Tyresha Lenton
Jacksonville,FL
Summary
Empathetic customer service professional recognized for driving high productivity and efficiency. Demonstrates specialized skills in conflict resolution, data entry, and customer relationship management. Proven ability to enhance customer experiences through exceptional communication and problem-solving skills. Aiming to leverage these competencies to further improve service quality in a dynamic environment.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Senior Customer Specialist
Department of Children and Families
Jacksonville, US
01.2024 - Current
- Answers general inquiry eligibility questions related to program requirements, application processing, case status, and benefit information for Medicaid, Food assistance (EBT), Cash assistance (TANF) and Medicare recipients
- Processes a variety of eligibility related work activities within designated time frames
- Educates customers on the benefits and features of My ACCESS Account including account set-up and password resets
- Resolves Electronic Benefit Transfer (EBT) ACCESS card issues
- Conducts abbreviated interviews for the purpose of collecting and updating required information on applicants and recipients and their household members for all public assistance programs
- Requests all additional information/verification required to establish or continue eligibility for public assistance programs
- Ensures electronic case records are documented thoroughly and properly
- Assists customers with referrals to other agencies and community resources
Program Coordinator 1
Centene
Jacksonville, US
01.2022 - 01.2023
- Interact with the patient referral sources to process new applicants
- Create and complete accurate referrals and applications and keep updated on policy or procedural changes
- Enter detailed information into company proprietary software while conversing via telephone
- Place outbound phone calls for Medicare patient follow ups or confirmations
- Ensures members relate to all their health plan providers
- Members who have been identified without care are then assisted with scheduling appointments
- Maintained HIPAA standards and confidentiality of protected health information
- Steward patient accounts from initial contact through final approval/denial
Home Health Aide (HHA)
Caring Connections LLC
Tallahassee, US
01.2017 - 01.2021
- Complete Activities of Daily Living (ADLS)
- Set up and maintain Medical information (Insurance/Prescriptions)
- Scheduling of medical appointments
- Operate Hoyer lifts, wheel chair/electric scooter and other mobilities
- Assist with dietary needs
- Arrange transport for medical appointments and personal care
- Administer medication
- Complete Housekeeping duties
AHCA Health Provider Enrollment & Credentialing Specialist
DXC Technology / Hewlett Packard Enterprise
Tallahassee, US
01.2017 - 01.2019
- Florida Agency for Health Care Administration contractor (AHCA)
- Call Center and Processing Unit
- Email & Postal mailing communication
- Medical credentialing
- Medical provider enrollment
- Data entry & Process
- Create & carry out various credentialing processes
- Maintain up-to-date data
Education
High School Diploma -
Lincoln High School
Tallahassee, FL05.2010
Skills
- Email etiquette
- Escalation management
- CRM software expertise
- Creative problem solving
- Call center operations
- Staff training
- Call escalation
- Inbound and outbound calling
- Paperwork processing
- Team development
- Problem resolution
- Filing
- Script adherence
- Typing 45 wpm
- Professional telephone demeanor
- Data collection
- Medical terminology
- Verbal and written communication
- Documentation
- System updates
- Medical filing
- Patient confidentiality
- Medical insurance
- Electronic health records
- Eligibility determination
- HIPAA compliance
- Queue management
- Medical billing
- Patient eligibility verification
- Claims processing
Certification
- Certified Medication Technician.
- Certified Phlebotomy Technician.
- Notary Public
References
References available upon request.
Timeline
Senior Customer Specialist
Department of Children and Families
01.2024 - Current
Program Coordinator 1
Centene
01.2022 - 01.2023
Home Health Aide (HHA)
Caring Connections LLC
01.2017 - 01.2021
AHCA Health Provider Enrollment & Credentialing Specialist
DXC Technology / Hewlett Packard Enterprise
01.2017 - 01.2019
High School Diploma -
Lincoln High School
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