Whitney Davis
Independence,LA
Summary
Dedicated and knowledgeable individual with vast experience providing exceptional customer service to a wide variety of clients. Proven ability to quickly assess customer needs and provide appropriate solutions. Skilled in resolving customer issues, managing customer relations, and providing detailed product knowledge. Known for successfully handling escalated customer support issues. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Provider Service Representative
NTT Data
06.2023 - 05.2024
- Developed and maintained strong relationships with providers by responding promptly to inquiries, resolving issues and providing ongoing support.
- Responded quickly and effectively to complaints from contracted providers regarding payment issues or other matters.
- Investigated concerns such as billing and claims questions on behalf of providers.
- Reviewed complex and unusual claims to determine coverage restrictions.
CUSTOMER SERVICE REPRESENTATIVE
Blue Cross Blue Shield Of New Jersey
10.2022 - 06.2023
- Responded to telephone inquiries and complaints following standard operating procedures.
- Reviewed eligibility for medical insurance coverage and other benefit plans.
- Assisted in development of policies and procedures related to patient billing and benefit claims.
- Worked collaboratively with other departments to ensure timely processing of claims payments.
- Investigated discrepancies between billed charges and approved amounts paid by insurers.
PHARMACY TECHNICIAN IN TRAINING
Walgreens
02.2022 - 10.2022
- Answered telephones promptly and professionally; documented messages accurately for follow up action by pharmacist staff.
- Assisted pharmacists in preparing and dispensing medications to patients.
- Organized medication orders, checked for accuracy, and entered data into pharmacy system.
- Verified insurance coverage for prescriptions ordered by customers.
- Processed payments for prescriptions using cash registers and other payment systems.
- Reviewed patient profiles to identify potential interactions between prescribed drugs.
- Reported any errors or discrepancies in medication orders to pharmacist immediately.
CERTIFIED NURSING ASSISTANT
Heritage Manor Of Franklinton
02.2020 - 04.2022
- Followed HIPAA regulations to maintain confidentiality of sensitive medical and personal information.
- Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output.
- Reported changes in patient condition to registered nurse or physician.
- Documented activities and recorded information in EMR system.
TRAVELING CERTIFIED NURSING ASSISTANT
ShiftKey
01.2018 - 04.2022
- Responded quickly to emergency situations by utilizing appropriate interventions as needed.
- Performed basic nursing skills such as vital signs, wound care and medication administration.
- Maintained accurate documentation of patient's condition on daily basis.
- Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
- Turned and repositioned residents using proper body mechanics to prevent pressure ulcers.
- Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
CERTIFIED NURSING ASSISTANT
United Medical Rehab Hospital
05.2017 - 01.2018
- Respected confidentiality according to HIPAA regulations.
- Provided basic patient care by taking vital signs, measuring height and weight, and recording intake and output.
- Reported changes in patient condition to registered nurse or physician.
- Turned and repositioned bedridden patients on regular schedule to prevent bedsores.
- Assisted patients with activities of daily living such as bathing, grooming, and dressing.
- Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
Education
Diploma Certified Nursing Assistant - Nursing
Northshore Technical Community College
Hammond LA01.2018
HIGH SCHOOL DIPLOMA -
Independence High School
05.2007
Skills
- Microsoft Excel
- Active Listening
- Call Volume and Quality Metrics
- Computer Proficiency
- Customer Service
- Documentation
- Claims Investigation
- Time Management
- HIPAA Compliance
- Benefits Explanation
- Provider Relations
- De-Escalation Techniques
- Multitasking
- Patient insurance authorizations
Certification
- Certified Customer Service Specialist (NTT DATA) Benefits, Claims, Prior Authorizations, Enrollment (2020)
- Certified Nursing Assistant (2018)
References
- Moira Nix - Cureatr, Certified Pharmacy Technician Professional Reference, (504) 931-3559, moirachasenix@icloud.com
- Ashley Buckles - Landmark Nursing Home, Licensed Practical Nurse Personal Reference, (985) 703-4023, ashbuc25@gmail.com
- Ashley Helms - Social Security Office, Social Security Office Associate Professional Reference, (985) 956-9302, ash.t.helms@gmail.com
Timeline
Provider Service Representative
NTT Data
06.2023 - 05.2024
CUSTOMER SERVICE REPRESENTATIVE
Blue Cross Blue Shield Of New Jersey
10.2022 - 06.2023
PHARMACY TECHNICIAN IN TRAINING
Walgreens
02.2022 - 10.2022
CERTIFIED NURSING ASSISTANT
Heritage Manor Of Franklinton
02.2020 - 04.2022
TRAVELING CERTIFIED NURSING ASSISTANT
ShiftKey
01.2018 - 04.2022
CERTIFIED NURSING ASSISTANT
United Medical Rehab Hospital
05.2017 - 01.2018
Diploma Certified Nursing Assistant - Nursing
Northshore Technical Community College
HIGH SCHOOL DIPLOMA -
Independence High School
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