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Click here or scroll down to respond to this candidateCandidate's Name
Bristol, VA Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEI am a college graduate. In March of Street Address I completed my Bachelor of Science Degree in Health Services Management. For the first 2 years of my college journey I was also raising 3 kids on my own while perusing my degree. Then in January of 2018 I reconnected with my high school sweetheart, and we were wed in June of 2019. I am now ready for my next journey in life and that is my career. With my degree I will strive to be the best employee the company I work for has ever seen in my particular field. I chose this field of work so that I may help improve Healthcare in my community while also improving the success of the company I work for. I want to help people. I am compassionate, intelligent, dedicated, and motivated. Authorized to work in the US for any employerWork ExperienceCustomer Service RepresentativeLuminare Health Benefits-Bristol, VAApril 2023 to PresentI provide Medical Insurance coverage verification, claim payment information, claim denial information, insurance coverage details, as well as co-pay, deductible, co-insurance and out of pocket details to member callers as well as callers from provider offices. I also have experience adjudicating claims from start to finish.Coverage Determinations and Appeals RepCVS CAREMAK-Bristol, VAOctober 2021 to March 2023Verified insurance coverage for prescription medications and performed various Utilization Management exceptions to aid members in getting their medications. I was first to graduate from my training class, and was trained in 4 positions as well as a Learning Advocate where I assisted in training new hires as well as provided aid to all employees with difficult cases or claims. Remote Pharmacy TechnicianPrime Therapeutics-MinnesotaMay 2021 to August 2021This was an assignment for Prime Therapeutics through Aerotek. My duties included 2 weeks of online training via WebEx and Cisco Jabber. Upon completion I processed patient prescriptions and ran test claims using multiple applications such as Cover My Meds, RXClaims, Confluence User Guide and Quantity Limit Grids. Giving me experience working in a remote setting while utilizing these various applications, as well as navigating multiple computer screens and various Microsoft Office applications such as Microsoft Word, Excel, Outlook and Power Point. As mentioned above, this job was an assignment through Aerotek that was not renewed.Stay at Home Mom/College StudentHome-Bristol, VAAugust 2015 to April 2021I spent this time focusing on my family and furthering my education. My children are all older now, two of the three are adults and my youngest is 13. So I have a lot more time to focus on my career. CaregiverDepartment Of Social Services (DSS)-Bristol, VAAugust 2014 to August 2015I also attended CNA classes in my junior and senior years of high school. During these classes we often visited local nursing homes and provided basic care to the residents. Such as: helping them feed themselves or feeding them, helping them shave, bathe, brush their teeth, get dressed and even giving manicures to the female residents. I had a lot of interaction with both male and female residents and got along well with them all.In Home Child CareDepartment Of Social Services (DSS)-Bristol, VAJune 2013 to August 2014I provided child care in my home for my neighbors son. I was certified through my local department of social services.Stay at home momHome-Bristol, VAApril 2005 to July 2013I spent this time focusing on my familyCashier/Customer ServiceWalmart-Bristol, TNOctober 2004 to April 2005I worked as a cashier and in customer service while pregnant with my daughter. I had to quit due to pregnancy related medical issues. Once I gave birth these issues went away. EducationBachelor's in Health Servives ManagementIndependence University - Salt Lake City, UTApril 2016 to March 2019Bachelor's in Health Services ManagementIndependence University - Salt Lake City, UTApril 2016 to March 2019Skills Excellent communication skills Excellent computer skills Excellent problem-solving skills Excellent negotiation skills Dependable Time Management Writing Skills Caregiving Meal Preparation Makeup Application Pharmacy Technician Experience Sales Confluence Microsoft Excel Microsoft Word Customer service Medical terminology Typing HIPAA iOS Windows Microsoft Office Nursing Utilization ManagementCertifications and LicensesBC/BEDriver's LicenseAssessmentsCustomer focus & orientation ProficientJuly 2021Responding to customer situations with sensitivity Full results: ProficientMedical receptionist skills ProficientFebruary 2023Managing physician schedules and maintaining accurate patient records Full results: ProficientCall center customer service ProficientFebruary 2023Demonstrating customer service skills in a call center setting Full results: ProficientCall center customer service ProficientJuly 2021Demonstrating customer service skills in a call center setting Full results: ProficientIndeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.Additional InformationAchievements :1. Graduated first in my training class at CVS Caremark. 2. Certified in 4 positions at CVS Caremark.3. Became a Learning Advocate and trained new hires. 4. Completed many management e-learning courses.5. Obtained CPR and First Aide Certification. |
