Tashia Logan
Springfield,IL
Summary
Customer-focused individual with a passion for delivering exceptional service. Strong interpersonal skills with a talent for effectively addressing concerns. Committed to improving customer satisfaction and driving positive outcomes.
Overview
14
14
years of professional experience
Work History
Patient Service Specialist
Memorial Health
Springfield, Illinois
07.2024 - Current
- Scheduled and coordinated patient appointments, including urgent triage, and interpreter services.
- Registered patient demographics, verified insurance eligibility, collected copays, and outstanding balances.
- Managed incoming mail, scanned records, and maintained accurate electronic documentation.
Personal Assistant
Illinois Department Of Rehabilitation Services
Springfield, Illinois
08.2011 - Current
- Delivered personal care services, including hygiene, bathing, dressing, and grooming.
- Managed household responsibilities encompassing meal preparation, cleaning, laundry, and errands.
- Provided in-home support to individuals with disabilities based on individualized service plans.
Appeals Specialist II
Blue Cross Blue Shield of Illinois
Springfield, IL
07.2020 - 05.2024
- Conducted thorough research and documentation analysis to inform fair appeal determinations.
- Responded to member and provider inquiries about appeal processes through diverse communication channels.
- Maintained comprehensive appeal logs, contributing to trend reports for audit readiness.
Appeals Specialist I
Blue Cross Blue Shield of Illinois
Springfield, Illinois
07.2019 - 07.2020
- Generated formal redetermination letters while ensuring thorough documentation for departmental reference.
- Reviewed clinical and non-clinical appeals to assess medical necessity and made determinations.
- Utilized internal systems to manage workflows and facilitate timely resolution of appeal cases.
Benefit Value Advisor
Blue Cross Blue Shield of Illinois
Springfield, IL
10.2018 - 07.2019
- Advocated for members to maximize healthcare benefits through a concierge approach.
- Assisted members and physicians by addressing inquiries through phone and written communication, with accuracy and objectivity.
- Managed high call volumes, dedicating approximately 90% of my time to phone interactions, according to business demands.
Customer Advocate
Blue Cross Blue Shield of Illinois
Springfield, Illinois
10.2016 - 10.2018
- Managed high-volume inbound and outbound calls to assist patients and healthcare providers efficiently.
- Conducted thorough research to resolve inquiries and issues promptly.
- Documented interactions meticulously to maintain accurate records, and improve service quality.
Education
High School Diploma -
Lawrence Education Center
Springfield, IL06-2003
Skills
- Appointment scheduling
- Insurance verification
- Electronic documentation
- Appeals processing
- Compliance analysis
- Customer relationship management
Timeline
Patient Service Specialist
Memorial Health
07.2024 - Current
Appeals Specialist II
Blue Cross Blue Shield of Illinois
07.2020 - 05.2024
Appeals Specialist I
Blue Cross Blue Shield of Illinois
07.2019 - 07.2020
Benefit Value Advisor
Blue Cross Blue Shield of Illinois
10.2018 - 07.2019
Customer Advocate
Blue Cross Blue Shield of Illinois
10.2016 - 10.2018
Personal Assistant
Illinois Department Of Rehabilitation Services
08.2011 - Current
High School Diploma -
Lawrence Education Center
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