Yasheka Walker
Dallas,TX
Summary
Hardworking customer service representative accustomed to fast-paced Inbound/Outbound call center environments. Quickly and effectively understands, documents and resolves customer concerns, driving satisfaction while meeting demanding business objectives. Well-versed in Healthcare standards and best practices. Proven expertise in insurance products, service and customer needs. Familiar with analyzing documentation, liaising between parties and handling both routine and complex issues each day.
Overview
9
9
years of professional experience
Work History
Credentialing Associate
UnitedHealth Group
Remote , TX
04.2019 - 10.2024
- Identified and corrected data entry errors to prevent duplication across systems.
- Monitored expiration dates for licenses, certifications, privileges, and other qualifications to determine renewal requirements.
- Reviewed applications for completeness prior to submission to regulatory agencies or third-party payers.
- Conducted primary source verifications of licensure, education, training, experience, malpractice coverage, DEA registration numbers.
- Answered inquiries from healthcare providers regarding their credentialing status.
- Processed documents and status-change requests, conducting followup assessment regarding enrollment inquiries.
Member Service Representative
Blue Cross and Blue Shield of Louisiana
Shreveport, LA
03.2017 - 02.2019
- Provided support to members regarding account inquiries, processing transactions, and resolving issues.
- Answered 60-80 incoming calls daily regarding membership benefits and services.
- Managed customer conflicts and challenging situations by staying calm and accessing internal knowledgebases to develop strategic solutions.
- Engaged in conversation with customers to understand needs, resolve issues and answer EOB and Exclusions question and concerns.
Patient Access Representative Pediatric Clinic
University Health
Shreveport, LA
07.2015 - 03.2017
- Scheduling and rescheduling appointments
- Explaining a variety of admission forms and policies, get signatures, hold discussions on financial responsibility and obtain payments
- Applied HIPAA privacy and security regulations while handling patient information.
- Performed pre-registration functions such as verifying demographic information, obtaining authorizations, and collecting deposits and co-payments.
- Coordinated scheduling of appointments across multiple departments to optimize patient care.
Education
Bachelor of Arts - Health Administration
Charter Oak State College
New Britain, CT05-2025
Associate of Arts - Humanities
Southern University At Shreveport
Shreveport, LA05-2023
Bachelor of Arts -
Charter Oak State College
New Britain, CTSkills
- Issue and Complaint Resolution
- Multitasking and Prioritization
- Understanding Customer Needs
- Data Entry
- Efficient and Detail-Oriented
- Upbeat and Positive Personality
- Call Centers
- Project Management
Timeline
Credentialing Associate
UnitedHealth Group
04.2019 - 10.2024
Member Service Representative
Blue Cross and Blue Shield of Louisiana
03.2017 - 02.2019
Patient Access Representative Pediatric Clinic
University Health
07.2015 - 03.2017
Bachelor of Arts - Health Administration
Charter Oak State College
Associate of Arts - Humanities
Southern University At Shreveport
Bachelor of Arts -
Charter Oak State College