TOSHIA BELL

*** *.*. ********* **. Unit A

Lee's Summit, MO 64063

816-***-****

acvxa7@r.postjobfree.com

OBJECTIVE

To obtain an executive position in Healthcare Management in a dynamic work environment, where

experience and professionalism are valued and required as means for attaining company success.

SUMMARY

Results-oriented, focused, and natural attention to detail systematically and logically in an

organized way. Committed to ideals of consistency and dedication in order build the most successful

business partnerships. Exceptional interpersonal, time management, and negotiation skills.

PROFESSIONAL EXPERIENCE

AMERIGROUP/ANTHEM INSURANCE COMPANY

Overland Park, KS

Quality Assurance/Quality Management November 2012-Present

Health Outreach Specialist

* Serves as project leader for PIP (Performance Improvement Processes).

* Collaborate with local health departments and other community partners.

* Initiate programs to address the health needs of families with an emphasis on women and

children.

* Plan, administer, organize, and successfully implement all activities in relation to the

health promotion operations.

* Develop and prepare health promotion materials and programs, educational presentations and

special events.

* Promote healthy habits and practices in outreach materials and presentations.

* Manage and provide guidance on over-the-counter catalog products in line with the health plan

policies.

* Manage over the counter catalog sales transactions of over $800,000 annually.

* Increased over the counter catalog sales by 17% over two-year period.

* Monitor customer preferences to determine focus of sales efforts.

* Led over the counter sales calls with team members to establish sales and customer retention

goals.

* Develop and execute sales promotions.

* Provide expert product and service information.

* Set up and maintain a certified system of keeping records and the preparation of yearly

budgets.

* Update records, calculate costs, organize reports and carry out other administrative and

clerical staff duties.

* Design training modules that implement strategic business practices and organizational

behavior training concepts.

* Present training information by role playing, simulations and team exercises.

* Mentor team members to succeed and advance within the department and company.

* Key contributor in The National Committee for Quality Assurance (NCQA) and The Healthcare

Effectiveness Data and Information Set (HEDIS) projects including HEDIS data collection

activities, Baseline Assessment Tool completion and validation, data submission

to NCQA and onsite audit functions.

APRIA HEALTHCARE

Overland Park, KS

Home Respiratory and Durable Medical Equipment Sales September 2011-November 2012

Transition Specialist

* Exceeded durable medical equipment sales goals by 12% for the first quarter of 2011.

* Conducted daily sales calls to customers, case managers, doctors and other sales targets in

assigned accounts.

* Spent at least 50% in selling activities.

* Studied new products in order to provide detailed knowledge.

* Matched offerings with customer needs.

* Instructed customers on equipment use.

* Identified operational processes inefficiencies and recommended necessary improvements.

* Promoted other company products and services.

* Created and maintained call plans to qualify new and maintain existing referrals to grow the

business.

* Entered call plan and outcomes into the "Sales Management System" (SMS).

* Set-up hospital in-services on products and services.

* Effectively worked and coordinated timely discharges with Customer Care Center and Branch

Customer Service Team.

* Instructed customers on equipment use.

* Partnered with branch management and staff as well as other functional areas within the

company to drive sales growth.

* Remained up-to-date with all insurance requirements, including the details of patient

financial responsibilities, fee-for-service and managed care plans.

* Communicated and explained Medicare guidelines around private insurance procedures, pricing

information, and product information to referral sources.

ESCREEN INC

Overland Park KS

Web-Based Drug Test Program Management October 2004-September 2011

Service Representative

* Assisted clients with online random drug testing programs including enrollments, payments,

billing, account setup by email and telephone.

* Identified operational processes inefficiencies and recommended necessary improvements.

* Contacted new and existing clients to discuss how their needs could be met with specific

products and services.

* Explained company offerings to promote products and services to clients.

* Examined systems to locate problems such as loose connections and broken insulation.

* Analyzed key metrics to measure product effectiveness.

* Troubleshot and resolved internet connectivity and general software and hardware issues.

* Supplied technical and customer service support online and telephone.

* Tracked data from completed tests, and developed solutions to any issues.

* Identified product problems and strengths and collected data on the customer experience.

* Worked closely with quality assurance to develop use cases, review test cases and track

feature bugs.

* Leveraged in-depth understanding of end-to-end customer experience to identify pain points and

latent customer needs.

* Maintained in-depth knowledge of distribution platform guidelines and capabilities to guide

internal development.

* Added user accounts, troubleshot issues with users and monitored usage on the printing

management system.

* Achieved a 99% customer renewal rate.

* Identified clients and collection network providers that required additional attention or

problem resolution.

* Prepared data by compiling and analyzing internal and external information and completed

projects in support of compliance auditors.

EDUCATION

BBA Bachelor of Business Administration

Baker University (School of Professional Graduate Studies)

MHA Master of Healthcare Management

Kaplan University (projected graduation year 2017)

Contact this candidate