requests for products, services and company information
Recommended products to customers, thoroughly explaining details.
Education
Associate of Arts - Business Administration And Management
Central Virginia Community College
Lynchburg, VA
05-2018
Business Administration and Management -
Fayetteville State University
High School Diploma -
Rustburg High School
Skills
Client Counseling
Client Records Management
Building Rapport
HIPAA
Clinical Documentation Mastery
Exceptional Problem Solver
Call Management
Complaint Resolution
Scheduling
Data Collection
Inbound and Outbound Calling
Data Entry
Account Updating
Active Listening
Typing Proficiency
Researching
Call Center Operations
Customer Relations
Team Development
Courteous Demeanor
Order Processing
Coordination
Computer Proficiency
Business Development Understanding
Microsoft Office Expertise
Problem-Solving Abilities
Timeline
Patient Assistant Coordinator
BroadPath Healthcare
03.2023 - Current
Claims Adjuster
Cigna
03.2020 - 12.2023
CUSTOMER SERVICE REPRESENTATIVE
J Crew
11.2017 - 03.2019
CUSTOMER SERVICE REPRESENTATIVE
Valtim Marketing Solutions
10.2014 - 08.2016
Associate of Arts - Business Administration And Management