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Click here or scroll down to respond to this candidateCandidate's Name
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Phone: PHONE NUMBER AVAILABLE * Email: EMAIL AVAILABLEQUALIFICATIONSResults oriented, self-motivated, professional trained by the Ohio Department of Correction. ExcellentOral and interpersonal communication skills, with a strong background in de-escalation, crisis calls,Intervention, conflict diversion and problem-solving. A health care professional with over 12 yearsof experience with Telecommunications line of business, With the retention of a large customer base,in alignment with my direct business leads for the visionary goals of the corporation in which I will be employed.EMPLOYMENTJuvenile Correctional Officer, Circleville OH 1/2024-PresentYouth SpecialistProvides safety, security, custodial care, and surveillance of assigned youth.Adheres to all DYS policies, procedures, rules, and regulations.Exhibits strong management skills.Completes all required documents, reports, logs, evaluations, etc.Observes the behaviors and social interactions of youth and intervenes to de-escalate youthConflicts.Trained to maintain awareness of unusual behavior and crisis situations.Collaborates and provides information to division leadership.CareSource Health Care, Columbus, OH 12/12/021-3/2023Provider Service Representative 1Assist provider with routine service inquiries including but not limited to, confirming amember a primary care physician, member identification number, transportationarrangements, issues with provider accessibility, eligibility inquiries, resolving, identifying,and filing provider grievances.Provide quality service by immediately responding to the member and or providersrequests and complaints, and appropriately routing issues to the correct department for aTimely resolution.Explanation of benefits, claims and appeal procedures. Assist providers with routine servicesto fit their needs.Ensure all HIPPA and STATE requirements and regulations are adhered to at all times.Maintain knowledge and understanding of all processes and procedures.Adhere to all departmental and company policies and procedures.Maintain complete and accurate documentation of all telephone and writtenCommunications.Screen members to determine Case Managements needs and refer when appropriate tobetter assist the provider and their needs.Molina Insurance, Columbus, OH 8/2014-4/2021Member Service Representative 1As a customer service representative, passed all mandatory training at 100% accuracy toMeet state Medicaid/Medicare mandates.Worked with peers and other departments to respond to sensitive health issues withExtreme diplomacy and accuracy.Utilized good listening skills, empathy and compassion for the customer that resulted inAchieving exceptional customer satisfaction.Discover Card Services, New Albany, OH 8/2011-8/2014Account ManagerAnswered incoming and made outbound calls to current accounts offering automaticPayments and hardship programs to card members to help prevent future delinquencies.Made outbound calls to card members who are delinquent on their accounts andtransferred card members to account specialists who set up payments to bring accountsCurrent.Collected payments through electronic checks and enrolled card members who areexperiencing extreme financial difficulties in programs to help reduce their debt and lowertheir payments.Enrolled card members in automatic payments which helped eliminate late fees onaccounts.EDUCATIONRan Security Academy, OPOTA Certification, Cleveland, OHNorthwestern Vocational AutomotiveWehrle High School Columbus, Ohio |
