Summary
Overview
Work History
Education
Skills
Timeline
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Traviscia Castleberry

Highlands,NJ

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals an to seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

6
6
years of professional experience

Work History

Senior Provider Service Advocate

United Healthcare Group
08.2022 - Current
  • Supported team members, fostering a collaborative and productive work environment.
  • Improved customer satisfaction by promptly addressing inquiries and resolving issues.
  • Demonstrated empathy and active listening skills when dealing with frustrated customers, diffusing tense situations effectively.
  • Enhanced client retention through exceptional service delivery and proactive communication.
  • Handled escalations professionally, demonstrating composure under pressure while finding satisfactory solutions for both parties involved.
  • Documented calls accurately, maintaining organized records for future reference or escalation purposes if needed.
  • Exceeded performance metrics consistently by prioritizing tasks effectively and efficiently.
  • Managed high call volumes while maintaining quality service standards and positive customer interactions.
  • Monitored trends in customer feedback to identify areas for improvement within the department or company-wide initiatives.
  • Developed rapport with clients, leading to increased trust in the organization''s services.
  • Increased first-call resolutions by employing effective problem-solving strategies tailored to each unique situation.
  • Coordinated with cross-functional teams to ensure seamless resolution of customer issues, resulting in higher satisfaction rates.
  • Conducted thorough research to resolve complex client concerns, resulting in satisfactory outcomes.
  • Streamlined workflow processes by identifying inefficiencies and implementing improvements.

Medical Records Retrieval Specialist

Cotiviti
07.2020 - 08.2022
  • Enhanced patient care by accurately and efficiently retrieving medical records for healthcare providers.
  • Developed strong relationships with external partners, enabling efficient collaboration on shared projects and initiatives.
  • Served as a reliable resource for colleagues seeking assistance or clarification on matters related to medical record retrieval processes.
  • Streamlined record retrieval processes, resulting in faster access to critical patient information.
  • Handling questions and issues and providing detailed information on requirements processes and policies.
  • Collaborated with other healthcare professionals to ensure the timely delivery of pertinent medical information.
  • Diligently tracked and reported metrics related to medical record retrieval efforts, providing valuable insights into operational performance.
  • Achieved high levels of customer satisfaction by promptly addressing queries from both internal and external stakeholders regarding medical record requests.
  • Contributed to improved patient outcomes by ensuring the confidentiality and security of sensitive medical data.
  • Minimized risk exposure for the organization by conducting regular audits of stored records and addressing any discrepancies found.

Senior Enrollment Specialist

Alight
03.2020 - 08.2021
  • Managed open enrollment periods efficiently, enabling timely updates to employee records and plan selections.
  • Coordinated wellness initiatives that promoted healthy lifestyles among employees and reduced overall healthcare costs.
  • Developed comprehensive benefits communications materials, enhancing employee awareness of available offerings.
  • Assisted employees in understanding their benefit options, leading to higher satisfaction rates.
  • Maintained compliance with federal and state regulations, reducing the risk of penalties or fines.
  • Handling questions, issues and providing detailed information on requirements, processes, and policies. Collecting information and qualifying candidates for programs, services or courses. Ensuring that applications are completed correctly and that the required supporting materials have been provided. Entering, updating and reviewing data and records. Providing guidance and recommendations to applicants and prospective candidates
  • Improved benefit enrollment efficiency by streamlining processes and implementing new software tools.
  • Resolved complex benefits issues for employees, resulting in faster problem resolution and increased trust in the system.

Building Services

BAytownMethodist Hosptial
08.2018 - 03.2020
  • Assisted in the training and development of new team members, sharing expertise and promoting best practices within building services operations.
  • I maintained a sterile environment in and around such facility. Maintaining cleanliness and a germ free environment in facilities that were constantly exposed to the spread of germs and diseases
  • Ensured a safe and healthy work environment by adhering to proper usage of chemicals, equipment, and personal protective equipment in line with hotel policy.
  • Assisted in training new hires, sharing valuable knowledge, tips, and best practices for efficient room cleaning procedures.
  • Implemented eco-friendly cleaning practices that resulted in reduced environmental impact without compromising cleanliness standards.
  • Efficiently managed laundry operations, ensuring timely delivery of clean linens to guest rooms and public spaces.

Education

High School Diploma -

North Shore Senior High
06.2016

High School Diploma -

Barbara Jordan High School of Careers
Houston Tx
11.2015

Skills

  • Decision-making skills
  • Customer service background
  • Complaint Handling
  • Complex Problem-Solving
  • Medical terminology
  • Rms Medical coding
  • Microsoft office
  • Fuze Interaction desktop
  • Medical insurance
  • Communication Problem solving
  • Organization Attention to detail
  • Teamwork Empathy Active listening
  • Critical Thinking Management
  • Patient Assessment Writing
  • Compassion Ethics
  • Patient preparation
  • Providers Services
  • Claim assistance
  • Research proficiency
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Multitasking
  • Critical Thinking
  • Excellent Communication
  • Organizational Skills
  • Decision-Making
  • Relationship Building
  • HIPAA Guidelines
  • Goal Setting
  • Health Service Referrals
  • MS Office

Timeline

Senior Provider Service Advocate

United Healthcare Group
08.2022 - Current

Medical Records Retrieval Specialist

Cotiviti
07.2020 - 08.2022

Senior Enrollment Specialist

Alight
03.2020 - 08.2021

Building Services

BAytownMethodist Hosptial
08.2018 - 03.2020

High School Diploma -

North Shore Senior High

High School Diploma -

Barbara Jordan High School of Careers

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Traviscia Castleberry