Shantel Ingram

*** ********** ******

904-***-****

Email: acqg26@r.postjobfree.com

QUALIFICATIONS

● Extensive experience and outstanding skills in customer service

● Accustomed to working in fast paced environments with ability to think quickly and

successfully handle difficult clients.

● Pays attention to detail

● Excellent oral communication and written communication skills

● Proficient utilization of Microsoft Office

● Excellent interpersonal skills, ability to work well with others

● Works well independently or in group

● Strong organizational and planning skills

● Highly motivated

EXPERIENCE

September 2011 May 2015, Clinical Support Associate/Pre Service Medical

Review/Utilization Blue Cross Blue Shield of Florida/ Florida Blue

● Call center position supporting the Florida Blue Pre Service Medical Review Team

● Assists provider with the entry and update pre authorization requests for medical review

● Research, Coordinate and resolve inquiries and claim exceptions

● Identify, Document and monitor process improvements

● Moderate to Heavy key entry

● Experience working with Florida Blue healthcare products

● Experience with Accept and Hold authorization work related to HIPAA 5010 limitations

● Experience processing Pharmacy, General, and Medicare faxe authorization request into

JIVA

● Acts as a liaison between hospitals, physicians, health plans, vendors, patients or referral

sources

● Provides customer service to plan members and/or providers by answering benefit

questions, researching and resolving issues and inquiries and ensuring members and

providers understand the Company’s products and services

● Experience precepting, mentoring, and providing guidance to less experienced Service

Advocates

● Informally educate providers on appropriate use of applicable tools, electronic processes,

BCBSFL processes and network/product guidelines all while accurately adhering the

departmental Standard Office Procedures (SOP) and desktops

October 2010 – September 2011, Certified Nursing Assistant

San Jose Rehabilitation Center, Jacksonville, FL

● Follow oral and written instructions to provide quality care to patients.

● Change bed linens, wash and iron patients' laundry, and clean patients' quarters.

● Provide patients with help moving in and out of beds, baths, wheelchairs or automobiles

● Check and relay patients' vital signs: blood pressure, pulse, and temperature monitoring

● Obtained referrals for patients’ and insurance verification

August 2009 – August 2010, Certified Nursing Assistant

Lanier Manor, Jacksonville, FL

● Follow oral and written instructions to provide quality care to patients.

● Change bed linens, wash and iron patients' laundry, and clean patients' quarters.

● Provide patients with help moving in and out of beds, baths, wheelchairs or automobiles

● Check and relay patients' vital signs: blood pressure, pulse, and temperature monitoring

● Obtained referrals for patients’ and insurance verification

June 2008 – October 2008, Customer Service Representative

Incomm, Jacksonville, FL

● Resolved customer telephone call inquiries regarding their accounts and services

provided

● Assisted customers in opening Visa accounts by entering personal and confidential

information.

● Ran identification checks for each potential customer who wanted an account with the

company.

January 2008 – June 2008, Customer Service Representative

Atlanta Olympic Optical, Norcross, GA

● Responsible for ordering contacts and lenses for physician offices (nationwide client

base) to satisfy their existing patient orders.

● Inventory, stock and pull orders.

● Customer billing, credits and order entry.

● Shipped and received orders from UPS, DHL, and FEDEX

May 2005 – December 2006, Receptionist/Appointment Setter

Merequest Marketing, Inc., Norcross, GA

● Answered incoming calls on multi line telephones for clients

● Set appointments and kept customer records

● Completed all clerical duties including faxing, filing, ordering office supplies, and

cleaning

EDUCATION

Florida State College at Jacksonville, Jacksonville, Florida

June 2009 – 2013

Currently pursuing Nursing AAS

Ashford University, Iowa

January 2009 – June 2009

Studied Business in pursuit of Associates of Arts Degree

Buford High School, Buford Georgia

College Prep Studies

References available upon request

Contact this candidate