Teisheira Frazier
Las Vegas,NV
Summary
Dynamic leader and problem-solver with a proven track record at Cigna Health Plan Services, adept in client relationship management and regulatory compliance. Excelled in health insurance sales, enhancing customer engagement and retention through meticulous attention to detail and robust communication skills. Ambitious individual with strong organizational and multitasking skills, as well as an aptitude for technology. Ready to apply knowledge and skills to any challenge.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Pharmacy Customer Associate
Elevance Health
05.2024 - 03.2026
- Assisted customers in navigating healthcare plans and understanding benefits options.
- Resolved customer inquiries efficiently, enhancing satisfaction and loyalty.
- Collaborated with team members to streamline customer service processes, improving response times.
- Mentored junior associates on best practices for effective communication and issue resolution.
- Developed efficient scheduling processes, reducing conflicts and enhancing workflow.
- Implemented tracking systems for monitoring project progress and deadlines.
- Assisted customers in navigating insurance claims, resulting in fewer denials and improved coverage understanding.
- Ensured regulatory compliance by diligently adhering to pharmacy policies, procedures, and applicable laws during daily operations.
- Supported team members in achieving company goals by consistently meeting individual performance targets.
- Delivered exceptional service during high-volume periods, maintaining composure under pressure while managing multiple tasks simultaneously.
Licensed Insurance Producer
Cigna HealthPlan Services
08.2021 - 08.2023
- Successfully assisted customers with understanding their summary of benefits and locating INN providers
- Supported brokers with becoming appointed, portal support, demographic changes amongst other duties
- Explained SOBs to health members/agents and successfully sold dental packages as an up sale
- Identified needs of consumers; transferring to correct departments and encouraged members to enroll in rewards programs
- Assisted with premium payments
- Followed state and national guidelines and laws to stay within compliance recommendations
- Answered calls remotely in a customer services atmosphere.
Medical Collector
Virtual Business Office
11.2020 - 06.2021
- Oversaw patient billing accounts using Epic system
- Followed up with claims utilizing various research methods including determination of outstanding balance, online research, and telephone calls to payers surrounding claims status
- Contacted patients' and payers for eligibility status
- Documented task and procedures to ensure the quality of the next steps for claim status
- Completed reconsideration/appeal forms for claims denying incorrectly in a timely manner
- Worked in multiple system platforms including hospital billing portals, company billing portals, Electronic Health Record (EHR) systems, and payer portals to resolve denied or outstanding claims
- Utilized and researched industry practices to resolve denied medical claims.
Sterile Room Tech Supervisor
Nephron Pharmaceuticals
09.2017 - 09.2018
- Oversaw sanitation and cleanliness of all clean rooms and clean room technicians
- Gathered information about daily production goals and planned the day according to what was priority
- Encouraged employees to meet performance expectations as well as help them to physically complete tasks
- Served as a line of communication for manager and employees about job expectations and issues
- Inspected work performed to ensure that it meets specifications and established standards
- Planned and established work schedules, assignments, and production sequences to meet production goals
- Conferred with other supervisors to coordinate operations and activities within or between departments
- Approved work hours and vacation time according to the needs of the company
- Ensured the work environment was safe and secure using aseptic techniques
- Confirmed all employees were completing job tasks per SOP and company standards
- Completed documentation information on paper as well as on Microsoft Office
- Interviewed potential employees as well as completed employee reviews.
DSP Assistant House Lead Assistant
Community Options
05.2015 - 08.2017
- Assisted residents in wheelchairs with physical and intellectual as well as behavior health issues with daily activities (bathing, laundry, cooking meals, shopping, etc.)
- Hosted weekly residential group therapy sessions
- Documented behaviors and accountability (water/food intake, toileting chart body audits)
- Administered medication accurately and documenting medication intake thoroughly
- Completed physical checks and monitored patients to detect unusual or harmful behavior and reported observations to professional staff
- Transported consumers to doctors' appointments and documented appointments accurately
- Organized, supervised, or encouraged consumer participation in social, educational, or recreational activities
- Accompanied consumers to and from wards for medical or dental treatments, shopping trips, or religious or recreational events
- Followed proper emergency procedures (fire, tornado, and hurricane drills)
- Prepared and maintained records of client progress and services performed, reporting changes in client condition to manager or supervisor.
Education
Bachelor of Science - Medical Billing/Coding
Southeastern Institute
South CarolinaAssociate of Science - Business Administration
Midland's Technical College
South CarolinaBachelor of Science - Business Administration & Management
University of Phoenix
Tempe, AZ03-2029
Skills
- Customer service
- Excellent communication (written/verbal)
- Problem solving
- 45 WPM
- Team Work
- Leadership
- Regulatory compliance
- Adaptability
- Attention to detail
- Risk assessment
- Decision making
- Organizational skills
- Computer proficiency
- Time management
- Self-motivation
- Customer Retention
- Sales Quota Achievement
- HIPAA Compliance
- Customer Engagement
- Sales Reporting
- Health Insurance Sales
- Data Entry
- Call Center Customer Service
- Critical Thinking
Certification
Health Insurance Producer
Timeline
Pharmacy Customer Associate
Elevance Health
05.2024 - 03.2026
Licensed Insurance Producer
Cigna HealthPlan Services
08.2021 - 08.2023
Medical Collector
Virtual Business Office
11.2020 - 06.2021
Sterile Room Tech Supervisor
Nephron Pharmaceuticals
09.2017 - 09.2018
DSP Assistant House Lead Assistant
Community Options
05.2015 - 08.2017
Bachelor of Science - Medical Billing/Coding
Southeastern Institute
Associate of Science - Business Administration
Midland's Technical College
Bachelor of Science - Business Administration & Management
University of Phoenix