| Candidate Information | | Title | Business Development Customer Service | | Target Location | US-FL-Miramar | | Phone | Available with paid plan |
| | 20,000+ Fresh Resumes Monthly | |
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Click here or scroll down to respond to this candidateUShauntae R.UribePHONE NUMBER AVAILABLElataejones@gmail.com11821 S.W. 42nd PLUnit # 322Miramar, FL 33025SUMMARYCollaborative leader with dedication to partnering with coworkers to promote engaged,empowering work culture. Ability to facilitate and improve company relations with other businesses. Documented strengths in building . And maintaining relationships with diverse range, of stakeholders in dynamic fast- paced settings.SKILLS Excellent verbal and writtencommunication skills. Through understanding ofmarketing strategies andpractices. Proficient with Microsoft OfficeSuite or related software. Business Development. Through understanding of marketdevelopments. Excellent organizational skills andmindfulness. Proficient with Cactus SoftwareProgram.EXPERIENCE :Mailroom Production Specialist / Facilities Assistant / LTC Correspondence CoordinatorPembroke Pines, FLSunshine Health / Jun 2017 to Current Distribution of over 10,000 high volume mails. Regulatory filings and compliance, Distribution of Mail to all departments. Handling coordination of mail and packages. Assist with special projects for Administrative Staff. Works closely with program staff to design and implement communications. Strategies and effective messaging for organizational and project-specific goals. Provides Admin Support to Facilities & IT Department. Overseeing preparation of marketing copy, images, videos, emails, and other collateral. Planned and executed events and marketing programs to increase qualified leads. Daily reviewing, equipments, spacing, safety.protocol,continually working Tango files . Managed inventory levels and restock supplies to keep up with high production needs. High Volume of Mail, Opening and Sorting. Critical Analyst, resolving verbal and written matters. Secured long term accounts by recommending strategies to promote brand effectiveness and highlight product benefits. Maintaining files, processing( DCF) Department of Children & Families document. Documented deviations in procedures or appearance on production batch sheets for management review.Correspondence RepresentativeSunrise, FLUltimate Staffing / Team Health/ Jan 2017 to May 2017 Requesting medical records, l looking at claims, requesting more supporting information. Organize and identify unique technology needs. Responded to over fifty customer questions via telephone. Written correspondence, regarding insurance benefits, providers contracts, eligibility, and claims. Educate clients on insurance policies and procedures. Researched and resolved uncommon flagged system, performance issues.Disability Claims Data OperatorPlantation, FLLance Soft Staffing / Aetna / Sep 2016 to Jan 2017 Regularly communicate and interacting with providers. To obtain appropriate medical information. Kept detailed logs with care actions, patient behaviors, and incidents. Verification and authorization status updates with management department. Reviewed outstanding requests and redirected workloads. Contacted insurance carriers to discuss polices and patents benefits. Developed strong client relationships. Delivered exceptional customer service andproblem resolutions.Credentialing ClerkSunrise, FLInsight Global Staffing / MD LIVE INC/ Feb 2016 to Jul 2016 Checking status on new providers applications. Reviewed outstanding requests and redirected workloads to complete projects on time. Developed strong client relationships to deliver exceptional, customer service and problem resolution, data entry, background checks and board certifications. Maintained current knowledge of medical staff.by laws, rules, regulations, polices, procedures, credentialing requirements. Enrolled one hundred Medicaid and Medicare providers. into private insurance plans. Took notes on filed examinations and specific case details, updated databases and produced reports. Outlining results of investigations. Maintained up-to-date knowledge of applicable laws and regulations.Record Audit AnalystMiramar, FLInsight Global Staffing / Spirit Airlines/ Oct 2015 to Feb 2016 Created new profiles records for over sixty new hires. Audited line mechanics, vendors, qualitycontrol inspector. Verified licenses, authorizations, training history. Input training history inside Traxs software program Helped with developing inspections, compliancerecords, management requirement laws, regulationspolices, and procedures.Customer Service Rep / Press Ganey InterviewerMiramar, FLConvey Health Solutions/ Apr 2015 to Oct 2015 Make outbound calls through automated dialer. Followed HIPPA/Medicare/Medicaid guidelines. Conducted surveys on Dialysis, Home Health,MD patients. Used Express Scribe software to type inmedical dictations.DME Intake CoordinatorMiramar, FLUnivita Health Solutions/ Mar 2014 to Mar 2015 Performed initial set up for general DME orders. Comprehended insurance coverage andMedicare/Medicaid guidelines Followed up on pending orders and authorizations. Provides administrative support to patients.inquires/services calls. Request subcontract/LOA orders when required.Verification ManagerVirginia Gardens, FLSenior Life Response/ Dec 2013 to Mar 2014 Enrolled customers in new services. Performed prominent level of data entry. Followed up on pending orders and authorizations. Provides administrative support to patients. Reassured customers of benefits and pricing. Verified insurance authorizations.Audits Specialist / Appeals & Denial SpecialistDoral, FLAsset Staffing /US Medical Supply/ Jul 2013 to Dec 2013 Open and sort mail for distribution. Researched denied claims and file appeals letters. Completed productivity report, scanned audits . Constructed together audits packets forpatients and Medicare. Maintained filing systems. Verified insurance information on file.Pharmaceutical Sales RepresentativeCoral Springs, FLPremier Staffing/ Plaza Healthcare Solutions/ Feb 2012 to Jul 2013 Called patients and enrolling them in new services. Reviewed benefits and pricing on medications. Refilled orders on medications. Verified demographics of patients.Compliance Specialist / Insurance Verification / Credentialing Miami, FLDoctor Diabetic Supplies/ Nov 2008 to Mar 2012 Follow up with insurance providers for payments. Research denied claims and file appeal letters. Making calls to existing customers to renew subscription. Filed faxes and scanned correspondence documents to doctor offices. Upsold patients new diabetic products. Performed data entry. Overview medical records. Posted patients insurance payment. Advised doctors of incorrect ICD 9 codes. Outbound calls to doctors office to retrieve POF. Communicated with doctors, insurance carries. Verified patients demographics.Accounts Payable AssistantHialeah, FLAmerican Engineering & Development Corporation/Oct 2007 to Apr 2008 Distributed of mail. Pay monthly invoices. Maintained filing systems, prepare statements. Negotiated pricing for merchandise . Make outgoing calls to vendors, requesting invoice statements.Sprint Business Consultant/QA Verification Manager Miami Lakes, FLInktel Direct/ Jul 2001 to Mar 2007 Created productivity analysis reports. Audited accounts history records. Training new employees, as well as old employees. Performing quality control on orders. Listening to agents phones calls. Quality control on call procedures.Education and Certificates Doctorate in Christian Ethics & Business Management Higher Place University Alpharetta, GA 2023 Fashion Merchandising & MarketingJohnson & Wales University Providence, RI 1997- 2001 Business Computer Applications 1997 Desktop Publishing 1997 High School Diploma William Turner Technical Arts Miami, FL 1997 |
