Tyreesha Shackelford
Flint,MI
Summary
Dedicated and organized employee with a proven track record of delivering exceptional customer service in fast-paced environments. Possessing a keen attention to detail and strong decision-making skills, adept at managing multiple concurrent tasks. Demonstrates a self-motivated work ethic and consistently performs effectively in both independent and team environments.
Overview
6
6
years of professional experience
Work History
Student Services Secretary
Edustaff
04.2024 - Current
- Maintain accurate student records and files in accordance with school regulations.
- Develop strong relationships with faculty and staff, fostering a collaborative environment for student support.
- Serves as a liaison between students, parents, and faculty to address concerns and resolve issues effectively.
- Provides customer service over the phone to the general public, school principals, parents, students and third part education verifiers.
- Facilitates smooth registration processes during peak enrollment periods through efficient documentation handling.
Seasonal Chat Product Expert
TurboTax
01.2024 - 03.2024
- Enhanced product usability by identifying and addressing customer needs through extensive research and analysis.
- Boosted sales growth by proactively identifying opportunities for upselling and cross-selling within existing accounts.
- Increased customer satisfaction with innovative solutions to complex product issues, leading to higher retention rates.
- Established strong relationships with clients, providing prompt support and guidance on any product-related concerns or inquiries.
Contract Customer Service Representative
WPS Health Solutions
06.2023 - 11.2023
- Managed approximately 60 incoming calls, from healthcare providers and plan members while notating and closing their case
- Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
- Provided exceptional customer service, addressing concerns and resolving issues promptly.
- Investigated and resolved complex claims, ensuring adherence to policy guidelines and regulatory compliance.
- Handled complex claim issues, effectively communicating with patients, providers, and insurance companies to ensure resolution.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Claims Customer Service Representative
Aetna Medicaid
01.2022 - 05.2023
- Reduced errors in claim submissions by providing clear guidance during calls to policyholders on required documentation and information needed for processing.
- Enhanced customer satisfaction by efficiently resolving claims and addressing provider claim concerns.
- Documented customer interactions and transactions for accurate, up-to-date records.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Educated providers on billing procedures, coding guidelines, and reimbursement policies for optimal claim submissions.
- Provided exceptional support for credentialing processes including application completion, credentialing status, provider verification as well as ongoing maintenance tasks such as credentialing requests.
Client Service Representative
Maximus
05.2019 - 03.2020
- Provided information about healthcare programs and available Medicaid services to clients
- Received inquiries by phone , Interactive Voice Response (IVR), and Web-based portal
- Assisted in navigation of Medicaid applications and health plan website
- Updated demographic changes for Medicaid clients
- Used standard call center technology to record client interactions by documenting details of call, client complaints, and comments
- Navigated calls with ease using available resources such as digital phone software, e-mail, chat, and dual monitors.
Transportation Clerk
Mass Transportation Authority
10.2018 - 08.2019
- Greeted transporters in a friendly and professional manner
- Maintained workplace security by checking drivers in, following check-in/out logs, issuing and verifying badges
- Received over 40 inbound call inquiries a day regarding scheduled transportation and estimated time of arrival
- Made outgoing calls to customers confirming scheduled transportation
- Modified scheduled transportation requests on scheduling software program.
- Assisted in development of transportation policies, contributing to increased operational efficiency.
Education
High School Diploma -
Northwestern High School
Flint, MI06.2010
Skills
- Computer skills
- Microsoft office
- Customer service
- Communication skills
- Data Entry
- Problem Resolution
- Medical Terminology
- HIPAA
- Basic Medical Coding
- Retail Sales
- Medical Claims Processing
- Office Administration
- Phone Etiquette
Timeline
Student Services Secretary
Edustaff
04.2024 - Current
Seasonal Chat Product Expert
TurboTax
01.2024 - 03.2024
Contract Customer Service Representative
WPS Health Solutions
06.2023 - 11.2023
Claims Customer Service Representative
Aetna Medicaid
01.2022 - 05.2023
Client Service Representative
Maximus
05.2019 - 03.2020
Transportation Clerk
Mass Transportation Authority
10.2018 - 08.2019
High School Diploma -
Northwestern High School
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