Tiana Lisbon
New York,NY
Summary
Professional with comprehensive experience in claims processing, customer service, and patient care. Proven ability to manage complex tasks, resolve conflicts, and improve processes in fast-paced environments. Strong communication, leadership, and problem-solving skills with a focus on enhancing employee and customer satisfaction. Seeking to leverage my expertise in fostering positive workplace environments and driving organizational success.
Overview
7
7
years of professional experience
Work History
Claims Representative
United Healthcare Group
New York, NY
05.2023 - 01.2024
- Provided expertise and general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims.
- Analyzed and identified trends, providing reports as necessary to improve efficiency and accuracy.
- Consistently met established productivity, schedule adherence, and quality standards.
Customer Service Representative
Fidelis Care
Long Island City, NY
03.2019 - 09.2022
- Served as the first-line advocate focusing on resolving inquiries, issues, or concerns for members and providers.
- Leveraged various communication channels to offer timely, accurate, and personalized support.
- Mitigated and prevented complaints from escalating by resolving them during initial contact.
Video Repair Representative
Spectrum
Flushing, NY
04.2019 - 07.2019
- Utilized technical expertise to repair a variety of services and equipment while multitasking effectively.
- Used patience and effective communication skills to understand customer needs and answer questions.
- Maintained detailed records of customer actions and service histories to ensure future representatives have accurate information.
Patient Care Representative
CityMD Urgent Care Center
Bronx, NY
09.2016 - 04.2019
- Greeted patients and families, scheduled appointments, and managed hospital and ambulatory admissions/procedures.
- Ensured timely and appropriate action for patient needs and inquiries.
- Managed phone calls, directing them appropriately and taking accurate messages.
- Scheduled future appointments, tests, and referrals as ordered by physicians.
Education
Associate of Science - Business Management
Borough of Manhattan Community College of The City University of New York
New York, NY05-2018
Skills
- Technical Proficiency: Microsoft Office Suite (Excel, PowerPoint, Word), HRIS Systems
- Interpersonal Skills: Communication, Conflict Resolution, Empathy, Active Listening, Emotional Intelligence
- Leadership: Team Leadership, Educational Leadership, Project Management, Community Outreach
- Personal Attributes: Adaptability, Technical Knowledge, Attention to Detail
Timeline
Claims Representative
United Healthcare Group
05.2023 - 01.2024
Video Repair Representative
Spectrum
04.2019 - 07.2019
Customer Service Representative
Fidelis Care
03.2019 - 09.2022
Patient Care Representative
CityMD Urgent Care Center
09.2016 - 04.2019
Associate of Science - Business Management
Borough of Manhattan Community College of The City University of New York
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