Summary
Overview
Work History
Education
Skills
CAREER GOALS
Timeline
Generic

Tashiba harris

Norfolk,Virginia

Summary

A Highly motivated professional seeking the opportunity to utilize my skills to advance my career. As I have demonstrated throughout my career, actively looking for ways to assist people. Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information. Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others. Also proficient in computer skills to include all Microsoft. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

11
11
years of professional experience

Work History

Credentialing Administrator

Beacon Health Options
01.2013
  • Conduct data mining with available tools to gather information that is needed for evaluation
  • Verification of (PSV) primary source of information for providers and facilities
  • Perform in depth manual monitoring of sanction by maintain and reviewing disciplinary action /sanction reports released by the state licensure boards
  • Performs facility verifications to ensure accreditation
  • Responsible for gathering information such as provider contracts, agreements, education etc
  • For the SIU (Special Investigations Unit)
  • High ethics and able to work independently
  • Ability to pay close attention to detail
  • Capable of independently researching claims
  • Able to analyze relevant information for investigation.

Member Services Rep

Amerigroup
05.2006 - 04.2009
  • Assisted with PCS processing, appeals, claims backup in both amysis and facets
  • Verify if claims are paid or denied
  • Resolve issues for members / providers etc
  • Analyze situation and complete research of members and providers
  • Provide full service to member, provider, and healthcare agency.

Sr Customer Service rep

QVC
07.1998 - 05.2006
  • Always maintain the highest levels of service to internal and external customers
  • Provide customers with information in response to into inquiries about products and services
  • Aid customers in completing purchases or transactions
  • Enter orders into the computer and update customer profiles and Q card account information
  • Resolve customer complaints about products and/or billing issues
  • Follow up worth individual customers until a question is answered or an issue resolved
  • Process Q card credit application.

Education

Criminal Justice/Behavior

Strayer University

Psychology

Norfolk State University
12.2015

Skills

  • Prepared reports summarizing findings and presenting recommendations based on those findings
  • Communication
  • Data Mining
  • Critical Thinking
  • Problem Solving
  • Leadership
  • Teamwork
  • Empathy

CAREER GOALS

Short-Term Goals (1-3 years):

Earn a Bachelor’s degree in Criminal Justice. (very soon)
Develop foundational skills in areas such as investigation, report writing, and community relations.

Career advancement to and within Elevance INC./Anthem BCBS.


Ultimate Goal

Continual learning to maintain and enhance skill sets by taking classes in cross-cultural communication and volunteering in the communities you serve are other goals that can help you grow personally and professionally.




Timeline

Credentialing Administrator

Beacon Health Options
01.2013

Member Services Rep

Amerigroup
05.2006 - 04.2009

Sr Customer Service rep

QVC
07.1998 - 05.2006

Criminal Justice/Behavior

Strayer University

Psychology

Norfolk State University

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Tashiba harris