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Click here or scroll down to respond to this candidateCandidate's Name
Street Address EMAIL AVAILABLE PHONE NUMBER AVAILABLEOBJECTIVETo obtain a career with a company that values hard work, and commitment to quality while being a global leader in the world.SKILLS & ABILITIES25+ years of Customer Service skills, with over the phone customer service, and face to face customer service, technical support, handling both incoming calls and outbound calls with a background in Management and Training. Certified Nursing Assistance, State of Virginia.EXPERIENCEOPTUM- (UNITED HEALTHCARE GROUP), NOV 2015-PRESENTCurrently work as a Clinical Administrative Coordinator, daily activities include working reports using Microsoft office, Excel, Word, Outlook, and Teams. These tools are used to communicate and ensure authorizations are processed and closed in a timely manner. Previously, I worked with Nurses to ensure clinical information they needed was requested in a timely manner, attached clinical information as it came in on each case and used QSL software. And prior, I answered incoming Provider calls to ensure their claims are processing or explain why they are not and give information on how they can resubmit the claims with additional information to have the claims paid. Build prior authorization request for providers as requested and needed, verify benefits and coverage, review policies with providers, submit request for provider support as needed, and provide one call resolution for my providers.MOUNTAIN STATES HEALTH ALLIANCE, APRIL 2015- JANUARY 2017Worked as a Nurse Intern I, so I was able to assist patients as needed with daily living activities, check vitals on a schedule, and report concerns or questions that I do not have the answer to, chart important information and activities, and ensure patient safety while assisting the Nurses as requested.VIRGINIA HIGHLANDS COMMUNITY COLLEGE- WORK STUDY- IT HELP DESK, OCTOBER 2014-NOV 2015-I worked with students and staff of VHCC to assist with password set up and retrieval, troubleshooting technical issues for staff and students as called in or as requested in person, printing out needed materials, setting up computers to take tests, website navigation, and various other tasks as requested.SPRINT WIRELESS, JULY 2001- OCTOBER 2014Worked as a Customer Care Specialist I, handling incoming calls from customers with questions for billing, payments, troubleshooting, new account setups, cancellations, sales, offers and other assistance as needed.OFFICE MAX, AUGUST 1997- JUNE 2001Processed payments to accounts as received, with some research needed to post payments to correct accounts. Assisted customers with orders of office supplies while taking incoming calls & completing fax orders for customers.FOOD CITY, JULY 1993- MAY 2002Any duties as needed to complete tasks to assist with opening or closing the store and daily operations. Handle large amount of cash, organize daily lunch and break schedules, assist with training and development of personnel in various positions.EDUCATIONVIRGINIA HIGHLANDS COMMUNITY COLLEGE, ABINGDON, VAASSOCIATES DEGREE IN GENERAL STUDIES, COMPLETED DECEMBER 2021ABINGDON HIGH SCHOOL, 1992 |
