Tiffany K Chisholm
Cedarville,OH
Summary
Motivated, energetic, team player, and goal oriented. Proficient salesperson with superior customer service abilities, skilled at retail management, building excellent rapport with customers, and exceeding business objectives.
Overview
18
18
years of professional experience
Work History
Customer Service Representative I- Remote Position
Ensemble Health Partners
Cincinnati, OH
07.2024 - Current
- Receive Inbound calls from Patient's that want to set up payment plans for there hospital or physician's bills, work within payment guidelines for each sector.
- Process payments for patient's hospital and physician's bills, that they're calling in for.
- Answer questions concerning insurance coverage, first or secondary coverages that may need to be removed or added to there account, if the patient is disputing a bill.
- Reviewed EOB's and COB's per patient's accounts.
- Add and process any insurance follow-ups per a workqueue.
- Client I worked for within Ensemble Health Partners and took calls from was Ardent Health.
- Work with patient's on how they can follow up with any collection agencies where there balances go into a bad debt.
- Work within the CRCR, Revenue Cycle Management System to achieve the People first, last and always.
- Work with EPIC platform to capture all patient's accounts, and work within that platform for Hospital and Professional Accounts.
- Utilize Five 9 for soft phone system to connect calls inbound and outbound.
- Utilized Microsoft Teams for team/leadership communication.
- HIPAA Compliance for all patient access accounts.
- KPI Goals daily- 47 calls. KPI Goals set daily, weekly, and quarterly.
- Call audits
Customer Service Representative- Remote
Robert Half (Innisfree MA)
Pittsburg, PA
05.2024 - 06.2024
- Made all Outbound Calls to Tesla Shareholders to vote for the Annual Shareholder's meeting which was being held June 18th 2024.
- Made sure stockholder's received there voting material, proxy statements, so they could place there vote.
- Left voicemails for shareholder's per a script.
- Assisted stockholder's that answered the phone and had confirmed confirmation that they received there proxy materials in the mail or from there broker's, could place there vote, which only took roughly 90 seconds to do so.
- Received 100% on 5 quality audits in less than a 1 month timeframe.
- Utilized Five 9 softphone to complete the outbound calls.
- Utilized Salesforce as a platform to to read scripting and leave voicemails for shareholders.
- Utilized Microsoft Teams for communication with team/leadership.
Client Advisor- Hybrid Position
RetireMed
01.2024 - 03.2024
- Utilized Microsoft Teams, Genesys phone system, CRM database, Producer Toolbox, Outlook etc
- Utilized Microsoft Teams to communicate with team/leadership.
- Completed outbound calls to Anthem clients to complete their Health Risk Assessment Questionnaire
- (HRA)
- Inputted HRA answers into Producer Toolbox and CRM system's from emails from client's
- Sent HRA questionnaires out to clients via mail
- Sent HRA questionnaires to clients via email
- Assisted clients with their Medicare plans
- Assisted clients with IHIP Basic plans
- Assisted clients with Medicare Basics
- Assisted clients with Tier 1-6 drugs on Anthem's formulary
- Assisted clients with Essential Extras via their Medicare plans
- Looked up Provider's in system
- Anthem plans (In-Network vs
- Out-Of-Network)
- KPI goals, call audits completed by manager once a month.
Patient Engagement Scheduler- Remote Position
Adhere Health
11.2022 - 12.2022
- Optimized data driven medication management technology/tele pharmacy service
- Outbound calls to patients to schedule their Comprehensive Medication Review (CMR)
- Always followed HIPAA protocols
- Outbound calls made to patients, long term care facilities, to schedule CMR's with doctor's, nurses, or caregivers to patients
- Scheduled patients in correct call queues to connect with a pharmacist to complete their CMR's annually per their insurance carrier
- Used multiple data programs for navigation/excel spreadsheets, Outlook, Microsoft Teams, etc
- To maintain day to day business
- KPI goals.
Outreach Specialist- Remote Position
Centauri Health Solutions
07.2021 - 11.2021
- Received inbound calls, screened members to check eligibility for member's Part B premium to be paid monthly
- Assisted with Extra Help (LIS)
- Checked for eligibility for Medicaid
- Read through a script
- Followed all HIPAA compliance requirements
- KPI goals
- 2 calls audited per month
- Worked call queue, and call campaigns for different insurance companies
- Assisted with basic Medicare/Medicaid questions and transferred to correct department.
Customer Service Representative- Remote Position
Luxottica
11.2020 - 01.2021
- Received inbound calls
- Assisted customers with completing sales transactions
- Provided product information
- KPI goals
- Worked with escalations via phone and chat
- Assisted customers in USA/Canada
- Worked on processing and setting up returns
- Worked queues
- Assisted customers with eyeglasses/and setting up prescriptions
- Completed RX-Redo's in a particular system
- Worked with Oakley SI (Standard Issue) Government employees, and First Responders with sales, and setting up a special account, when purchasing items
- Named Top 10 for surveys at the end of each call
- Worked with software systems to complete day to day business.
Customer Service Representative/Insurance Tracking Team
Assurant
06.2019 - 10.2019
- Received inbound calls
- Made outbound calls when needed to clients, agents, and insurance companies
- Assisted clients with their home insurance questions/concerns
- With worked agents, brokers, and mortgage team (Client Relations), to assist clients with their mortgage questions
- Processed premium payments for insurance policies
- Tracked Hazard, Wind, Flood, Hurricane, and Earthquake insurance via Quicken Loans Mortgage Company
- Added new polices to their loan accounts
- Reviewed and uploaded documents for new policies being placed
- Trained on Lender Placed Insurance (LPI) Lapse In Coverage
- Participated in weekly team huddles, call calibrations, with team, lead, and manager
- 10 Audited calls completed by Assurant, and Quicken Loans
- Followed a daily schedule per inerdeim
- Exceeding quality: 98%
- Exceeding Adherence: 98.9%.
Merchandiser
Acosta Sales & Marketing
03.2016 - 11.2017
- Read and followed a Plan-O-Gram effectively
- Worked in a team setting, and individual to complete merchandise resets for Meijer
- Cleaned shelving, adjusted shelf heights, installed new shelving
- Traveled to surrounding Meijer stores to help with new set ups
- Reported and submitted MPLANS to shift lead at the end of each shift.
Part-Time Sales Associate
Maurices
08.2014 - 02.2016
- Processed shipments
- Completed floor resets with new merchandise
- Always provided 100% customer service to customers
- Team selling/fashion merchandiser
- Was asked to be the Health & Safety Representative for the store (Checked fire extinguisher, checked doors, made sure the backroom was safe)
- Maintained a daily sales goal for the store, and individually.
Assistant Manager
Clarks Companies Retail
08.2006 - 07.2013
- Ran/Produced a 1.1 Millon dollar store
- Provided exceptional customer service to every customer
- Met sales goals for the following: Daily, weekly, monthly, quarterly, and yearly
- Completed store audits with REGIS inventory
- Completed a weekly stock count
- Worked off commission from sales
- Responsible for hiring, training, and termination process with the assistance of Human Resources, and leadership
- Trained and developed store associates for additional locations in the surrounding areas
- Store meetings
- Team meetings with Store Manager, and District Manager
- Worked on scheduling
- Maintained a stockroom and organization
- Processed shipments
- Plan-O-Gram changes every month, and as needed to drive business
- Handled money, deposits, cash registers, and paperwork
- Secret shopper scores
- Training on new products, and trained associates on new merchandise that would come in.
Education
Cedarville High School
Cedarville, OHMedical Legal Communications Program -
Greene County Career Center
Xenia, OHSkills
- Data Entry
- Inbound and Outbound Calling
- Call Management
- Paperwork Processing
- Appointment Scheduling
- Scheduling
References
- Susan Wood, Supervisor, (740) 406-0172
- Pam Keller, Supervisor, (740) 604-2000
- Cayla Nathaniel, Team Lead, (937) 244-8851
Timeline
Customer Service Representative I- Remote Position
Ensemble Health Partners
07.2024 - Current
Customer Service Representative- Remote
Robert Half (Innisfree MA)
05.2024 - 06.2024
Client Advisor- Hybrid Position
RetireMed
01.2024 - 03.2024
Patient Engagement Scheduler- Remote Position
Adhere Health
11.2022 - 12.2022
Outreach Specialist- Remote Position
Centauri Health Solutions
07.2021 - 11.2021
Customer Service Representative- Remote Position
Luxottica
11.2020 - 01.2021
Customer Service Representative/Insurance Tracking Team
Assurant
06.2019 - 10.2019
Merchandiser
Acosta Sales & Marketing
03.2016 - 11.2017
Part-Time Sales Associate
Maurices
08.2014 - 02.2016
Assistant Manager
Clarks Companies Retail
08.2006 - 07.2013
Cedarville High School
Medical Legal Communications Program -
Greene County Career Center
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