Teresa Gathers
Hudson,MA
Summary
Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate [Type] systems. Effective at operating within [Type] regulations and [Type] department guidelines to manage telephone calls, emails, letters and in-person requests for assistance. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
4
4
years of professional experience
Work History
Claims Administration Processor
Access2care Non-Emergency Medical Transportation
09.2023 - Current
- Determined covered medical insurance losses by studying provisions of policies or certificates.
- Coordinated benefits by applying applicable deductibles, co-insurance and out-of-pocket costs.
- Answered inquiries from providers regarding subject of claim, eligibility, covered benefits and approval status issues.
- Resolved medical claims by approving or denying documentation, calculating benefits due, initiating payments and composing denial letters.
- Performed general office duties by preparing correspondence, maintaining records, managing databases and distributing incoming correspondence.
Dispatcher Coordinator
ACCESS2CARE
06.2022 - Current
- Communicated with drivers and personnel to coordinate timely delivery of goods and materials.
- Directed dispatching, routing, and tracking of [Number] fleet vehicles.
- Tracked delivery progress to identify possible delays and provide real-time updates to customers.
- Managed conflict resolutions with customers, drivers and other personnel to encourage professional relationships and promote respect.
- Maintained updated and detailed records of calls in physical and electronic database.
- Oversaw route and condition of field units to manage daily schedule and maintain organized shifts.
Customer Service Representative
Access2care Non-Emergency Medical Transportation
08.2019 - Current
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Answered constant flow of customer calls with minimal wait times.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Education
High School Diploma -
Boca Ciega High School
Gulfport, FL06.1987
Skills
- Information Verification
- Loss Documentation
- Carrier Coordination
- Customer Communication
- Microsoft Office
- Financial Analysis
Timeline
Claims Administration Processor
Access2care Non-Emergency Medical Transportation
09.2023 - Current
Dispatcher Coordinator
ACCESS2CARE
06.2022 - Current
Customer Service Representative
Access2care Non-Emergency Medical Transportation
08.2019 - Current
High School Diploma -
Boca Ciega High School
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