TIOMBA ROBINSON
Pikesville,Maryland
Summary
To acquire a Full-Time Customer Service Representative position where my skills and training can be utilized. Skilled Customer Service Representative with experience in the Healthcare System industry.
Overview
12
12
years of professional experience
Work History
Carefirst Blue Cross Blue Shield
08.2017 - 01.2018
- Provider Credentialing and Network Analyst I.
- Analyzes and researches credentialing applications/provider contracts to verify that appropriate information has been obtained as well as handles incoming and outgoing correspondence regarding the applications.
- Determines the appropriate networks for participation and obtains the appropriate executed contracts.
- Maintains the online provider file and hardcopy file with updated provider information - Credentials and re-credentials providers to appropriate levels.
- Maintains the Application Log in accordance with state legislation.
- Assign provider numbers and updates demographic information on the corporate database for publishing provider information in our various directories.
- Processes applications and updates in accordance with applicable state laws and guidelines.
- Maintains database for all provider information updates to support corporate mainframe system for all network provider or subscriber inquiries and is fundamental in supporting the provider special pricing process.
- The incumbent addresses questions involving professional entities and.
- Contractual questions.
- Determines the nature of the inquiry, researchers available information and determines the proper actions required.
- Responds to external and internal inquiries regarding provider participation eligibility and criteria, participation status, and provider file updates.
- Prepares written responses in order to obtain incomplete or missing information.
- Mails appropriate provider packet when required.
- Mails confirmation letter to professional providers identifying necessary provider numbers for proper billing.
- Verification and release of all data entered into the database.
- Complete updates to the department\'s inventory control system (IACS) documenting cases completed or case in a pend status.
Client Service Representative
Maryland Health Connection
Woodlawn, MD
01.2014 - 08.2017
- Completed application for consumers that needed healthcare.
- Created customer accounts by recording account information from the consumer.
- Maintained customer records by updating account information.
- Resolved consumers problem by clarifying the customer\'s complaint; determining the cause of the problem; selected and explained the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.
- Escalated Technical issues to the Technical Support Team and reset passwords for customers.
- Utilized the Medicaid Management Information System to provide the customers with information to update their account (MMIS).
- Contributed to team effort by accomplishing related results as needed.
- Transferred customer calls to appropriate staff.
- Participated on several department projects.
Legal Collection Unit / Legal Secretary
DLLR State Unemployment Insurance
Baltimore, MD
03.2007 - 06.2011
- Daily answer Unit\'s phone calls and directed calls to appropriate caseworkers and staff.
- Manage Voice Mail by retrieving messages daily forwarding messages to appropriate staff.
- Daily filed Court Docket Reference Sheets.
- Using Word Perfect 6.1 for Windows, typed, filed, and mailed out various office form letters, and documented Legal files.
- I also used Word Perfect to create Circuit Court documents, Release of Tax Lien and closed cases out as instructed.
- Processed incoming checks and entering them into computerized daily Check Log.
- Served as a back-up for other Secretaries when they are absent or overloaded.
- Used UISDC Tax System and be able to read, comprehend and interpret information obtained from computer print-outs for use in the daily execution of duties.
- Used and understand all computer programs relating to completion of daily assignments.
- Scanned of Legal documents.
- Trained other Units the procedures on how to scan and what documents to retrieve from files.
Customer Account Executive
Comcast Communications, Inc
Baltimore, MD
01.2006 - 03.2007
- Answered phones and respond to customer requests.
- Sold products and place customer orders in computer system.
- Identified, researched, and resolved customer issues using a computer system.
- Took over the phone credit card and check payments for bills.
- Followed-up on customer inquiries not immediately resolved.
Receptionist
Sunrise Elderly Care
Pikesville, MD
02.2005 - 2005
- Received and directs incoming calls in a professional and courteous manner.
- Arranged conferences, appointment, and travel reservations.
- Ordered supplies in accordance with procedures and budget allocations.
- Compiles reports and types general or technical material.
- Maintained a current list of customers by name and room number, telephone.
- Numbers for all personnel, list of department extensions, numbers and mail cards.
- Coordinated outgoing and incoming mail to center.
- Ensured that customers and families received the highest quality of service in a caring manner.
- Provided a compassionate atmosphere and recognized the individual\'s needs and rights.
Education
Medical Office Administration
Catonsville Community College
Catonsville Towson, MD1995
Skills
- Microsoft Office Suite Quick Book Excel PowerPoint Multi Phone line System Type 40 wpm Scanner Lexis MMIS System Oracle UISDC Tax System NASCO, FACETS, FEP and the Operational Data Store (ODS) IDX System
- Strong verbal communication
- Conflict resolution
- Extremely organized
- Process implementation
- Client assessment and analysis
- Risk management processes and analysis
- Self-motivated
Timeline
Carefirst Blue Cross Blue Shield
08.2017 - 01.2018
Client Service Representative
Maryland Health Connection
01.2014 - 08.2017
Legal Collection Unit / Legal Secretary
DLLR State Unemployment Insurance
03.2007 - 06.2011
Customer Account Executive
Comcast Communications, Inc
01.2006 - 03.2007
Receptionist
Sunrise Elderly Care
02.2005 - 2005
Medical Office Administration
Catonsville Community College
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