Vantasia McGHEE-Boykin
Summary
Proven track record in enhancing customer satisfaction , adept in HIPAA compliance and grievance handling. Leveraged strong communication skills to resolve complex issues, achieving a significant improvement in service quality. Skilled in EPIC System, ensuring efficient patient data management and insurance verification.
Overview
7
7
years of professional experience
Work History
INBOUND CUSTOMER SERVICE REP
Molina Healthcare
02.2021 - 08.2024
- Answered incoming customer calls regarding product inquiries, orders, complaints and general customer service
- Assessed customer needs and provided solutions to resolve their issues in a timely manner
- Processed customers' orders over the phone and provided follow-up services to ensure satisfaction with products or services
- Provided accurate information about products or services to customers
- Maintained records of customer interactions and transactions for future reference
- Identified and escalated priority issues as needed
- Followed up with customers to ensure their requests were addressed properly
- Researched required information using available resources
- Processed orders, forms, applications, and requests.
- Identified customer needs and determined appropriate solutions.
- Assisted customers with billing questions or payment issues.
- Navigated through multiple systems to resolve customer requests.
MEMBER SERVICE REP
TOTAL MED
06.2019 - 07.2021
- Assisted with the opening of new accounts and processed account maintenance requests
- Answered incoming calls regarding membership benefits and services
- Handled customer complaints in an efficient and courteous manner
- Maintained accurate records of member interactions and transactions
- Verified identity information on new accounts using established procedures
- Tracked customer feedback through surveys or other methods to identify trends or areas of improvement
- Identified opportunities for cross-selling additional products or services based on member needs
- Responded promptly to emails from members seeking assistance
PATIENT SERVICE REP
PARKLAND
10.2017 - 05.2019
- Provided customer service by answering patient questions and addressing concerns
- Verified insurance information, collected payments, and scheduled appointments
- Assisted with the completion of medical forms and records
- Maintained a clean and organized reception area
- Answered incoming calls in a professional manner
- Processed referrals from primary care physicians to specialists for further treatment or evaluation
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure
- Verified insurance information, collected payments, and scheduled appointments.
- Assisted with the completion of medical forms and records.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
Education
High School Diploma -
DALLAS CAN ACADEMY
01.2017
Skills
- HIPAA compliance
- Insurance verification
- Pre-Admission Requests
- Telephone Etiquette
- Office organization
- Filing
- Scheduling diagnostic procedures
- Computer literacy
- Verbal and Written Communication
- Strong communication
- Grievance handling
- Multitasking Abilities
- Medical record review
- Claims documentation
- Prior authorization processing
- EPIC System
Timeline
INBOUND CUSTOMER SERVICE REP
Molina Healthcare
02.2021 - 08.2024
MEMBER SERVICE REP
TOTAL MED
06.2019 - 07.2021
PATIENT SERVICE REP
PARKLAND
10.2017 - 05.2019
High School Diploma -
DALLAS CAN ACADEMY
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