Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
References
Timeline
Generic

Titika Palmer

Wake Forest,NC

Summary

Experienced Case Manager in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Medical Representative-Remote(Contract-Part-Time)

TEKsystems
Durham, NC
01.2024 - 07.2024
  • Identified new business opportunities through networking activities.
  • Performed quality assurance reviews of medical records for accuracy and completeness.
  • Verified insurance eligibility prior to releasing protected health information.
  • Maintained a secure filing system for confidential documents.
  • Resolved any discrepancies found in the review process.
  • Collected, compiled and maintained statistical data on hospital utilization, beds occupied.
  • Updated patient files with new medical information as needed.
  • Responded to inquiries from patients, physicians and other healthcare providers regarding medical records.
  • Monitored compliance with state and federal regulations regarding release of information.
  • Retrieved patient medical records in response to requests from authorized personnel.
  • Provided training to staff members on proper documentation techniques for medical records.
  • Assisted in the development of policies and procedures related to the maintenance of accurate medical records.
  • Reviewed patient charts for accuracy and completeness.
  • Scanned paper records into digital format.
  • Identified discrepancies between physical documentation and electronic health records.
  • Entered data into electronic health record systems.
  • Processed incoming medical records requests.
  • Assisted in developing processes for maintaining current information in patient's files.
  • Compiled discharge summaries for all discharged patients.
  • Prepared reports summarizing patient information as requested by physicians or other healthcare providers.
  • Reviewed medical records for completeness and accuracy according to established guidelines.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Scanned and validated medical records for upload.
  • Tracked and processed release of information requests.
  • Managed release of information requests and identified requestors as patient, relation or provider.
  • Supported administration staff with records requests to support patient care.
  • Pulled patient charts for upcoming appointments.
  • Processed and invoiced records requests from patients, providers and third parties.
  • Obtained information by contacting appropriate personnel or patients.

Customer Service Representative-Remote (Contract)

Robert Half
Pittsburgh, NC
05.2024 - 06.2024
  • Implemented innovative methods for streamlining the customer service process.
  • Resolved customer complaints promptly and efficiently.
  • Provided exceptional customer service to ensure customer satisfaction.
  • Provided accurate information about products and services to customers.
  • Maintained a high level of professionalism when dealing with difficult customers.
  • Verified that customer specifications were followed throughout the entire process.
  • Assisted in loading and unloading material onto the feeders and off-loaded finished product from the outfeed conveyor belts.
  • Met daily production targets without compromising quality standards.
  • Maintained confidentiality of sensitive information.
  • Gathered customer feedback through surveys and used the data to improve customer service.
  • Conducted regular follow-up calls with customers after resolving their issues.
  • Answered inbound calls, chats and emails to facilitate customer service.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
  • Prepared and evaluated CRM reports to identify problems and areas for improvement.

Behavior Therapist-Part-Time

Key Autism Services
Raleigh, NC
04.2024 - 06.2024
  • Provided individual and group therapy services to children with autism spectrum disorders.
  • Ensured a safe environment was maintained during sessions by monitoring the interactions between clients closely.
  • Created visual aids such as charts or graphs that illustrated client progress over time.
  • Administered direct client care using intensive teaching and natural environment training to follow and apply prescribed behavioral skill acquisition.
  • Maintained objective session notes and accurate records to organize, model and review behavior as well as progress information.
  • Attended professional development activities including workshops, conferences, seminars related to Behavioral Therapy.
  • Monitored client progress through data collection and analysis.
  • Participated in interdisciplinary team meetings regarding treatment planning for clients.
  • Maintained accurate records of session notes and client progress reports in accordance with state regulations.
  • Organized social activities to help patients apply new skills in public settings.
  • Implemented behavior intervention plans to motivate and help clients reach highest potential.
  • Visited client home, school or social setting to run discrete trials or shape verbal behavior while recording real-time data using technology platform.
  • Collected, recorded and summarized data on client behavior and assisted family with applying treatment and behavior reduction protocols.

Pharmacy Technician-Part -Time

CVS Pharmacy
Raleigh, NC
12.2018 - 02.2024
  • Collaborated with other healthcare professionals such as nurses or physicians regarding drug therapies or treatments for patients.
  • Monitored inventory levels of commonly used drugs and placed orders when necessary.
  • Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
  • Collaborated with other healthcare professionals to ensure optimal patient care.
  • Managed filing of prescriptions, both electronically and manually.
  • Verified accuracy of medication labels before they were dispensed to customers.
  • Assisted pharmacists in filling prescriptions accurately and efficiently.
  • Resolved customer complaints in a timely manner while maintaining professionalism at all times.
  • Reported any discrepancies or errors in medication ordering or filling processes immediately to the pharmacist on duty.
  • Provided customer service to patients by answering questions about medications and health-related topics.
  • Retrieved medication from shelves based on physician orders and delivered them to pharmacists for review.
  • Received payment from customers and processed credit card transactions when necessary.
  • Assisted pharmacists in compounding sterile products according to state regulations.
  • Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.
  • Checked expiration dates on medications to ensure that only unexpired products were dispensed.
  • Organized work areas so that everything was easily accessible when needed.
  • Assisted in training new employees on pharmacy procedures.
  • Provided education materials about medications to patients upon request.
  • Restocked shelves with new supplies of medications as needed.
  • Ensured compliance with all federal, state, local laws and company policies related to pharmacy operations.
  • Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
  • Liaised with pharmacist to measure and prepare medication doses and packaging and label prescriptions.
  • Collaborated with healthcare providers to clarify prescription orders and resolve medication discrepancies.
  • Flagged potential side effects and allergies to prescribed medications for patients.
  • Educated patients on medication usage, potential side effects, and storage requirements.
  • Supported pharmacy operations by answering phone calls and directing queries appropriately.
  • Processed insurance claims and handled billing inquiries to ensure customer satisfaction.
  • Verified prescriptions and drug labels, documents and packages.
  • Prepared compound medications under the supervision of a licensed pharmacist.
  • Created new customer profiles and updated demographics, allergies and new medications in pharmacy computer systems.
  • Provided exceptional customer service, addressing patient questions and concerns with empathy.
  • Teamed with peers, technicians and pharmacists to prioritize and complete orders.
  • Prepared prescription transfers to other pharmacies.
  • Improved inventory management procedures to reduce overhead, backorders and overstock.
  • Administered flu shots and other vaccinations as certified and in accordance with pharmacy regulations.
  • Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
  • Participated in continuing education and training to stay current with pharmacy practices and technology.
  • Maintained a clean and organized pharmacy workspace, adhering to safety and hygiene standards.
  • Refilled medications offered insight into over-the-counter products and verified insurance benefits.
  • Managed medication inventory, including ordering and restocking medications as necessary.
  • Monitored prescription refill requests and communicated with patients regarding their status.
  • Implemented and followed pharmacy protocols for medication disposal and waste management.
  • Entered patient and prescription information into pharmacy software systems with high attention to detail.
  • Operated cash registers to accept payments from customers.
  • Established or maintained medications and other patient profiles.
  • Entered prescription information into computer databases.
  • Received and stored incoming supplies and informed supervisors of stock needs and shortages.
  • Received written prescription or refill requests, verifying information for completeness and accuracy.
  • Transferred medication from vials to sterile, disposable syringes using aseptic techniques.
  • Prepared and processed medical insurance claim forms and records.
  • Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies.
  • Checked medications for content, accuracy and completeness of drug packaging and labeling.
  • Ordered, labeled and counted stock of medications and entered inventory data into computer.
  • Computed charges for medication or equipment dispensed to hospital patients and entered data into computer.
  • Answered telephones to respond to questions or requests.
  • Prepacked bulk medicines, filled bottles with prescribed medications and typed and affixed labels.
  • Greeted customers and answered questions regarding personal medications or over-the-counter pharmacy products.
  • Participated in pharmacy inventory management, including tracking expiration dates and removing outdated medications.

Program Specialist-Remote (Contract)

TEKsystems
Morrisville, NC
06.2023 - 01.2024
  • Participated in team-building exercises that fostered collaboration among staff members working on the project.
  • Compiled reports summarizing progress towards goals and objectives of the initiative.
  • Coordinated resources for program implementation, including personnel and materials.
  • Facilitated communication between departments to ensure timely completion of projects.
  • Identified opportunities to improve or enhance program initiatives and operations.
  • Maintained comprehensive databases of participants, activities, and outcomes for reporting purposes.
  • Delegated tasks to staff and volunteers during organized events.
  • Reviewed CPT and ICD codes to check accuracy for billing.
  • Assigned codes to diagnoses and procedures using the ICD-10-CM and PCS coding system.
  • Ensured compliance with established codes and regulations regarding tool inspection process during each job assignment.
  • Performed audits of provider documentation using a variety of tools such as ICD-10 coding systems and CPT codes.
  • Coded patient information using ICD-10, CPT, HCPCS codes according to established guidelines.
  • Performed audits of medical records to ensure correct application of ICD-10 CM codes for reimbursement purposes.
  • Assisted with coding and billing procedures using ICD-10 codes.
  • Maintained a working knowledge of CPT and HCPCS codes, ICD-10 codes, modifiers, fee schedules, insurance plans.
  • Reviewed and analyzed patient medical information to assign appropriate codes utilizing ICD-10, CPT and HCPCS coding classification systems.
  • Assigned ICD-10 codes for inpatient, outpatient, and emergency room encounters.
  • Provided assistance with coding diagnoses using ICD-10 codes when needed.
  • Utilized knowledge of ICD-10 codes to properly code each visit accurately.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Resolved customer complaints in a timely manner to ensure customer satisfaction.
  • Performed outbound calling campaigns to promote new products or services.
  • Updated customer accounts, addresses and contact information within call management databases.
  • Navigated through computer systems to review information and respond appropriately to callers.
  • Escalated unresolved issues requiring further investigation or specialized expertise.
  • Followed up on customer inquiries not immediately resolved by providing timely updates on the status of their requests.
  • Kept customer and system account information accurate and current to support timely resolutions for concerns.
  • Performed data entry into computer system to document all call activity accurately.
  • Greeted customers in a friendly and professional manner.
  • Demonstrated ability to multi-task while speaking with customers on the phone.
  • Maintained records of customer interactions, transactions, comments and complaints.
  • Answered incoming calls from customers regarding inquiries or complaints.

Reimbursement Specialist- Remote (Contract)

Trial Card
Morrisville, NC
11.2022 - 05.2023
  • Reviewed and processed reimbursement requests in accordance with company policies and procedures.
  • Investigated complex cases involving multiple providers or incorrect coding issues.
  • Ensured compliance with applicable laws and regulations when processing reimbursement requests.
  • Developed relationships with insurance companies for patients' insurance to cover medications.
  • Analyzed patient data to ensure accuracy of reimbursement information.
  • Resolved discrepancies between provider documentation and insurance plan requirements.
  • Collaborated with other departments within the organization to coordinate activities related to reimbursements.
  • Created detailed spreadsheets documenting all reimbursements made by the organization.
  • Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.
  • Identified opportunities for coverage access to address reimbursement barriers.
  • Verified clients' insurance claims coverage by coordinating with providers.
  • Reviewed uninsured accounts, verifying medical assistance application process, charity care application and drug replacement program availability.
  • Researched rejections, investigating problems to appeal claims.
  • Submitted claims to insurance companies.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Resolved customer inquiries regarding benefit eligibility in a timely manner.
  • Explained the requirements for obtaining pre-authorization from insurers.
  • Managed correspondence between patients, providers, and payers regarding authorization status.
  • Worked closely with internal teams to ensure compliance with state and federal regulations governing healthcare benefits verification processes.
  • Conducted data entry into relevant systems regarding benefit verifications.
  • Assisted customers in understanding their benefits package and how it relates to their individual needs.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Displayed strong telephone etiquette, effectively handling difficult calls.

Case Manager-Remote (Contract)

RemX Staffing
Cary, NC
09.2021 - 10.2022
  • Collaborated with medical professionals to coordinate treatment plans for clients.
  • Assisted with applications for government benefits such as Medicaid or Social Security Disability Insurance.
  • Compiled reports on cases and submitted them to supervisors as required.
  • Collaborated with healthcare providers, lawyers, employers and other stakeholders involved in a client's case.
  • Maintained accurate case records and documentation according to agency guidelines.
  • Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
  • Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
  • Maintained up-to-date case records with case activity status.
  • Participated in professional development activities related to case management best practices.
  • Attended court hearings as a representative of the organization when needed.
  • Acted as a liaison between multiple agencies providing assistance to clients.
  • Identified areas needing improvement within existing benefit plans or processes.
  • Resolved complex customer service inquiries from plan participants concerning their benefits coverage.
  • Prepared reports summarizing findings from investigations into potential violations of applicable laws or regulations.
  • Monitored changes in legislation impacting employer sponsored health care plans.
  • Researched, gathered and analyzed relevant documents to determine accuracy of benefit claims.
  • Investigated complaints received from employees regarding denied or delayed benefits payments.
  • Collaborated with other departments to resolve customer inquiries regarding health care benefits and coverage issues.
  • Evaluated appeals requests submitted by plan participants following a denial of benefits claim.
  • Assisted with the development of new policies and procedures for administering benefits programs.
  • Maintained accurate records relating to employee benefit claims processing activities.
  • Ensured compliance with all applicable government regulations concerning employee benefits.
  • Performed quality assurance reviews on the work performed by other Benefits Investigation Specialists.
  • Reviewed prior authorization requests to ensure accuracy and completeness of required information.
  • Reviewed claims submitted without valid pre-authorization codes and took corrective action when necessary.
  • Processed appeals in a timely manner as per policy guidelines.
  • Ensured compliance with state and federal regulations pertaining to prior authorizations.
  • Maintained accurate records of all authorization activities in the database system.
  • Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
  • Facilitated communication between providers, payers and health plans regarding prior authorization processes.
  • Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
  • Collaborated with internal staff members to resolve discrepancies or issues related to prior authorizations.
  • Conducted quality assurance audits of prior authorization processes according to established standards.
  • Coordinated with other departments to obtain additional information needed for prior authorization.
  • Interpreted benefit language in order to determine covered services under each plan type.
  • Researched clinical criteria and determined eligibility for requested services based on plan provisions.
  • Advised provider offices on proper coding practices that are necessary for successful claim submission.
  • Assisted with developing policies and procedures related to prior authorizations.
  • Provided guidance to providers regarding the prior authorization process.
  • Assisted healthcare providers with appeals for denied authorizations, including gathering additional information and documentation.
  • Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
  • Notified ordering providers of denied authorizations.
  • Obtained preauthorization's from insurance companies for upcoming tests and procedures.
  • Conducted regular audits of authorization records to ensure compliance with regulatory standards.

Call Center Supervisor-Remote

Conduent Call Center
Raleigh, NC
12.2015 - 08.2021
  • Reviewed daily reports on call volume, abandoned calls, and other statistics.
  • Participated in hiring interviews and selection process for new team members.
  • Monitored calls for quality assurance purposes.
  • Provided guidance, training, coaching and mentoring to call center team members.
  • Maintained accurate records of all customer interactions using the company's CRM system.
  • Managed staff scheduling to ensure adequate coverage during peak hours.
  • Facilitated communication between departments to resolve problems quickly.
  • Resolved escalated customer complaints in a timely manner.
  • Conducted performance reviews of call center staff and documented results.
  • Coordinated staff schedules to ensure optimal coverage during peak hours.
  • Assigned tasks to agents based on their skillset and availability.
  • Investigated difficult or complex inquiries from customers.
  • Developed processes and systems to improve efficiency within the department.
  • Created incentives for employees who achieved high performance standards.
  • Collaborated with other departments to develop solutions for customer needs.
  • Retained top talent by authoring and conducting team performance evaluations for corrective action planning.
  • Coached team members on metrics and consumer experience behavior identification to improve satisfaction ratings.
  • Worked with training team to maintain frontline agent and tier I and II agent product support and certification training initiatives.
  • Facilitated individual coaching sessions with CSRs to realign productivity goals.
  • Answered, screened and processed high volume of calls daily with call management system and web-based communications.
  • Led team meetings to update on goals, share best practices, and discuss improvements.
  • Maintained strong call control and quickly worked through scripts to address problems.
  • Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
  • Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
  • Monitored call recordings to identify areas for improvement and compliance with protocols.
  • Trained and supervised new employees to promote overall team productivity and consistent service.
  • Planned staff and training meetings and scheduled conference rooms.
  • Developed and monitored key performance indicators to assess team productivity.
  • Updated customer accounts, addresses and contact information within call management databases.
  • Directed and supervised staff performance.
  • Managed daily operations, client relations and IT.
  • Delivered consistent one-on-one and group training sessions to help professionals improve skills and selling techniques.
  • Used video conferencing solutions to communicate and train personnel in remote offices.
  • Delegated work to staff, setting priorities and goals.
  • Responded to customer inquiries and delivered appropriate information after carefully researching issues.
  • Analyzed customer feedback data to identify trends in customer service issues.

Call Center Team Lead-Remote

Conduent Call Center
Raleigh, NC
06.2015 - 12.2015
  • Monitored incoming calls, emails, and chat messages for quality assurance purposes.
  • Identified opportunities for process improvements within the call center department.
  • Resolved escalated customer inquiries in a timely manner.
  • Analyzed customer feedback surveys to identify areas of improvement.
  • Maintained up-to-date knowledge of products, services, policies, and procedures.
  • Developed strategies to increase first contact resolution rates.
  • Developed and implemented strategies to improve customer satisfaction ratings.
  • Created training materials and facilitated new hire onboarding program.
  • Assisted with the development of call scripts and other operational documents.
  • Collaborated with cross-functional teams to ensure customer satisfaction goals were met.
  • Drafted reports to provide detailed analysis of customer service metrics.
  • Conducted regular performance reviews of team members.
  • Provided coaching and guidance to call center team members on customer service skills.
  • Provided technical support related to phone systems or software applications used by agents.
  • Conducted regular training sessions to improve team skills and knowledge on products and services.
  • Conducted performance evaluations, setting goals and objectives for team members.
  • Managed scheduling to ensure adequate staffing levels at all times.
  • Assisted in the recruitment and training of new team members.
  • Developed incentive programs to motivate team members and increase productivity.
  • Acted as a liaison between the call center team and senior management, communicating needs and feedback.
  • Worked with training team to maintain frontline agent and tier I and II agent product support and certification training initiatives.
  • Led team meetings to update on goals, share best practices, and discuss improvements.
  • Answered, screened and processed high volume of calls daily with call management system and web-based communications.

Customer Care Representative IV-Remote

Humana
Raleigh, NC
03.2013 - 06.2015
  • Maintained detailed records of customer interactions and transactions for future reference.
  • Developed effective working relationships with team members across multiple departments.
  • Participated in daily huddles with team members in order to discuss common goals and objectives.
  • Identified opportunities to improve policies and procedures related to customer service operations.
  • Analyzed data collected during each call in order to identify trends in customer feedback.
  • Performed outbound calling campaigns to promote new products or services.
  • Offered additional products or services to enhance customer experience.
  • Attended regular training sessions on updates and changes within the industry or organization.
  • Performed follow-up calls as necessary to ensure satisfactory resolution of customer inquiries.
  • Processed orders, forms, applications, and requests accurately and efficiently.
  • Maintained records of customer interactions, transactions, comments and complaints.
  • Identified opportunities to upsell additional products or services when appropriate.
  • Stayed current on relevant product and service offerings as well as competitor pricing models.
  • Followed standard processes and procedures for proper escalation of unresolved issues to appropriate internal teams.
  • Provided accurate information regarding products and services while upselling additional products when appropriate.
  • Maintained accurate records of customer interactions for future reference.
  • Utilized knowledge base to answer inquiries from customers quickly and effectively.
  • Assisted customers with navigating the company's website to locate desired information or items for purchase.
  • Answered incoming calls from customers and provided assistance with product inquiries, billing questions, and other customer service-related issues.
  • Monitored call queues in order to prioritize incoming calls by urgency or importance level.
  • Maintained high levels of professionalism while interacting with customers via phone or email.
  • Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
  • Updated customer accounts, addresses and contact information within call management databases.
  • Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
  • Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
  • Engaged actively with callers, confirming or clarifying information and diffusing anger.
  • Navigated through computer systems to review information and respond appropriately to callers.
  • Assisted customers with inquiries and transactions to meet productivity goals and achieve profit growth.
  • Prepared and evaluated CRM reports to identify problems and areas for improvement.
  • Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
  • Adhered strictly to all applicable laws and regulations pertaining to customer privacy rights.
  • Resolved customer complaints in a timely manner to ensure customer satisfaction.

Education

High School Diploma -

James Madison High School
Atlanta
08-2007

Skills

  • Relationship Building
  • Problem-Solving
  • Electronic Medical Records
  • Insurance Verification
  • Account Management
  • Persuasive Communication
  • Salesforce CRM
  • Work Prioritization
  • Product Demonstrations
  • Process Optimization
  • Analytical Thinking
  • Scheduling Meetings
  • Promotional planning
  • Positive Attitude
  • Document Management
  • Data Collection
  • Client acquisition
  • Insurance Requirements
  • Medical terminology proficiency
  • Collaborative Teamwork
  • Client Relationship Management
  • New Hire Training
  • Inbound and Outbound Calling
  • Product Knowledge
  • Call Management
  • Data Entry
  • Account updating
  • Complaint resolution
  • Customer Relations
  • Coordination
  • Critical Thinking
  • Microsoft Office expertise
  • Multi-Task Management
  • Active Listening
  • Building rapport
  • Medical terminology knowledge
  • Microsoft Excel
  • Quality Control
  • Administrative Support
  • Dispute Resolution
  • Call Center Operations
  • Positive and professional
  • Documentation
  • Researching
  • Delivery Scheduling
  • Order Processing
  • Typing proficiency
  • Proofreading
  • Microsoft PowerPoint
  • Conflict Resolution
  • Professional telephone demeanor
  • Office equipment proficiency
  • Grammar
  • Follow-up skills
  • Call triaging
  • CRM Software
  • Appointment Scheduling
  • Scheduling
  • Patient support
  • Records Management
  • Case Management
  • Referral Coordination
  • Performance Tracking
  • Client Advocacy
  • Care Coordination
  • Chronic Disease Management
  • Discharge Planning
  • Case Documentation
  • Stakeholder Collaboration
  • Crisis Intervention
  • MS Office
  • Organization and Multitasking
  • Patient Assessments
  • Emotional awareness
  • Documentation proficiency
  • Staff Management
  • Recruitment
  • Case Planning
  • Quality Assurance Controls
  • Email and Telephone Etiquette
  • Decision-Making
  • Patient Management
  • Data Entry and Analysis
  • Utilization Management
  • Case Management Tracking
  • Documentation And Reporting
  • Medical Records Management
  • Client Service
  • Policy analysis
  • Medicaid knowledge
  • HIPAA Compliance
  • Commercial insurance
  • Claims Processing
  • Medical Billing
  • Eligibility Verification
  • Data Recording
  • Customer Service
  • Mail Sorting
  • Job Billing
  • Word Processing
  • Dispute Negotiation
  • Teamwork and Collaboration
  • Interpersonal Skills
  • Analytical Skills
  • Work Planning and Prioritization
  • Inquiry Handling
  • Data Analysis
  • Discrepancy Resolution
  • VPN Management
  • Analytical
  • Networking
  • Problem Resolution
  • First Aid/CPR
  • Computer Skills
  • Written Communication
  • Team building
  • Interpersonal abilities
  • Team Collaboration
  • Professional and Courteous
  • Problem-solving aptitude
  • Employee Coaching and Mentoring
  • Effective Communication
  • Performance Evaluations
  • Time management abilities
  • Self Motivation
  • Interpersonal Relations
  • Data entry skills
  • Accurate data entry
  • Data Management
  • Strong leadership abilities
  • Clinical Documentation
  • Team Exercises
  • Virtual Learning Management
  • Orientation and Onboarding
  • Attention to Detail
  • CPT and HCPCS coding
  • Organization
  • Organization and Time Management
  • Friendly, Positive Attitude
  • Excellent Communication
  • Excellent customer service skills
  • Analytical problem-solving skills
  • Call Center Customer Service
  • Exceptional written communication skills
  • Service-oriented
  • Supervisory skills
  • Research skills
  • Medical Services Administration

Accomplishments

  • Supervisor Of the Month 2018 for meeting metrics!
  • Supervisor Of the Month 2019 for meeting metrics!

Certification

  • CPR-AED Certification
  • Pharmacy Technician Certification
  • Behavior Therapist

References

References available upon request.

Timeline

Customer Service Representative-Remote (Contract)

Robert Half
05.2024 - 06.2024

Behavior Therapist-Part-Time

Key Autism Services
04.2024 - 06.2024

Medical Representative-Remote(Contract-Part-Time)

TEKsystems
01.2024 - 07.2024

Program Specialist-Remote (Contract)

TEKsystems
06.2023 - 01.2024

Reimbursement Specialist- Remote (Contract)

Trial Card
11.2022 - 05.2023

Case Manager-Remote (Contract)

RemX Staffing
09.2021 - 10.2022

Pharmacy Technician-Part -Time

CVS Pharmacy
12.2018 - 02.2024

Call Center Supervisor-Remote

Conduent Call Center
12.2015 - 08.2021

Call Center Team Lead-Remote

Conduent Call Center
06.2015 - 12.2015

Customer Care Representative IV-Remote

Humana
03.2013 - 06.2015

High School Diploma -

James Madison High School

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