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Click here or scroll down to respond to this candidateCandidate's Name
Kingston, OK Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLETo obtain a challenging opportunity with a reputable company. Authorized to work in the US for any employerWork ExperienceTexas Works Advisor -ContractTexas Health and Human Services Commission-Sherman, TX August 2023 to April 2024Interviewing applicants and recipients via inbound or outbound phone calls to obtain pertinent financial information to determine benefit eligibility for public assistance programs. Evaluate case data from various electronic and other sources to enter information into computer-based system.Read and understand policies and regulations. Operate computers to perform data entry and basic office software use such as Microsoft Word, Outlook and Excel. Courier/Independent ContractorBeste Courier Services-Whitesboro, TXFebruary 2022 to August 2023Provide same day service in transporting equine semen/embryos to DFW/Love airports and throughout Texas and Oklahoma.Benefit Summary Support ConsultantPro Unlimited - Cigna Healthcare-Kingston, OKMarch 2022 to December 2022Working as part of the Centralized Benefit Team to create accurate and compliant Benefit summaries and SBC's for the local sales markets, consisting of the following- Auditing all benefits on the Benefit Summary Auditing all benefits for state and federal compliance Formatting Dental and Vision Summaries Running the Mental Health Parity on all plans to comply with MHSUD Parity Benefit Summary Support ConsultantPro Unlimited - Cigna Healthcare-Kingston, OKJuly 2021 to November 2021Working as part of the Centralized Benefit Team to create accurate and compliant Benefit summaries and SBC's for the local sales markets, consisting of the following- Auditing all benefits on the Benefit Summary Auditing all benefits for state and federal compliance Formatting Dental and Vision Summaries Running the Mental Health Parity on all plans to comply with MHSUD Parity Claims AuditorNational Government Services (NGS)-Denison, TXNovember 2019 to February 2020 Handles incoming calls or inquiries from providers regarding Medicare claims. Assists customers effectively by claim disputes. Tactfully handles confrontational or upset callers. Handles confidential, financial and personal information appropriately and enters information into computer system accurately and in a timely manner. CTS CLERKChickasaw Nation-Willis, OKMay 2019 to October 2019Provided excellent customer service, operates cash register, cleans and stocks store on a regular basis throughout the shift.CSR - Customer Service RepresentativeAlorica-Durant, OKNovember 2018 to February 2019I worked on the CVS campaign as a customer care rep. My responsibilities where placing prescription orders for customers, taking payments, data entry, and helping the customers with any kind of troubleshooting for their orders and deliveries.Immunization clerkGrayson County Health Dept-Sherman, TXOctober 2016 to January 2017Front office work- Assisted patients with signing in, paperwork, taking payments, and data entry of pertaining information.Provider Services Senior AssociateCigna Health Care-Denison, TXApril 2013 to June 2016Job Duties Include:* Conduct team meetings and provide feedback to appropriate supervisory staff.* Oversee, monitor, and direct Provider Service Recruiters and their workloads on any special projects.* Ensure that all goals, measurements, and timelines are met on a daily, weekly, and monthly basis for any projects under way.* Pulling reports via Excel for projects being worked as a means to monitor progress and make sure we stay on schedule and meet deadlines specific to that project.* Aide in providing individual direction to the team members as well as training newly hired associates. Provider Services AssociateCigna Health Care - Kelly Services-Denison, TXJune 2011 to April 2013Job Duties Include:* Initiate, negotiate, generate and tracks provider Agreements, and amendments from initial draft to full execution.* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers.* Coordinates, preparation, and routing distribution of documents to complete the contracting process in a timely and thorough manner according to standardized processes. Customer Service AssociatePRC Ltd-Durant, OKFebruary 2010 to September 2010Job Duties Include:* Acted as a courteous and empathetic liaison between the customer and the client.* Receiving incoming calls from Worker Compensation patients calling in to update their information for new prescription cards.* Inputting all new customer information into our database accurately and in a timely manner.* Making outgoing calls to pharmacies to update patient information for Workers Compensation prescriptions and claims.CatererDenison ISD-Denison, TXNovember 2007 to June 2008PHONE NUMBER AVAILABLECatererJob Duties Include:* Preparing and providing quality foods with an attractive presentation, maintaining health and sanitary standards.* Transporting food and drinks efficiently and in a timely manner.* Setting up all tables, chairs, linens and place settings where the guests will be seated.* Cleaning up and tearing down the dining area while packing up any leftover foods, serving equipment, thermal containers and bags to return to the home location. Purchasing AgentDuran Industries-Richardson, TXNovember 2005 to April 2007Job Duties Include:* Having excellent working knowledge of and ordering parts for stockroom as well as emergency purchase orders.* Following up on back-orders as well as stock outs in a timely manner to keep shelves stocked to appropriate min/max levels.* Purchasing of different items that are necessary for day to day business operations.* Contract negotiation with suppliers.* Maintain open-order status reports.EducationBasic and Nursing courses in HealthcareGrayson County College - Denison, TX1999 to 2000High school diploma or GEDSkills Microsoft Office programs, computer (10+ years) microsoft excel data entry Contract Negotiation Purchasing Procurement Computer literacy Customer service Microsoft Office Negotiation |
