Success-driven, resourceful, and self-motivated professional who achieves unprecedented results through innovation, initiative, and resourcefulness; thrives in ambiguous circumstances with minimal direction and resources; strong ability to gather and compile best practices from throughout the organization. A natural relationship builder, who enrolls others to support positive change.
Overview
7
7
years of professional experience
Work History
Health Care Advisor
Arkansas Blue Cross Blue Shield
09.2024 - Current
Provided personalized support to members and providers by explaining benefits, resolving claim issues, authorization requirements and guiding them through plan options, billing and provider network access.
Educated individuals on insurance products including individual and family plans as well as ensured understanding on coverage and eligibility.
Handled high-volume inbound calls and service request while maintaining compliance with HIPAA and internal confidentiality policies.
Assisted new members with enrollment, plan changes and documentation, while ensuring accuracy and adherence to regulatory standards.
Maintained knowledge of health care regulations, CMS requirements and products to provide concierge service to members and providers.
Front Desk Manager
Arkansas Pediatric Clinic
05.2023 - Current
Provide leadership to team of front desk associates and insurance specialists, as well as training for new hires and changes in policy/procedure.
Maintain schedule for staffing to ensure adequate coverage is available by manager.
Schedule, reschedule, and coordinate appointments utilizing the system by performing visit notifications of patients.
Conduct insurance verification and benefits explanation by running eligibility on patients.
Request outside records and gather outside medical records from referrals and files patient charts as needed.
Complete full patient registration at date of services, adheres financial, cash control policies and procedures, thoroughly explains and secure clinic and patient legal forms.
Dispatch Coordinator
PICKUP
08.2021 - 03.2023
Managed the daily work schedules of drivers’ locations in field and solved discrepancies to keep team on track.
Planned, routed, and re-routed driver’s schedules based on the amount of route work and customers' needs for service.
Ensured that all routes and areas for the shift were staffed at appropriate levels.
Typed letters, forms, and reports; maintained records by entering information into databases, submitting reports, and recording and filing documents.
Maintained and updated call logs, call records and other important documentation.
Provider Support Representative
Centene
10.2019 - 07.2021
Served as the front-line resolution advocate on various member and provider inquiries, requests, or concerns.
Mitigated and prevented complaints from being escalated to resolve in initial contact.
Provided customer service in a high pace contact center environment over the phone, via live chats and emails.
Documented all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications.
Investigated and resolved member inquiries through correspondence and computer research.
Coordinated internal activities necessary to research and resolve inquiries and provide accounts with service solutions.
Direct Support Professional
Arkansas Family Supports
10.2018 - 09.2019
Established a secure, positive environment that nurtures clients' needs, self-expression, and goals.
Oversaw clients and took care of their needs and performed housekeeping duties.
Delivered individualized training and care for clients in compliance with healthcare professionals’ instructions and other specific guidelines.
Advanced client’s decision-making, productivity, and participation in a range of activities.
Promoted independence in daily activities, such as work, learning, and leisure.
Maintained documentation in compliance with company procedures.
Operated vehicles in compliance with company policies and governmental statutes.
Education
High School Diploma -
Northside High School
Fort Smith, AR
05.2014
Skills
Experience taking reports and insights and making immediate and deliberate action to achieve results
Strong proficiency with Internet, Windows-based PC, intermediate to advanced skills and understanding of and Microsoft Word, Excel, PowerPoint, and Outlook
Outstanding organizational and conflict management skills with seasoned accuracy in the areas of medical terminology, meeting planning, technical support, and customer engagement
Handle confidential information with integrity and professionalism within HIPAA Guidelines
Highly analytic thinker with demonstrated talent for planning, initializing, and implementing operational procedures and streamlining complex work procedures
Ability to create and maintain the highest standards of integrity, creativity, intellectual curiosity, and professional ethics
Detail oriented with an ability to simultaneously work toward big picture goals and priorities
Hands-on experience in reviewing, updating, or making changes to customer accounts
Ability to prepare, present and review oral and written technical and confidential information and reports
Zendesk, Salesforce and microsoft product to streamline productivity and provide assistance