Lartecha Mcdowell

Qualification Highlights

Effective management, technical, and supervisory skills.

Mediation and problem solving skills.

Use clear, concise communication skills in conjunction with organizational skills to perform daily duties.

Work well as a team member or independently.

Met or exceeded all performance goals to date.

Resourceful, energetic, competent, multi-task and results-oriented.

Experience

Care Centrix

01/2015-Current

Patient Services

Assist will billing and claims questions.

Research and resolves any issues relating to claims and payments

Communicate clearly and offering excellent customer services external and internal.

Follow policies and procedures.

Adhere to signed goals and compliance measures.

Multi-task in a fast paced environment utilizing multiple tools at once (headset/phone, computer screens, mouse)

•Work in a call center environment

9/14-01/19/2015 Well Care Health Services

Enrollment Representative

. Assist with enrollments for various eligible plans.

. Maintain data information with various systems, research and update transactional data, with discrepancies.

. Adhere to goals and projective compliance measures with quality and CMS

. Ensuring great customer expectations, internal and external,

. Multi-task in a fast pace environment, ensuring accuracy and proficient work on a daily basis,

2/2014- 6/2014 Health Plan Services

Enrollment and Billing Representative

Enrollment of Medicare Member to various plans they are eligible for

Manage through phone and email all client issues and solve problems, using effective communication skills to strive for single-call resolution

Answer all calls promptly and efficiently, in a team-based environment

Listen to client concerns and provide solutions with our product offerings

Communicate clearly and in a positive manner

Multi-task in a fast paced environment utilizing multiple tools at once (headset/phone, computer screens, mouse)

Work in a call center environment

3/2013- 12/2013 US NAVY/ Leslie Controls

Customer Service Representative

Answer incoming phone calls from Customers and sales representatives, log calls, and ensure follow-up actions are completed.

Exceed Customer’s expectations in responding timely to Customer and sales representative inquiries regarding order status, basic price and availability, product returns, and other Customer service related issues.

Process and enter sales orders into the system.

Assist Application Engineering team with completion of Engineering Requests required completing customized Part Numbers for Sales Orders.

2/2011 – 9/ 2012 United Health Care

Eligibility Enrollment Specialist

Preparing, processing and maintaining new member or group enrollments

Loading new member or group data into the enrollment database & updating the database with changes.

Responding to Brokers, Account Managers and HR Representatives regarding member’s accounts

Responsible for reconciling eligibility discrepancies, analyzing transactional data and submitting retroactive eligibility changes.

2/ 2009 – 12/2010 Vangent

Enrollment Representative

Enroll beneficiaries into Prescription drug plans provided by Medicare. Resolve information regarding claims and benefits

Entering Beneficiaries’ personal information into a database that was relayed to various prescription drug plans like Humana, Wellcare, First Health, etc.

Resolved discrepancies on billing records

Answered mail and telephone inquiries regarding rates, routing, and procedures

Met all Call center Objectives

Maintain up-to-date knowledge of CMS regulations and policies as they apply.

1/2008 – 2/2009 Verizon Wireless

Customer Care Representative

Troubleshooting phone equipment in the database system.

Handled billing and rate plan changes

Demonstrated effective and consistent technical support for internet and phone assistance.

Skilled communicator. Can establish individual and group rapport

Assisted customers with reviewing billing issues and troubleshooting their devices.

Education

College 1993

Tallahassee Community College, Tallahassee, FL

H.S. 1991

King High School, Tampa, FL

Skills

• Advance PC skills with a working Knowledge of Microsoft spreadsheet, Word, Outlook and Access

• WPM 65

• Excellent communications and Leadership skills

• Detailed oriented

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