Taushell Jones
Monroeville,PA
Summary
Detailed customer service professional known for having great communication and problem solving skills. Gifted at working with a wide ranges of customers. I have experience with working under pressure and adapting to new challenges. Im seeking a new role where hard work and dedication will be highly valued.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Member Service Representative
Highmark Wholecare
Pittsburgh, US
02.2023 - Current
- Achieve top-tier satisfaction scores by addressing member benefits, claims, and pharmacy inquiries promptly and effectively.
- Coordinate with internal departments and providers to expedite prior authorization requests and claim resolutions.
- Assist members with Medicaid and Medicare applications and renewals, and provide guidance throughout the enrollment process.
- Facilitate the documentation process for member appeals and grievances.
- Access patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Assistant Property Manager
Urban Artisan Development, LLC
Pittsburgh, US
08.2021 - 06.2023
- Assisted the property manager in overseeing the daily operations of residential and commercial properties.
- Handled tenant inquiries, complaints, and maintenance requests promptly and professionally.
- Prepared lease agreements, renewals, and move-in/move-out documentation accurately and efficiently.
- Managed the rent collection process, ensuring timely payments from tenants, and addressing any delinquencies or lease violations.
- Maintained positive relationships with tenants through effective communication channels, including email updates or newsletters regarding property news or upcoming events.
Patient Service Representative
UPMC Eye Center
Pittsburgh, US
04.2020 - 08.2021
- Verified demographic information, insurance, and collected co-payments during registration.
- Assisted in scheduling, rescheduling, and canceling appointments for patients.
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Provided excellent customer service at all times while interacting with both providers and patients.
- Coordinated with insurance companies to resolve billing discrepancies and prior authorization issues.
Assistant Store Manager
ACE Cash Express
Pittsburgh, US
09.2017 - 04.2020
- Handled a workload of more than 65 customers each shift, with independent operation and exceptional multitasking expertise.
- Processed deposits, withdrawals, check cashing, wire transfers and other related transactions accurately and efficiently.
- Opened new checking, savings and lines of credit for customer accounts.
- Used a strong knowledge of banking products and services to confidently educate customers about features, benefits and pricing.
- Reconciled cash drawers and vault operations consistently following security protocols.
- Conducted audits of all checks received from the customer before processing them.
Education
Bachelor of Science - Finance
Point Park University
Pittsburgh, PA06-2026
High school diploma -
Northside Urban Pathways Cs
Pittsburgh, PA07.2010
Skills
- Customer service
- Medical billing
- Property management
- Communication skills
- Sales
- Call Center
- Healthcare
- Insurance claims review
- Appointment Scheduling
- CRM Software
- Data Entry
Certification
Real Estate License, Pennsylvania, 11/01/23, Present
Timeline
Member Service Representative
Highmark Wholecare
02.2023 - Current
Assistant Property Manager
Urban Artisan Development, LLC
08.2021 - 06.2023
Patient Service Representative
UPMC Eye Center
04.2020 - 08.2021
Assistant Store Manager
ACE Cash Express
09.2017 - 04.2020
Bachelor of Science - Finance
Point Park University
High school diploma -
Northside Urban Pathways Cs