To engage a forward thinking organization with a history of innovation and vision in its field where my skills, experience, and proven dedication to excellence positively contribute to mission attainment.
Overview
2025
2025
years of professional experience
Work History
Communications Specialist
APWU Health Plan
Baltimore, Maryland
02.2012 - Current
Review and analyze medical claims histories in order to accurately communicate relevant information to providers or plan members
Respond to/troubleshoot inquiries concerning plan coverage in prompt courteous manner
Communications Clerk
10.2008 - 02.2012
Quoted eligibility information and health plan benefits to 70-100 callers per day
Maintained rich, ongoing, direct customer contact using computerized records systems
Consistently met or exceeded departmental, productivity goals
Promoted to Customer Service Representative position
Customer Service Representative
Computer Science Corporation
Baltimore, Maryland
11.2005 - 09.2008
Provide courteous customer service in solutions-oriented call center, while ensuring consumer inquiries and Medicare Part D Prescription Drug Plan enrollments
Troubleshoot complex, consumer queries related to Medicare Part D Prescription Drug Plan
Serve as a Quality Assurance Auditor Interface with other internal departments in an effort to harmonize departmental efforts to satisfy caller needs and complaints
Student Practical Nurse
Capital Region BOCES
Albany, NY
09.2004 - 06.2005
Provided direct patient care under the supervision of a Registered Nurse.
Assisted with activities of daily living such as bathing, grooming and dressing patients.
Administered medications and treatments per physician's orders.
Utilized appropriate safety measures when handling hazardous materials or waste products.
Maintained a clean, safe environment for the patient by adhering to infection control policies and procedures.
Collected specimens, monitored vitals and maximized patient comfort to maintain optimal environment.
Documented information in patient charts and communicated status updates to interdisciplinary care team.
Collected specimens from patients for laboratory testing purposes.
Retention Representative
Nextel Corporation
Elmsford, New York
08.2001 - 09.2003
Tasked with converting disconnection requests to service continuance agreements
Met consumer service dissatisfaction with well-researched solution sets and persuasively emphasized sellable features and services that met client's unmet service needs
Negotiated client retention packages in partnership with sales department by offering retail customer base several creative, 'incentive bundle.'
Implemented a strategic mail, email, and fax strategy to maintain open channels of communication with retention-targeted consumers
Licensed Practical Nurse (Student Nurse/CNA)
Capital Regions Nursing
Performed physical assessments, including vital signs and health history documentation.
Provided patient care in accordance with physicians' orders and nursing standards of practice.
Assisted patients with personal hygiene activities such as bathing, dressing, eating, grooming, and toileting needs.
Used sterile techniques to prepare patients for procedures.
Collected blood, urine or sputum from patients to perform routine laboratory tests.
Transition Care Coordinator at Virginia Premier Health Plan/Sentara Health PlanTransition Care Coordinator at Virginia Premier Health Plan/Sentara Health Plan
Clinical Operations Analyst/Authorization Coordinator at Sentara Health Plan/Virginia Premier Health PlanClinical Operations Analyst/Authorization Coordinator at Sentara Health Plan/Virginia Premier Health Plan