Summary
Overview
Work History
Skills
References
Timeline
Generic

Tasha Burnett

Columbia,OH

Summary

Dedicated healthcare service advocate with extensive years of experience assisting members by using active listening skills and assessment tools to offer targeted solutions. Currently seeking a challenging and advanced career opportunity, where my training and expertise will be effectively utilized to acquire and obtain new skills.

Overview

7
7
years of professional experience

Work History

Care Partner (Resources For Living)

CVS HEALTH CORPORATION
01.2021 - Current
  • Effectively assessed client needs and social determinants by researching and communicating information pertinent Employee Assistance Program and Work Life services. This included, but not limited to, connecting member to community resources for mental health, financial assistance, food and shelter
  • Developed working knowledge of using internal and web based systems to locate community agencies and resources
  • Assisted with coaching and development of new hires by providing training through active and passive shadowing method

Member Service Advocate

Aetna
11.2018 - 01.2021
  • Coordinated medical services between patients, providers, and other parties relevant to the member's healthcare benefits
  • Specialist in helping members understand the healthcare process and quoting applicable coverages and benefits. This included locating and reviewing Clinical Policy Bulletins, researching and resolving claim inquiries
  • Cross trained in placing members with mental health referrals, in which I received and completed cases assigned by the Plan Sponsors designated Behavioral Health mailbox team
  • Consistently achieved and maintained call quality scores of 96% or above

Senior Patient Care Coordinator

Quantum Health
06.2016 - 11.2018
  • Managed inbound member and provider service calls, as well as administrative tasks to resolve member issues effectively
  • Assisted with quoting medical and behavioral health coverage, benefits and eligibility. Created and processed insurance authorizations when necessary
  • Accessed patient information through various software applications, while also adhering to HIPAA guidelines

Skills

  • Strong interpersonal communication skills
  • Complex problem solving
  • Training and coaching
  • Coordination and collaboration

References

Available upon request

Timeline

Care Partner (Resources For Living)

CVS HEALTH CORPORATION
01.2021 - Current

Member Service Advocate

Aetna
11.2018 - 01.2021

Senior Patient Care Coordinator

Quantum Health
06.2016 - 11.2018

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Tasha Burnett