Yannika Gaffney
Tampa,FL
Summary
Customer service consultant with high performance work ethics passionate to assist in customer solutions. I have a extensive experience in the Health medical Insurance industry ; including an extensive background working as a remote customer care representative . with many years of experience providing information about services and products to customers. Skilled in assisting customer needs, and handling customer complaints and concerns,inbound and outbound calls , emails , online request via chat support , multi tasking and research abilities . I am also knowledgeable in data entry , health care both private and commercial insurance; Medicaid/Medicare.
Overview
9
9
years of professional experience
Work History
Customer Care Associate | Remote
Cigna health care
Tampa, FL
01.2024 - Current
- Assist patients and prescribers through inbound/outbound phone calls or web support.
- Maintain high call volume productivity, handling an average of 30-50 calls daily.
- Participate in paid training to be successful in Cigna systems.
- Stick to scheduled work hours and meet performance metrics.
- Resolved billing disputes with customers promptly.
- Assisted customers with setting up direct debit payments for recurring bills.
- Adhered to HIPPA guidelines ensuring members' privacy protection.
Member Service Advocate | Remote
Molina Healthcare
Tampa, FL
12.2021 - 01.2024
- Assisted with the implementation of new member services initiatives, such as online banking and mobile applications.
- Maintained knowledge to resolve Medicare, Medicaid, and medical health plan issues for members and providers.
- Generated reports detailing performance metrics related to customer service levels achieved within specified timeframes.
- Scheduled rides share to dental, medical, and vision appointments for Molina Health Care members, reached out to providers' facilities to confirm appointments.
Data Entry Clerk | Hybrid
Convergys
Tampa, FL
04.2017 - 12.2021
- Worked productively in a fast-moving work environment to process large caseloads of claims.
- Interviewed claimants to verify information and obtain additional details.
- Verified claimants' information by analyzing existing evidence on file.
- Conducted initial claimant interviews.
Patient Access Scheduler
Faith care center
Tampa, FL
09.2015 - 03.2017
- Managed the coordination of patient scheduling and facilitated the smooth process of demographics check-in and check-out.
- Ensured compliance with HIPPA regulations, prioritizing the protection of patient personal information.
- Utilized electronic medical record system and medical terminology to efficiently perform various data entry duties.
Education
High School Diploma -
Armwood High School
Seffner, FL06-2015
Skills
- Proficient in MS tools,Excel,outlook and Microsoft office
- Data Entry
- Ability to work in a team
- Knowledge of HIPPA
- Billing and enrollment processing
- Adaptability
- Active Listening
- Problem solving
- Detail-oriented
References
References available upon request.
Timeline
Customer Care Associate | Remote
Cigna health care
01.2024 - Current
Member Service Advocate | Remote
Molina Healthcare
12.2021 - 01.2024
Data Entry Clerk | Hybrid
Convergys
04.2017 - 12.2021
Patient Access Scheduler
Faith care center
09.2015 - 03.2017
High School Diploma -
Armwood High School
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