Tyana Spragley-Carter
Philadelphia,PA
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results. Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively. Capable Patient Representative dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
11
11
years of professional experience
Work History
Customer Service Representative
Cigna-HealthSpring
07.2024 - Current
- Enhanced patient satisfaction by efficiently addressing and resolving healthcare-related inquiries.
- Maintained accurate records of customer interactions, ensuring proper documentation within the company''s database.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
Patient Care Coordinator
CVS Caremark
02.2014 - 06.2024
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Provided compassionate support for families during difficult healthcare decisions, acting as a liaison between them and their loved ones'' medical team.
- Reduced wait times by implementing an effective appointment reminder system for patients, minimizing no-shows and late arrivals.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Education
Bachelor of Science - Cyber Security
Southern New Hampshire University
Hooksett, NH05.2026
High School Diploma -
Upper Moreland High School
Willow Grove 06.2012
Skills
- Customer Service
- Problem-solving abilities
- Active Listening
- Critical Thinking
- Data Entry
- Problem Resolution
- Call center experience
- Documentation
- Critical Thinking Skills
- HIPAA Compliance
- Organizational Skills
- Multitasking ability
- Attention to Detail
- Insurance Verification
- Patient Care Coordination
- Verbal and written communication
Timeline
Customer Service Representative
Cigna-HealthSpring
07.2024 - Current
Patient Care Coordinator
CVS Caremark
02.2014 - 06.2024
Bachelor of Science - Cyber Security
Southern New Hampshire University
High School Diploma -
Upper Moreland High School
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